钟丽兰 刘照宏 涂滨

[摘要]目的 探究系統化健康教育在超声引导下囊肿介入治疗中的应用价值。方法 选取2016年3月～2018年3月在我院行超声引导下囊肿介入治疗的98例患者，随机分为观察组（49例）和对照组（49例）。观察组行系统化健康教育，对照组行常规健康教育。比较两组对健康教育的掌握情况，手术前后生命体征（血压、心率）改变情况、术后疼痛情况[视觉模拟（VAS）评分]以及并发症发生率。结果 观察组对囊肿穿刺知识的掌握率高于对照组，差异有统计学意义（P<0.05）；观察组术后收缩压、舒张压及心率较穿刺前无明显改变，差异无统计学意义（P>0.05），对照组穿刺后上述指标明显高于穿刺前，差异有统计学意义（P<0.05），其中，观察组穿刺后上述指标明显低于对照组，差异有统计学意义（P<0.05）；观察组术后VAS评分低于对照组，差异有统计学意义（P<0.05）；观察组术后并发症总发生率低于对照组，差异有统计学意义（P<0.05）。结论 系统化健康教育可以明显提高患者对病情以及手术的认知程度，有助于使患者生命体征保持稳定，减轻患者疼痛，提高手术安全性，值得进一步推广应用。

[关键词]囊肿；健康教育；系统化；超声引导

[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2018）11（a）-0219-03

The application value of systematic health education in interventional treatment of cysts under ultrasound guidance

ZHONG Li-lan LIU Zhao-hong TU Bin

Department of Ultrasound Diagnosis and Treatment， Hospital of Traditional Chinese Medicine of Foshan City， Guangdong Province， Foshan 528000， China

[Abstract] Objective To explore the application value of systematic health education in interventional treatment of cysts under ultrasound guidance. Methods From March 2016 to March 2018， a total of 98 patients who accepted ultrasound guided interventional treatment in our hospital were selected and randomly divided into observation group （49 cases） and control group （49 cases）. The observation group received systematic health education， and the control group received routine health education. The mastery of health education， the changes of vital signs （blood pressure， heart rate） before and after operation， postoperative pain （visual analogue scale [VAS] score）， and the incidence of postoperative complications were compared between the two groups. Results In the observation group， the mastery of the knowledge of cyst puncture rate was higher than that in the control group （P<0.05）. There were no significant differences in the systolic pressure， diastolic pressure and heart rate of the observation group after puncture （P>0.05）， the above indexes in the control group were significantly higher than those before the puncture， the differences were statistically significant （P<0.05）， the above indexes in the control group were significantly higher than those in the observation group （P<0.05）. The VAS score of the observation group was lower than that of the control group （P<0.05）， and the total incidence of postoperative complications in the observation group was lower than that of the control group， the differences were statistically significant （P<0.05）. Conclusion Systematic health education can obviously improve the patients′ cognition of the disease and operation， keep the patients′ vital signs stable， reduce the pain of the patients， and improve the operation safety. It is worth further promoting.

[Key words] Cysts； Health education； Systematization； Ultrasound-guided

超声引导下介入治疗是临床上治疗囊肿的常用方式，具有创伤小，治疗效果佳，操作便捷等优势[1]。为缓解患者心理上的紧张，并使其配合医生的治疗，要在穿刺前对患者进行健康教育。常规的健康教育针对性不强，讲解过于简洁，教育效果常常不佳，系统化健康教育分别从术前宣教、术中操作以及术后康复三方面进行教导，内容详实，针对性强[2]，但其教育效果与常规教育方式缺乏对比。本研究主要比较两种教育方式在囊肿介入治疗中的价值，现报道如下。

1资料与方法

1.1一般资料

选取2016年3月～2018年3月在我院行超声引导下囊肿介入治疗的98例患者作为研究对象。纳入标准：①囊肿>5 cm，需行介入治疗[3]；②产生腹疼等压迫症状；③自愿且能配合治疗者。排除标准：①血小板低，或凝血异常；……