Effect of bronchial artery embolization combined with whole course high quality nursing on the prognosis of patients with massive hemoptysis
10.7619/jcmp.201710006
- VernacularTitle:支气管动脉栓塞配合全程优质护理对大咯血患者临床转归的影响
- Author:
He ZHENG
1
;
Lu YANG
;
Linqin JU
Author Information
1. 四川大学华西医院
- Keywords:
hemoptysis;
embolism;
interventional nursing;
complication;
bronchial artery
- From:
Journal of Clinical Medicine in Practice
2017;21(10):17-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of bronchial artery embolization combined with whole course high quality nursing on prognosis of patients with massive hemoptysis.Methods A total of 133 massive hemoptysis patients were randomly divided into control group with 57 cases and experimental group with 76 cases according to random number table method.Patients of two groups were taking selective bronchial artery embolization treatment, and patients of experimental group used the whole quality of nursing, the control group received conventional nursing measures.Length of hospital stay, patients′outcomes, clinical efficacy, adverse reactions, hospital anxiety depression scale (HAD) score, symptom self-assessment scale (SCL-90) scores before and after treatment were compared.Results The total scores of SCL-90, total average score, number of positive items, positive symptom scores of experimental group after treatment were lower than treatment before and the control group(P<0.05);The total average score and the number of positive items in the control groups after treatment were lower than treatment before(P<0.05).The positive rate of depression and anxiety of patients in the experimental group after treatment were significantly lower than treatment before(P<0.05);After treatment, the negative rate of depression and anxiety of control group were significantly higher than treatment before(P<0.05);After treatment, the positive rate of depression and anxiety of patients in the experimental group were significantly lower(P<0.05).The hospitalization time in the experimental group was (15.94±7.93) d, significantly lower than (22.10±9.38) d in the control group(P<0.05).The prognosis in experimental group was significantly better than the control group(P<0.05).The total effective rate in experimental group was 98.7%, significantly higher than 84.2% in the control group(P<0.05).The incidence of adverse reactions such as hematoma at the puncture site, allergies, urinary retention, dysphagia, fever and chest pain were significantly lower than that of the control group(P<0.05).Conclusion Bronchial artery embolization with high quality nursing treatment of hemoptysis can not only effectively reduce the recurrence rate, improve the overall efficacy of the patients, and ensure the success of interventional treatment.
