临床护理路径对肝脏穿刺活检术患者焦虑及术后疼痛的影响

Effect of the clinical nursing pathways on anxiety and postprocedure pain of liver biopsy patients

目的:建立完善的肝脏穿刺活检术的临床护理路径(CNP),探讨CNP对于减轻肝脏穿刺活检术患者的焦虑症状以及术后肝区疼痛程度的应用价值。方法:120例肝穿刺患者随机分为试验组(60例)和对照组(60例),试验组在常规护理的基础上给予CNP照护,对照组给予常规护理。采用Zung焦虑自评量表和临床上常用的马盖尔问答法比较两组焦虑及术后疼痛情况。结果:试验组焦虑值低于对照组,差异有显著性(P<0.05)。试验组术后肝区疼痛发生率低于对照组,其程度较轻,与对照组比较,差异有显著性(P<0.05)。结论:在肝脏穿刺活检术中实施CNP,可以减轻肝穿活检患者焦虑程度及术后肝区疼痛。

Objective：To establish the perfect clinical nursing pathway of nursing for percutaneous transhepatic biopsy.And investigate the effect of the clinical nursing pathways on anxiety of liver biopsy and postprocedure pain.Methods：A total of 120 patients were divided into experimental group（60 cases） and control group（60 cases） randomly.The anxiety level was measured by Zung′s Self-Rating anxiety scale（SAS）.Postprocedure pain was measured by McGill′s scale.Results：Compared with the control group,the experimental group had lower scores of anxiety（P0.05）.The incidence of postprocedure pain was less in the experimental group,and the level of pain was also lower in the experimental group.The difference between the two groups was significant（P0.05）.Conclusion：With the clinical nursing pathways,the anxiety of liver biopsy and postprocedure pain can be alleviated significantly.