护理干预对经皮肺穿刺活检术患者并发症的影响

Effect of Nursing Intervention on Complications of Patients Undergoing Percutaneous Lung Biopsy

目的对经皮肺穿刺活检术中护理干预的价值予以探讨。方法方便选取于2015年12月—2017年12月入住该院行经皮肺穿刺活检术者96例进行研究,按照随机图表法分为对照组和观察组,分别予以常规护理和护理干预,对比两组一次性穿刺成功率、穿刺时间、护理前后心理状态和并发症发生率。结果观察组一次性穿刺成功率高于对照组(95.8%vs 81.3%),穿刺时间短于对照组[(11.2±1.6)min vs(16.5±1.8)min],差异有统计学意义(χ^2=5.031,P=0.024;t=15.247,P=0.000);对照组和观察组护理前心理状态间一致性明显,观察组护理后SAS和SDS评分低于对照组[(53.2±0.7)分vs(60.2±2.1)分和(54.5±1.2)分vs(62.1±1.6)分],差异有统计学意义(t=21.909、8.314,P<0.05);两组并发症的对比(20.8%vs 4.2%),差异有统计学意义(χ^2=6.095,P<0.05)。结论在经皮肺穿刺活检术中实施护理干预,可提高穿刺效果,也可缓解负面情绪,减少并发症的产生,值得在深入探讨的基础上予以推广应用。

Objective To investigate the value of nursing intervention in percutaneous lung biopsy.Methods Convenient elected a total of 96 patients who underwent percutaneous lung biopsy in the hospital from December 2015 to December 2017 were enrolled.The patients were divided into the control group and the observation group according to the random chart method.One-time puncture success rate,puncture time,psychological state before and after care,and complication rate.Results The success rate of one-time puncture in the observation group was higher than that in the control group(95.8%vs 81.3%),and the puncture time was shorter than that in the control group[(11.2±1.6)min vs(16.5±1.8)min],the difference is statistically significant(χ^2=5.031,t=15.247,P<0.05);the agreement between the control group and the observation group was significant.The SAS and SDS scores of the observation group were lower than those of the control group[(53.2±0.7)points vs(60.2±2.1)points]and[(54.5±1.2)points vs(62.1±1.6)points],the difference is statistically significant(t=21.909,8.314,P<0.05);comparison of complications between the two groups(20.8%vs 4.2%),the difference is statistically significant(χ^2=6.095,P<0.05).Conclusion The implementation of nursing intervention in percutaneous lung biopsy can improve the puncture effect,relieve negative emotions and reduce the incidence of complications.It is worthy of promotion and application on the basis of in-depth discussion.