乳腺内微小病灶钼靶下定位穿刺的临床护理干预体会
|
摘要
目的探讨乳腺内微小病灶钼靶下定位穿刺的临床护理干预。方法将2017年2月至2018年6月90例乳腺内微小病灶钼靶下定位穿刺患者随机分组,对照组遵循常规护理,实验组落实全面化护理。比较两组乳腺内微小病灶钼靶下定位穿刺患者满意水平;穿刺的配合度、穿刺所需的时间;护理前后患者抑郁心理程度、焦虑心理程度、心率、并发症发生率。结果实验组乳腺内微小病灶钼靶下定位穿刺患者满意水平高于对照组(P<0.05);实验组穿刺的配合度、穿刺所需的时间优于对照组(P<0.05);护理前两组抑郁心理程度、焦虑心理程度、心率相似;护理后实验组抑郁心理程度、焦虑心理程度、心率优于对照组(P<0.05)。实验组并发症发生率低于对照组(P<0.05)。结论全面化护理在乳腺内微小病灶钼靶下定位穿刺护理中的干预效果确切,可减少并发症发生,减轻患者的不良情绪,提高穿刺的配合度,从而缩短穿刺的时间,患者满意水平高。
Objective To explore the clinical nursing intervention of subtarget molybdenum puncture in breast. Methods From February 2017 to June 2018, 90 patients were randomly divided into two groups: the control group followed the routine nursing care, the experimental group carried out comprehensive nursing. To compare the satisfactory level of the patients with molybdenum subtarget localization in the breast, the degree of cooperation of puncture, the time needed for puncture, the degree of depression, anxiety, heart rate and the incidence of complications before and after nursing care. Results The satisfactory level of molybdenum subtarget localization in the experimental group was higher than that in the control group(P<0.05), the matching degree of puncture in the experimental group was better than that in the control group(P<0.05), the degree of depression, anxiety and heart rate were similar in the two groups before nursing, and the degree of depression and anxiety in the experimental group after nursing was higher than that in the control group(P<0.05). The heart rate in the experimental group was better than that of the control group(P<0.05). The incidence of complications in the experimental group was lower than that in the control group(P<0.05). Conclusion The results of comprehensive nursing intervention in subtarget localization of small breast lesions are accurate, which can reduce the occurrence of complications, alleviate the bad emotion of patients, improve the cooperation degree of puncture, and shorten the time of puncture. Patient satisfaction level is high.
Objective To explore the clinical nursing intervention of subtarget molybdenum puncture in breast. Methods From February 2017 to June 2018, 90 patients were randomly divided into two groups: the control group followed the routine nursing care, the experimental group carried out comprehensive nursing. To compare the satisfactory level of the patients with molybdenum subtarget localization in the breast, the degree of cooperation of puncture, the time needed for puncture, the degree of depression, anxiety, heart rate and the incidence of complications before and after nursing care. Results The satisfactory level of molybdenum subtarget localization in the experimental group was higher than that in the control group(P<0.05), the matching degree of puncture in the experimental group was better than that in the control group(P<0.05), the degree of depression, anxiety and heart rate were similar in the two groups before nursing, and the degree of depression and anxiety in the experimental group after nursing was higher than that in the control group(P<0.05). The heart rate in the experimental group was better than that of the control group(P<0.05). The incidence of complications in the experimental group was lower than that in the control group(P<0.05). Conclusion The results of comprehensive nursing intervention in subtarget localization of small breast lesions are accurate, which can reduce the occurrence of complications, alleviate the bad emotion of patients, improve the cooperation degree of puncture, and shorten the time of puncture. Patient satisfaction level is high.
引文
[1]陈赛泉,冷从玉,陈敏.清毒百炎消联合穴位手法按摩治疗急性乳腺炎的护理研究[J].中国中医药现代远程教育,2018,16(3):128-129.
[2]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2017年版)[J].中国癌症杂志,2017,27(9):695-759.
[3]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2015版)[J].中国癌症杂志,2015,25(9):692-754.
[4]黄滚娥,卢丽萍,洪映红,等.心理干预在超声引导下乳腺穿刺术中的应用[J].护理实践与研究,2017,14(3):125-127.
[5]邓建红,柳杰,刘佩芳.乳腺X线影像引导对不可触及乳腺病灶术前导丝定位的护理配合[J].护士进修杂志,2017,32(2):143-145.
[6]吴春燕,王琼,蔡汉鑫,等.系统心理护理对超声引导导丝定位乳腺微小病变切除患者手术时间及负性情绪的影响[J].护理实践与研究,2016,13(24):125-127.
[7]卢赛丹,陆宁洁,林慈丽.新生儿乳腺炎的护理[J].护士进修杂志,2016,31(21):1993-1995.
[8]盛浏丽,郭震,赵玉年,等.MRI引导下乳腺穿刺定位术的护理应用[J].齐齐哈尔医学院学报,2015,36(29):4474-4476.
[9]方莉.乳腺钼靶定位穿刺中护理干预的应用效果观察[J].中国实用医药,2015,10(20):260-261.
[10]耿桂兰.乳腺内微小病灶钼靶下定位穿刺摄影护理及临床应用[J].疾病监测与控制,2014,8(9):587-588.
[2]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2017年版)[J].中国癌症杂志,2017,27(9):695-759.
[3]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2015版)[J].中国癌症杂志,2015,25(9):692-754.
[4]黄滚娥,卢丽萍,洪映红,等.心理干预在超声引导下乳腺穿刺术中的应用[J].护理实践与研究,2017,14(3):125-127.
[5]邓建红,柳杰,刘佩芳.乳腺X线影像引导对不可触及乳腺病灶术前导丝定位的护理配合[J].护士进修杂志,2017,32(2):143-145.
[6]吴春燕,王琼,蔡汉鑫,等.系统心理护理对超声引导导丝定位乳腺微小病变切除患者手术时间及负性情绪的影响[J].护理实践与研究,2016,13(24):125-127.
[7]卢赛丹,陆宁洁,林慈丽.新生儿乳腺炎的护理[J].护士进修杂志,2016,31(21):1993-1995.
[8]盛浏丽,郭震,赵玉年,等.MRI引导下乳腺穿刺定位术的护理应用[J].齐齐哈尔医学院学报,2015,36(29):4474-4476.
[9]方莉.乳腺钼靶定位穿刺中护理干预的应用效果观察[J].中国实用医药,2015,10(20):260-261.
[10]耿桂兰.乳腺内微小病灶钼靶下定位穿刺摄影护理及临床应用[J].疾病监测与控制,2014,8(9):587-588.