全程综合护理与传统护理在经皮肺穿刺活检术围手术期的临床应用对照研究  

Comparative Study between Whole-course Integrated Care and Traditional Nursing in the Perioperative Clinical Application of Percutaneous Needle Biopsy of the Lung

作　　者：滕芳菊[1] 赵海鸣[2] 程德云[1] 

机构地区：[1]四川大学华西医院呼吸内科,成都610041 [2]成都市第一人民医院呼吸内科二病区

出　　处：《华西医学》2014年第3期520-522,共3页West China Medical Journal

摘　　要：目的探讨经皮肺穿刺活检术围手术期行全程综合护理与传统护理的临床效果。方法将2012年5月-2013年3月收治的198例患者随机分为试验组和对照组,分别采用全程综合护理及传统护理。比较两组间疼痛、焦虑程度、取材合格率和术后并发症发生率的差异。结果试验组取材合格率为97.94%,高于对照组的85.15%,两组比较差异有统计学意义(χ2=10.312,P=0.001);术后试验组气胸发生率及出血发生率分别为3.09%、4.12%,对照组则为11.88%、14.85%;术后试验组疼痛评分为(4.25±1.38)分,对照组为(6.12±1.87)分;试验组术前1 h和术后8 h的焦虑评分别为(11.16±3.29)、(8.47±2.52)分,对照组分别(16.26±3.17)、(12.12±3.26)分;两组各项指标差异均有统计学意义(P<0.05)。结论全程综合护理能降低经皮肺穿刺活检术患者疼痛、焦虑程度和并发症发生率,提高手术成功率。Objective To explore the clinical effect of the whole-course integrated care and traditional nursing in peroperative period of percutaneous needle biopsy. Methods A total of 198 patients treated between May 2012 and March 2013 were randomly divided into the traditional care group （control group） and the whole-process integrated care group （experimental group）. Then, we compared between the two groups in terms of pain and anxiety levels, qualified rate of specimen and incidence of postoperative complications. Results Qualified rate of specimen in the experimental group （97.94%） was significantly higher than that in the control group （85.15%） （Х^2=10.312, P=0.001）. After surgery, the rates of pneumothorax and bleeding were 3.09% and 4.12% in the experimental group, and 11.88% and 14.85% in the control group; the pain score of the experimental group was 4.25 ± 1.38, and 6.12 ± 1.87 in the control group. One hour before and 8 hours after surgery, the anxiety scores were 11.16 ± 3.29, 8.47 ± 2.52 in the experimental group, respectively, and were 16.26 ± 3.17, 12.12 ± 3.26 in the control group, respectively. There were significant differences between the two groups in all the above indexes （P 〈 0.05）. Conclusion Whole-course integrated care can significantly reduce pain and anxiety levels and the incidence of postoperative complications and improve the success rate ofpercutaneous needle biopsy.

关 键 词：肺活检术 并发症 综合护理 

分 类 号：R473.6[医药卫生—护理学]