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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15.	郭晓燕, 陈少杰, 石健, 等. 儿科开展护理干预的作用及效果[J]. 华西医学, 2012, 27(11):1715-1716.

1. 汪向东, 王希林, 马弘, 等. 心理卫生评定量表手册[M]. 北京:中国心理卫生杂志社, 1999:253-256.
2. 吴芸, 林梅. 疼痛程度的临床评估[J]. 国际口腔医学杂志, 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-Flörl 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. 李洪伦, 郭佑民, 郭晓娟, 等. CT引导下肺内孤立性病变经皮穿刺活检并发症的分析[J]. 实用放射学杂志, 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. 陈万海, 沈晓文, 孙新刚, 等. 经皮肺活检常见并发症风险因素分析[J]. 介入放射学杂志, 2012, 21(2):168-171.
10. 虞德才, 张勇, 徐时宗, 等. 多窗技术联合凝血酶封闭在CT导向下肺穿刺活检术中的应用[J]. 华西医学, 2012, 25(3):382-385.
11. 杨莉, 张志明, 刘丽, 等. 择期手术患者术前焦虑原因分析及护理对策[J]. 华西医学, 2010, 25(9):1757-1758.
12. 王锦琰, 罗非. 焦虑与疼痛[J]. 中国疼痛医学杂志, 2005, 11(4):193-195.
13. 陈爱玲. 450例肝穿刺术的护理体会[J]. 临床护理, 2011, 49(17):90-93.
14. 张馨元, 余蓉. 动态喉镜检查的护理体会[J]. 华西医学, 2013, 28(6):917-919.
15. 郭晓燕, 陈少杰, 石健, 等. 儿科开展护理干预的作用及效果[J]. 华西医学, 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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