全程舒适护理在经皮肺穿刺活检术中应用效果.docVIP

全程舒适护理在经皮肺穿刺活检术中应用效果 　　[摘要] 目的 探?全程舒适护理在经皮肺穿刺活检术中的应用效果，以提高患者围术期舒适度。 方法 选取2015年1 ～12月肺部块状阴影诊断不明者80例，随机分为2组，每组40例，均在CT引导下进行经皮肺穿刺活检，对照组实施常规护理，舒适组实施全程舒适护理，评价2组护理效果。 结果 舒适组术后并发症发生率（7.50% vs 27.50%）与对照组比较差异有统计学意义（P0.05）；舒适组术后下地活动时间[（24.37±3.01）h vs （28.27±5.96）h]、住院时间[（6.13±1.74）d vs （8.98±1.82）d]均短于对照组，差异有统计学意义（P0.01）；术后舒适组心理舒适度评分（24.32±5.38） vs （18.37±4.05）、环境舒适度评分[（28.36±4.39）分 vs （22.14±3.79）分]、护理质量评分[（4.23±0.74）分 vs （3.98±0.82）分]、护理配合度评分[（4.75±0.26）分 vs （4.01±0.73）分]及护理满意度总评分[（17.68±2.34 ）分vs （14.32±3.03）分]均高于对照组，差异有统计学意义（P0.05）。 结论 对CT引导下经皮肺穿刺活检术患者实施全程舒适护理，可减少并发症，缓解患者焦虑、恐惧心理，增强配合度，提高患者舒适度和护理满意度。 　　[关键词] 全程舒适护理；经皮肺穿刺；活检术；CT 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2017）27-0151-04 　　Application Effect of Comprehensive Comfort Nursing in Percutaneous Lung Needle Biopsy 　　WANG Yaming 　　Department of Anaesthetic， Xuanwu Hospital Capital Medical University， Beijing 100053， China 　　[Abstract] Objective To investigate the application effect of comprehensive comfort nursing in percutaneous lung needle biopsy， in order to improve the perioperative comfort of patients. Methods 80 patients with unclear diagnosis of lung mass shadow from January to December 2015 were selected， and they were randomly divided into two groups， with 40 patients in each group. All the patients were given percutaneous lung needle biopsy under CT guidance. The control group was given routine nursing care， and the comfort group was given comprehensive comfort nursing care. The nursing effects were evaluated in both groups. Results The incidence rate of postoperative complications was（7.50% vs 27.50%） in the comfort group， which was significantly different from that in the control group （P 　　[Key words] Comprehensive comfort nursing； Percutaneous lung needle； Biopsy； CT 　　CT引导下经皮肺穿刺活检术对于肺部疾病，尤其对肺占位性病变的诊断具有较高的应用价值[1，2]。但其作为一种侵入性操作，会给患者带来不适，患者易出现紧张、焦虑等情绪，加之对诊断结果的担忧及对医院陌生环境的畏惧，会导致患者心率加快、血压升高等而影响活检成功率。因此，提高患者舒适性及配合度对提高活检成功率、减少并发症有重要意义。多项研究证实，有效的护理能减轻患者焦虑心理，提高活检配合度[3，4]。舒适护理是指在护理过程中使患者在生理、心理、社会、环