全程系统护理联合正念减压在经皮肺穿刺活检术中的应用  

Application of comprehensive systematic nursing combined with mindfulness decompression in percutaneous lung biopsy

作　　者：刘兰凤 钟欣 叶华 LIU Lanfeng;ZHONG Xin;YE Hua(Department of Thoracic Surgery,First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]赣南医科大学附属第一医院胸外科,江西赣州341000

出　　处：《中国当代医药》2024年第34期144-148,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202310833)。

摘　　要：目的探讨全程系统护理联合正念减压在经皮肺穿刺活检术中的应用效果。方法选取2022年7月至2023年7月赣南医科大学附属第一医院收治的90例未明确诊断肺占位病变且行经皮肺穿刺活检术患者作为研究对象,按照随机数字表法分为联合组和常规组,每组45例。常规组实施常规护理,联合组在常规护理基础上实施全程系统护理联合正念减压干预。比较两组患者一次穿刺成功率,样本取材合格率,术后1、2、3 d穿刺疼痛程度[视觉模拟评分法(VAS)],干预前、穿刺前、穿刺后的负性情绪[汉密尔顿焦虑量表(HAMA)、压力知觉量表(PSS)]、正念知觉水平[五因素正念觉知量表(FFMQ)],并发症发生情况及护理满意度差异。结果联合组一次穿刺成功率高于常规组,差异有统计学意义(P<0.05);两组患者样本取材合格率比较,差异无统计学意义(P>0.05);两组患者术后2、3 d时疼痛程度评分均低于本组术后1 d时,且联合组术后2、3 d时疼痛程度评分低于常规组,差异有统计学意义(P<0.05)。两组患者穿刺前后HAMA评分、PSS评分均低于本组干预前,且联合组穿刺前后HAMA、PSS评分均低于常规组,差异有统计学意义(P<0.05)。两组患者穿刺前后FFMQ评分均高于本组干预前,且联合组穿刺前后FFMQ评分均高于常规组,差异有统计学意义(P<0.05)。整体分析结果显示,两组患者疼痛程度、HAMA、PSS、FFMQ评分时间、组间、交互作用比较,差异有统计学意义(P<0.05)。联合组并发症总发生率低于常规组,差异有统计学意义(P<0.05)。联合组护理总满意度高于常规组,差异有统计学意义(P<0.05)。结论经皮肺穿刺活检术中提供全程系统护理联合正念减压护理,可提高一次穿刺成功率,减轻术后疼痛应激,调节情绪状态,且术后并发症较少,患者满意度高。Objective To investigate the application effect of comprehensive systemic nursing combined with mindfulness decompression in percutaneous lung biopsy.Methods A total of 90 patients with undiagnosed lung space occupying lesions who underwent percutaneous lung biopsy admitted to First Affiliated Hospital of Gannan Medical University from July 2022 to July 2023 were selected as the study objects,and they were divided into combined group and routine group according to random number table method,with 45 cases in each group.The routine group received routine nursing,and the combined group received comprehensive systemic nursing combined with mindfulness-based decompression intervention on the basis of routine nursing.The success rate of one-time puncture,the qualified rate of sample sampling,the degree of puncture pain 1,2 and 3 days after surgery,negative emotions(Hamilton anxiety scale[HAMA],perceived stress scale[PSS]),level of mindful perception(five facet mindfulness questionaire[FFMQ])before intervention,before puncture and after puncture,incidence of complications and differences in nursing satisfaction were compared between the two groups.Results The success rate of one-time puncture in the combined group was higher than that in the routine group,the difference was statistically significant(P<0.05).There was no significant difference in the qualified rate of sample sampling between the two groups(P>0.05).The pain degree scores of two groups were lower than those at 2 and 3 days after surgery,and the pain degree scores of the combined group were lower than those of the routine group at 2 and 3 days after surgery,with statistical significances(P<0.05).HAMA and PSS scores in both groups before and after puncture were lower than those before inter vention, and HAMA and PSS scores in the combined group were lower than those in the routine group, with statistical significances (P<0.05). FFMQ scores in both groups before and after puncture were higher than those before intervention, and FFMQ scores in the combined gro

关 键 词：全程系统护理 正念减压 经皮肺穿刺活检术 一次穿刺成功 

分 类 号：R473.5[医药卫生—护理学]