针对性心理干预在CT引导下经皮肺穿刺活检中的应用效果及其对术后并发症的影响  

The application effect of targeted psychological intervention in CT-guided percutaneous lung biopsy and its influence on postoperative complications

作　　者：吕绍娟[1] 牛瑾 王新宇 徐皓博 周志刚[2] Lv Shaojuan;Niu Jin;Wang Xinyu;Xu Haobo;Zhou Zhigang(Huanxian People's Hospital,Huaxian 456400,Anyang,Henan;不详)

机构地区：[1]滑县人民医院,河南安阳456400 [2]郑州大学第一附属医院,河南郑州450052

出　　处：《临床心身疾病杂志》2024年第2期99-103,共5页Journal of Clinical Psychosomatic Diseases

基　　金：希思科-领航肿瘤研究基金项目(批准日期2020-10-30)。

摘　　要：目的 探究针对性心理干预在CT引导下经皮肺穿刺活检的应用效果及其对术后并发症的影响。方法 将98例行CT引导下经皮肺穿刺活检术患者按照随机数字表法分为对照组、研究组,各49例。两组患者均进行CT引导下经皮肺穿刺活检术,对照组患者给予常规干预,研究组患者在对照组的基础上给予针对性心理干预(两组患者均干预两周)。比较两组患者干预前后血压、心率及焦虑自评量表(SAS)、抑郁自评量表(SDS)、90项症状清单(SCL-90)、视觉模拟评分量表(VAS)评分,并比较两组患者干预后并发症发生率以及患者满意度。结果 干预后,两组患者收缩压、舒张压、心率均有所上升,但与对照组相比,研究组收缩压、舒张压、心率较低(P<0.01);两组患者SAS、SDS、VAS评分及SCL-90总分、各因子分均较干预前降低,且研究组低于对照组(P<0.01)。干预后,研究组患者并发症总发生率低于对照组,总满意度高于对照组(P<0.05或0.01)。结论 针对性心理干预应用于CT引导下经皮肺穿刺活检术患者,可有效改善患者负面情绪,降低患者并发症发生率。Objective To explore the application effect of targeted psychological intervention(TPI) in CT-guided percutaneous lung biopsy(PNLB) and its influence on postoperative complications.Methods Ninety-eight patients undergoing CT-guided PNLB were divided into control and study group with 49cases in each according to random number table.Both groups underwent the CT-guided PNLB,controls received routine intervention,and study group did the TPI on the basis of control group for 2 weeks.Such indexes were compared between two groups as pre-and post-intervention blood pressures(BP),heart rates(HR) as well as scores on the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Symptom Checklist-90(SCL-90),and Visual Analogue Scale(VAS),so were the incidences of post-intervention complications and patients' satisfactions done.Results After intervention,systolic blood pressures,diastolic blood pressures and HRs elevated in both groups and those were lower in study than control group(P<0.01);scores on the SAS,SDS and VAS as well as the total and each factor scores of the SCL-90 in both groups lowered comapred with pre-intervention and those were lower in study than control group(P<0.01).After intervention total incidence of complication was lower and total satisfaction rate higher in study than control group(P<0.05 or0.01).Conclusion The TPI application in patients undergoing CT-guided PNLB can effectively improve patients' negative emotions and reduce the incidence of complications.

关 键 词：针对性心理干预 CT引导 穿刺活检术 并发症 

分 类 号：R473[医药卫生—护理学]