改进型护理干预在CT引导穿刺宫颈癌患者中的应用效果  

Application effect of improved nursing intervention in CT-guided puncture of cervical cancer patients

作　　者：曾兰英[1] ZENG Lan-ying(Department of Radiology,Jiangxi Maternal and Child Health Hospial,Nanchang330000,China)

机构地区：[1]江西省妇幼保健院放射科,江西南昌330000

出　　处：《中国当代医药》2020年第18期220-223,共4页China Modern Medicine

基　　金：江西省科技计划项目(20112BBG70014)。

摘　　要：目的 探讨改进型护理干预在CT引导穿刺宫颈癌患者中的应用效果.方法 选取2017年1月~2019年1月我院收治的83例宫颈癌患者作为研究对象,按照随机数字表法分为常规护理干预组(n=41)与改进型护理干预组(n=42).常规护理干预组采用常规护理方法,改进型护理干预组采用改进型护理方法.比较两组穿刺成功率、穿刺情况、术后并发症、护理总满意度.结果 改进护理干预组一次穿刺成功率为100.00%(42例),高于常规护理干预组的92.68%(38例),差异有统计学意义(P<0.05);改进型护理干预组穿刺时间[(27.16±4.86)min],术后卧床时间[(13.64±4.25)h],短于常规护理干预组,疼痛评分[(5.09±1.56)分]低于常规护理干预组,差异均有统计学意义(P<0.05);改进型护理干预组术后阴道出血[2.38%(1例)]、疼痛[69.05%(69例)]、发热[2.38%(1例)],低于常规护理干预组,差异均有统计学意义(P<0.05);改进型护理干预组的护理总满意度为97.62%,高于常规护理干预组的73.17%,差异有统计学意义(P<0.05).结论 在CT引导穿刺宫颈癌患者中实施改进型护理干预,提高穿刺成功率,降低术后并发症发生率,缩短穿刺时间及卧床时间,缓解疼痛,提高护理满意度,效果显著,值得临床推广实施.Objective To investigate the application effect of the improved nursing intervention in the CT-guided puncture of cervical cancer patients.Methods A total of 83 patients admitted to our hospital from January 2017 to January 2019 were selected as the research objects.According to the random number table method,they were divided into routine nursing intervention group(n=41)and improved nursing intervention group(n=42).The puncture success rate,puncture status,postoperative complications and total nursing satisfaction were compared between the two groups.Results The initial puncture success in the improved nursing intervention group was 100.00%(42 cases),which was higher than that in the routine nursing intervention group 92.68%(38 cases),the difference was statistically significant(P<0.05).The puncture time([27.16±4.86]min)and postoperative bedridden time([13.64±4.25]h)of the improved nursing intervention group were shorter than those of the routine nursing intervention group(P<0.05),and pain score([5.09±1.56]points)was lower than that of the routine nursing intervention group(P<0.05).Postoperative complications in the improved nursing intervention group included vaginal bleeding(2.38%,1 case),pain(69.05%,69 cases),and fever(2.38%,1 case),all of which were lower than those in the routine nursing intervention group(P<0.05).The nursing total satisfaction of the improved nursing intervention group was 97.62%,which was higher than that of the conventional nursing intervention group(73.17%),the difference was statistically significant(P<0.05).Conclusion The implementation of improved nursing intervention in CT-guided puncture of cervical cancer patients can improve the success rate of puncture,reduce the incidence of postoperative complications,shorten puncture time and bedridden time,alleviate pain,improve nursing satisfaction,which is worthy of promotion and implementation.

关 键 词：改进型护理干预 CT引导穿刺 穿刺术 宫颈癌 

分 类 号：R473.73[医药卫生—护理学]