肺癌患者纤维支气管镜检查舒适度的影响因素  

Influencing factors of comfort degree of patients with lung cancer undergoing fiberoptic bronchoscopy

作　　者：段娜 韩芳[2] 黄华俊[3] DUAN Na;HAN Fang;HUANG Huajun(General Medicine,Xiangyang 441021,Hubei,China;Department of Respiratory Medicine,Xiangyang 441021,Hubei,China;General Surgery,Xiangyang Central Hospital,Xiangyang 441021,Hubei,China)

机构地区：[1]襄阳市中心医院全科医学科,湖北襄阳4410210 [2]襄阳市中心医院呼吸内科,湖北襄阳4410210 [3]襄阳市中心医院普外科,湖北襄阳4410210

出　　处：《癌症进展》2020年第17期1821-1824,共4页Oncology Progress

摘　　要：目的探讨影响肺癌患者纤维支气管镜检查舒适度的相关因素及综合干预措施的效果。方法选取172例行纤维支气管镜检查的肺癌患者,分析其检查期间的不适反应发生情况及影响因素。另外,根据随机数字表法将96例拟行纤维支气管镜检查的肺癌患者随机分为研究组和对照组,每组48例,其中,研究组患者于围检期针对多因素分析结果接受综合干预,对照组接受常规干预。观察两组患者检查期间的不适反应发生情况和配合情况。结果172例患者在行纤维支气管镜检查过程中,不适反应的发生率为79.65%(137/172),不适反应包括口咽部不适61例、憋气感42例、咳嗽22例和胸部不适12例。单因素分析结果显示,年龄、性别、文化程度、病理分期、检查次数与纤维支气管镜检查过程中肺癌患者的生理舒适度可能有关(P﹤0.05)。行纤维支气管镜检查的过程中,研究组患者憋气感、咳嗽、恐惧感的发生率及视觉模拟评分(VAS)均明显低于对照组(P﹤0.01)。研究组患者身体移动、主动拔管、要求中止检查的总发生率低于对照组,依从率高于对照组(P﹤0.05)。结论肺癌患者行纤维支气管镜检查过程中的不适反应以口咽部不适和憋气感为主。年龄、性别、文化程度、病理分期、检查次数是影响肺癌患者行纤维支气管镜检查过程中舒适度的主要因素。综合干预措施可提高其依从性,降低不适反应的发生率。Objective To analyze the related factors affecting the physiological comfort of fiberoptic bronchoscopy in patients with lung cancer,and to explore the effect of comprehensive intervention measures.Method 172 patients with lung cancer who underwent fiberoptic bronchoscopy were selected to observe the occurrence of discomfort during the examination and its influencing factors.96 lung cancer patients who were scheduled to underwent fiberoptic bronchoscopy were prospectively selected and divided into observation group and control group according to the random number table method,48 cases in each group.The observation group was given comprehensive intervention during the peri-examination period according to the results of multi factor analysis,while the control group was given routine intervention.The uncomfortable reaction and cooperation between the two groups during the examination were observed.Result The incidence of discomfort during fiberoptic bronchoscopy was 79.65%(137/172).There were 61 cases of oral and pharyngeal discomfort,42 cases of suffocation,22 cases of cough and 12 cases of chest discomfort.Univariate analysis showed that age,sex,education level,pathological stage and number of examinations were related to physiological comfort during fiberoptic bronchoscopy(P<0.05).The incidence of suffocation,cough and fear in the observation group was lower than that in the control group,and the visual analogue scale(VAS)was lower than that in the control group(P<0.05).The total incidence of body movement,active extubation and requesting discontinuation of examination in the observation group was lower than that in the control group,and the compliance rate was higher than that in the control group(P<0.05).Conclusion Discomfort in oropharynx and sense of breathing are the most common complaints during fiberoptic bronchoscopy in patients with lung cancer.Age,sex,education level,pathological stage and number of examinations were the main influencing factors.Comprehensive interventions can improve the compliance of

关 键 词：纤维支气管镜 肺癌 生理舒适度 影响因素 不良反应 

分 类 号：R734.2[医药卫生—肿瘤]