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目的:探讨六步标准沟通结合多学科合作疼痛管理措施，对非小细胞肺癌（NSCLC）胸腔镜术后患者快速康复情况及疼痛数字评价量表（NRS）评分和日常生活活动能力（ADL）Barthel评分（BI指数）的影响。方法:选取2016年2月至2019年12月在南通市第六人民医院接受VATS辅助手术治疗的86例NSCLC患者作为研究对象，所有患者按照随机数字表法分为对照组和研究组各43例。对照组患者围手术期给予传统管理方式，护患沟通应用常规方案，研究组患者给予基于六步标准沟通流程的护患沟通方案和以护士为主体的多学科合作疼痛管理模式。比较2组患者术后快速康复情况和干预前后NRS评分、BI指数变化情况。结果:研究组患者术后24 hNRS评分为（3.18 ± 1.04）分，对照组为（4.61 ± 1.27）分，差异有统计学意义（n t值为5.713，n P<0.001），其术后24 h内中重度疼痛发生率研究组为4.65%（2/43），对照组为18.60%（8/43），差异有统计学意义（n χ2值为4.074，n P<0.05）。研究组患者术后首次下床时间、住院时间分别为（19.06 ± 7.52）h、（9.42 ± 2.83）d，对照组分别为（27.83 ± 12.01）h、11.05 ± 2.97）d，差异有统计学意义（n t值为4.058、4.044，n P<0.01）；干预后研究组患者的简明心境问卷（POMS）各维度愤怒-敌意、疲乏-迟钝、精力-活力、紧张-焦虑、抑郁-沮丧、迷惑-混乱评分分别为（3.43 ± 1.21）、（6.16 ± 1.63）、（7.62 ± 2.43）、（3.43 ± 1.04）、（4.26 ± 1.59）、（4.48 ± 1.58）分，对照组分别为（5.26 ± 1.46）、（7.20 ± 1.65）、（8.89 ± 1.80）、（5.37 ± 1.58）、（5.49 ± 1.27）、（6.70 ± 2.21）分，差异有统计学意义（n t值为2.754~6.725，n P<0.01）；研究组干预前后BI指数分别为（55.02 ± 11.07）、（75.44 ± 14.51）分，对照组干预前后分别为（54.48 ± 10.24）、（63.38 ± 14.10）分，2组干预后比较差异有统计学意义（n t值为3.909，n P<0.01）；研究组满意度为95.35%（41/43），对照组满意度72.09%（31/43），差异有统计学意义（n χ2值为8.532，n P<0.01）。n 结论:六步标准沟通模式联合以护士为主体的多学科合作疼痛管理措施应用于行VATS手术治疗的NSCLC患者，对患者术后的快速康复具有明显的促进作用，并能有效缓解患者术后的疼痛程度，改善其不良情绪，从而有利于提高患者护理满意度和术后的日常生活自理能力。“,”Objective:To explore the effect of CICARE standard communication combined with multidisciplinary cooperative pain management measures on the rapid recovery of patients with non-small cell lung cancer (NSCLC) undergoing video-assisted thoracoscopic surgery (VATS) and the NRS score and the Barthel score (BI index) of patients.Methods:86 NSCLC patients who received VATS assisted surgery were randomly divided into control group (43 cases) and study group (43 cases). The patients in the control group were given the traditional management mode and the routine scheme of nurse patient communication The patients in the study group were given the traditional management mode and the routine scheme based on the six-step standard communication process and the multidisciplinary cooperative pain management mode based on nurses. The rapid postoperative rehabilitation, changes of NRs score and Bi index were compared between the two groups.Results:The NRS score of the patients in the study group was (3.18 ± 1.04) and that in the control group was (4.61 ± 1.27). The difference was statistically significant (n t value was 5.713, n P < 0.001). The incidence of moderate and severe pain in the study group was significantly lower than that in the control group (4.65% (2/43), and that in the control group was 18.60% (8/43). The difference was statistically significant ( n χ2 value was 4.074, n P < 0.05) The first time for patients to get out of bed and stay in hospital were (19.06 ± 7.52) h and (9.42 ± 2.83) d, respectively, and those in the control group were (27.83 ± 12.01) H and (11.05 ± 2.97) d, respectively, with statistically significant differences ( n t-values of 4.058 and 4.044, n P < 0.001). The simple mood questionnaire (POMS) of patients in the intervention study group included anger hostility, fatigue retardation, energy vitality, tension anxiety and depression The scores of depression, confusion and confusion were (3.43 ± 1.21), (6.16 ± 1.63), (7.62 ± 2.43), (3.43 ± 1.04), (4.26 ± 1.59), (4.48 ± 1.58) in the control group, and (5.26 ± 1.46), (7.20 ± 1.65), (7.62 ± 2.43), (5.37 ± 1.58), (5.49 ± 1.27), (6.70 ± 2.21) in the control group, with a statistically significant difference ( n t value of 2.754-6.725, n P < 0.01)) Before and after the intervention, the Bi index of the study group was (55.02 ± 11.07), (75.44 ± 14.51), the Bi index of the control group was (54.48 ± 10.24), (63.38 ± 14.10), the difference between the two groups was statistically significant (3.909, n P < 0.01),the satisfaction of the study group was 95.35% (41/43), the satisfaction of the control group was 72.09% (31/43), the difference was statistically significant ( n χ2 The value was 8.532, n P < 0.01).n Conclusion:The CICARE standard communication mode combined with multi-disciplinary cooperative pain management measures with nurses as the main body can promote the rapid recovery of NSCLC patients after VATS, it can effectively improve the level of postoperative acute pain management and it can effectively relieve the postoperative pain of patients and improve their bad mood, which is conducive to improving patients' nursing satisfaction and their ability of daily life self-care.