Comparative Study between Whole-course Integrated Care and Traditional Nursing in the Perioperative Clinical Application of Percutaneous Needle Biopsy of the Lung_West China Medical Journal

Authors：

 TENGFang-ju ¹ , ZHAOHai-ming ² ,  CHENGDe-yun ¹

1. Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. the Second Ward, Department of Respiratory Medicine, the First People's Hospital of Chengdu City, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CHENGDe-yun, Email: chengdeyun@sohu.com

Keywords：

Lung biopsy; Complications; Integrated care

DOI：

10.7507/1002-0179.20140156

Video：

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Objective To explore the clinical effect of the whole-course integrated care and traditional nursing in perioperative period of percutaneous needle biopsy. Methods A total of 198 patients treated between May 2012 and March 2013 were randomly divided into the traditional care group (control group) and the whole-process integrated care group (experimental group). Then, we compared between the two groups in terms of pain and anxiety levels, qualified rate of specimen and incidence of postoperative complications. Results Qualified rate of specimen in the experimental group (97.94%) was significantly higher than that in the control group (85.15%) (χ²=10.312, P=0.001). After surgery, the rates of pneumothorax and bleeding were 3.09% and 4.12% in the experimental group, and 11.88% and 14.85% in the control group; the pain score of the experimental group was 4.25±1.38, and 6.12±1.87 in the control group. One hour before and 8 hours after surgery, the anxiety scores were 11.16±3.29, 8.47±2.52 in the experimental group, respectively, and were 16.26±3.17, 12.12±3.26 in the control group, respectively. There were significant differences between the two groups in all the above indexes (P<0.05). Conclusion Whole-course integrated care can significantly reduce pain and anxiety levels and the incidence of postoperative complications and improve the success rate of percutaneous needle biopsy.

Citation： TENGFang-ju, ZHAOHai-ming, CHENGDe-yun. Comparative Study between Whole-course Integrated Care and Traditional Nursing in the Perioperative Clinical Application of Percutaneous Needle Biopsy of the Lung. West China Medical Journal, 2014, 29(3): 520-522. doi: 10.7507/1002-0179.20140156 Copy

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11.	楊莉, 張志明, 劉麗, 等. 擇期手術患者術前焦慮原因分析及護理對策[J]. 華西醫學, 2010, 25(9):1757-1758.
12.	王錦琰, 羅非. 焦慮與疼痛[J]. 中國疼痛醫學雜志, 2005, 11(4):193-195.
13.	陳愛玲. 450例肝穿刺術的護理體會[J]. 臨床護理, 2011, 49(17):90-93.
14.	張馨元, 余蓉. 動態喉鏡檢查的護理體會[J]. 華西醫學, 2013, 28(6):917-919.
15.	郭曉燕, 陳少杰, 石健, 等. 兒科開展護理干預的作用及效果[J]. 華西醫學, 2012, 27(11):1715-1716.

1. 汪向東, 王希林, 馬弘, 等. 心理衛生評定量表手冊[M]. 北京:中國心理衛生雜志社, 1999:253-256.
2. 吳蕓, 林梅. 疼痛程度的臨床評估[J]. 國際口腔醫學雜志, 2008, 35(增刊):146-147.
3. Manhire A, Charig M, Clelland C, et al. Guidelines for radiologically guided lung biopsy[J]. Thorax, 2003, 58(11):920-936.
4. Lass-Fl?rl C, Resch G, Nachbaur D, et al. The value of computed tomography-guided percutaneous lung biopsy for diagnosis of invasive fungal infection in immunocompromised patients[J]. Clin Infect Dis, 2007, 45(7):101-104.
5. 李洪倫, 郭佑民, 郭曉娟, 等. CT引導下肺內孤立性病變經皮穿刺活檢并發癥的分析[J]. 實用放射學雜志, 2005, 21(5):481-483.
6. Hiraki T, Mimura H, Gobara H, et al. Incidence of and risk factors for pneumothorax and chest tube placement after ct fluoroscopy-guided percutaneous lung biopsy:retrospective analysis of the procedures conducted over a 9-year period[J]. AJR Am J Roentgenol, 2010, 194(3):809-814.
7. Covey AM, Gandhi R, Brody LA, et al. Factors associated with pneumothorax and pneumothorax requiring treatment after percutaneous lung biopsy in 443 consecutive patients[J]. J Vascul Intervent Radiol, 2004, 15(5):479-483.
8. Yeow KM, See LC, Lui KW, et al. Risk factors for pneumothorax and bleeding after CT-guided percutaneous coaxial cutting needle biopsy of lung lesions[J]. J Vascul Intervent Radiol, 2001, 12(11):1305-1312.
9. 陳萬海, 沈曉文, 孫新剛, 等. 經皮肺活檢常見并發癥風險因素分析[J]. 介入放射學雜志, 2012, 21(2):168-171.
10. 虞德才, 張勇, 徐時宗, 等. 多窗技術聯合凝血酶封閉在CT導向下肺穿刺活檢術中的應用[J]. 華西醫學, 2012, 25(3):382-385.
11. 楊莉, 張志明, 劉麗, 等. 擇期手術患者術前焦慮原因分析及護理對策[J]. 華西醫學, 2010, 25(9):1757-1758.
12. 王錦琰, 羅非. 焦慮與疼痛[J]. 中國疼痛醫學雜志, 2005, 11(4):193-195.
13. 陳愛玲. 450例肝穿刺術的護理體會[J]. 臨床護理, 2011, 49(17):90-93.
14. 張馨元, 余蓉. 動態喉鏡檢查的護理體會[J]. 華西醫學, 2013, 28(6):917-919.
15. 郭曉燕, 陳少杰, 石健, 等. 兒科開展護理干預的作用及效果[J]. 華西醫學, 2012, 27(11):1715-1716.

West China Medical Journal

Comparative Study between Whole-course Integrated Care and Traditional Nursing in the Perioperative Clinical Application of Percutaneous Needle Biopsy of the Lung

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