护理干预对降低支气管镜针吸活检并发症中的作用

    Nursing intervention to reduce the bronchoscope needle biopsy complication function

    • 摘要: 目的:探讨全程护理干预在支气管镜针吸活检(TBNA)并发症中的作用。方法:对46例有肺、纵隔病变的患者行TBNA检查过程中给予全程护理干预,包括术前准备、心理护理、药品和器械的准备、术中配合及术后护理。出院前1d进行护理满意度调查。结果:46例患者中确诊为肺癌37例,良性病变9例。仅2例患者术中出现咯血,1例左侧气胸(左肺压缩10%),经卧床休息和吸氧,左肺完全复张。临床护理满意度为非常满意37例,满意9例,总满意率100%。结论:TBNA术对于肺、纵隔病变患者的定性诊断具有操作简单、微创、安全性好、准确性高的优势。通过全程的护理干预有助于促进患者的配合,提高TBNA的成功率,减少患者手术风险,降低术后并发症。

       

      Abstract: Objective: To investigate the nursing intervention in the bronchoscope needle aspiration biopsy (TBNA) complication function.Method: has given the whole course nursing intervention of pulmonary, mediastinal lesions underwent TBNA examination in 46 cases, including preoperative preparation, psychological nursing, medicine and equipment preparation, intraoperative cooperation and postoperative nursing. 1D before discharge nursing satisfaction survey.Results:46 patients for lung cancer in 37 cases, 9 cases of benign lesions. Hemoptysis occurred only in 2 patients, 1 patients with left pneumothorax (left lung compression 10%), after bed rest and oxygen, the left lung reexpansion completely. Clinical nursing satisfaction is very satisfactory in 37 cases, good in 9 cases, the total effective rate was 100%.Conclusion:TBNA operation for pulmonary, mediastinal lesions in patients with qualitative diagnosis is simple, minimally invasive, good safety, high accuracy advantages. Through the whole course nursing intervention is helpful to promote the cooperation of the patients, raise the successful rate of TBNA, reduce the operation risk of patients, reduce the postoperative complications.

       

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