针对性护理在超声引导下甲状腺结节细针穿刺术中的应用研究

Application of targeted nursing in ultrasound-guided fine needle aspiration biopsy of thyroid nodules

目的探讨针对性护理在行超声引导下细针穿刺活检术(US-FNAB)甲状腺结节患者中的应用价值。方法选取2018年3月—2019年12月期间收治的206例行US-FNAB甲状腺结节患者,按照随机数字表法分为对照组和研究组(各103例),对照组实施常规护理干预,研究组实施针对性护理措施。对比分析两组患者心理状态评分、舒适度评分、一次穿刺成功率及并发症发生率。结果护理后两组SDS、SAS评分与护理前比较均明显降低,且研究组低于对照组,(P<0.05)。研究组护理后舒适度量表各维度评分均高于对照组,(均P<0.05)。研究组一次穿刺成功率为96.12%高于对照组的84.47%,研究组并发症发生率(2.91%)低于对照组(10.68%)。结论在行US-FNAB甲状腺结节患者中实施针对性护理,有助于改善患者心理状态,降低并发症发生率,提升生理、精神心理舒适度和一次穿刺成功率,具有推广价值。

Objective To explore the application value of targeted nursing in patients with thyroid nodules undergoing ultrasound-guided fine needle aspiration biopsy(US-FNAB).Methods A total of 206 patients with thyroid nodules undergoing US-FNAB examination from March 2018 to December 2019 were selected.They were divided into a control group(n=103)and an observation group(n=103)according to the random number table method.Routine nursing intervention was implemented to the control group,and targeted nursing to the observation group.Patients'mental state score,comfort score,success rate of first puncture,and incidence rate of complications between the two groups were compared and analyzed.Results The SDS and SAS scores of the two groups after nursing were significantly lower than those before nursing,and the scores of the observation group were lower than those of the control group(P<0.05).The dimensional scores of comfort after nursing of the observation group were higher than those of the control group(P<0.05).The success rate of first puncture of the observation group was 96.12%,which was higher than that of the control group(84.47%).The incidence rate of complications of the observation group(2.91%)was lower than that of the control group(10.68%).Conclusion Applying targeted nursing in patients with thyroid nodules undergoing US-FNAB examination can help improve their mental state,reduce the incidence of complications,increase physical and mental comfort and the success rate of first puncture,which is worthy of promotion.