健康指导对肺小结节穿刺定位辅助电视胸腔镜手术患者心理状态的影响

The effect of health guidance on mental status of patients with small solitary pulmonary nodules treated by puncture positioning assisted video-assisted thoracic surgery

目的研究健康指导对采用穿刺定位辅助电视胸腔镜手术的肺小结节患者心理状态和定位效果的影响。方法选择2013年1月~2015年6月在我院行穿刺定位辅助电视胸腔镜手术的肺小结节患者78例,随机分为观察组和对照组,各39例。对照组实行常规干预,观察组在常规干预的基础上实行健康指导。采用抑郁自评量表（SDS）、焦虑自评量表（SAS）评价两组患者精神状态,比较两组治疗前后SDS评分、SAS评分变化、治疗有效率以及并发症情况。结果两组治疗前SDS评分与SAS评分无显著差异（P〉0.05）;治疗后,各组SDS评分与SAS评分均显著降低（P〈0.05）,观察组SDS评分和SAS评分均显著低于对照组（P〈0.05）。两组患者术前CT引导下定位成功率均为100%,观察组平均定位时间与对照组无显著差异（P〉0.05）。两组不良反应差异不显著（P〉0.05）。结论健康指导对穿刺定位辅助电视胸腔镜手术的肺小结节患者抑郁和焦虑情绪能起到一定的缓解作用。

Objective To study the effect of health guidance on mental status and positioning results of patients with small solitary pulmonary nodules treated by puncture positioning assisted video-assisted thoracic surgery. Methods 78 cases of pulmonary nodules were randomly divided into the observation group（n=39）and the control group（n=39）. The control group was processed with routine treatment and nursing,the observation group was given health guidance on the basis of the control group. Self rating Depression Scale（SDS）,self rating Anxiety Scale（SAS）were used to evaluate two groups of patients. Compared with SDS score,SAS score,treatment effective rate and adverse reactions of the two groups before and after treatment. Results Before intervention,there was no significant difference between two groups both in SAS score and SDS score（P〉 0.05）. After the intervention,the observation group patients’ SAS score,SDS score were significantly better than that in the control group（P〈0.05）. There were no significant difference between two groups respectively in localization success rate,the average positioning time and adverse reactions（P〉0.05）. Conclusion Health guidance can effectively improve the mental status of patients.