基于虚拟现实的介入护理在经支气管动脉栓塞术咯血患者围手术期护理中的应用

张爱莲; 宋彪; 柏家元; 芮毛利; 赵雪晨; 闵旭红

doi:10.16766/j.cnki.issn.1674-4152.004352

基于虚拟现实的介入护理在经支气管动脉栓塞术咯血患者围手术期护理中的应用

doi: 10.16766/j.cnki.issn.1674-4152.004352

安徽省胸科医院医学影像科, 安徽合肥 230022

基金项目:

安徽省省级临床重点专科建设项目皖卫医秘〔2022〕105号

详细信息

通讯作者:
闵旭红，E-mail: ahch_minxuhong@163.com

中图分类号: R473.6 R441.7
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- 文章访问数: 10
- HTML全文浏览量: 6
- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2025-01-16
- 网络出版日期: 2026-04-01

The application of virtual reality-assisted nursing in the perioperative care of patients with hemoptysis after transbronchial arterial embolization surgery

Department of Medical Imaging, Anhui Provincial Chest Hospital, Hefei, Anhui 230022, China

摘要

摘要: 目的基于虚拟现实技术构建咯血患者的介入护理方案，观察其在支气管动脉栓塞术(BAE)患者围手术期护理中的应用效果，为提高患者生活质量和满意度，降低并发症发生率提供依据。方法选择2023年12月—2024年12月安徽省胸科医院收治的80例经BAE治疗的咳血患者，采用随机数字表法分为对照组(40例)和观察组(40例)，分别给予常规护理和基于虚拟现实的介入护理。比较2组患者治疗效果、住院时间、再咯血量、生活质量、护理满意度、心理状态以及并发症发生率。结果观察组患者治疗总有效率为95.00%(38/40)，高于对照组的77.50%(31/40，χ²=5.165，P < 0.05)。护理干预后，观察组患者住院时间和再咯血量均低于对照组(P < 0.05)。护理干预后，2组生活质量评分均提高，且观察组生活质量评分高于对照组[(96.67±4.49)分vs. (80.23±5.66)分, P < 0.05]。护理干预后，观察组总满意度为97.50%(39/40)，高于对照组的80.00%(32/40，χ²=6.135，P < 0.05)。护理干预后，2组的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均降低(P < 0.05)，且观察组评分低于对照组(P < 0.05)。护理干预后，观察组并发症发生率低于对照组[2例(5.00%)vs. 8例(20.00%), χ²=4.114, P < 0.05]。结论基于虚拟现实的介入护理可显著提高咯血患者BAE治疗有效率、护理满意度、生活质量，降低并发症发生率，缓解焦虑和抑郁状态，值得临床推广使用。
- 咯血 /
- 虚拟现实 /
- 介入护理 /
- 支气管动脉栓塞术 /
- 围手术期 /
- 护理效果
Abstract: Objective To construct an interventional nursing plan for hemoptysis patients based on virtual reality technology and to evaluate its application effect in the perioperative nursing of patients with bronchial artery embolization (BAE), providing a basis for improving the quality of life and satisfaction of patients while reducing the incidence of complications. Methods From December 2023 to December 2024, a total of 80 patients with hemoptesis treated by BAE at Anhui Provincial Chest Hospital were selected and randomly divided into the control group (n=40) and the observation group (n=40). The control group was given routine nursing, whereas the observation group was given interventional nursing based on virtual reality. The treatment effect, length of hospital stay, hemoptysis volume, quality of life, nursing satisfaction, psychological status, and incidence of complications were compared between the two groups. Results The total effective rate of treatment in the observation group was 95.00% (38/40), which was higher than that of the control group (77.50%, 31/40, χ²=5.165, P < 0.05). After the nursing intervention, the hospitalization duration and re-bleeding volume in the observation group were lower than those in the control group (P < 0.05). After the nursing intervention, the quality of life scores improved in both groups improved, with the observation group showing higher scores compared with the control group [(96.67±4.49) points vs. (80.23 ± 5.66) points, P < 0.05]. After the nursing intervention, the total satisfaction rate of the observation group was 97.50% (39/40), which was higher than that of the control group (80.00%, 32/40, χ²=6.135, P < 0.05). Following the nursing intervention, both groups demonstrated decreased the self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) scores (P < 0.05), with the observation group achieving lower score than the control group (P < 0.05). The incidence of complications in the observation group was lower than that in the control group [2 cases (5.00%) vs. 8 cases (20.00%), χ²=4.114, P < 0.05]. Conclusion The intervention nursing based on virtual reality can significantly improve the effective rate of BAE treatment, nursing satisfaction, quality of life, reduce complications, relieve anxiety and depression in patients with hemoptysis. This approach is worthy of further clinical promotion and application.
- Hemoptysis /
- Virtual reality /
- Interventional care /
- Bronchial artery embolization /
- Perioperative period /
- Nursing effect

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表 1 2组经BAE治疗的咳血患者治疗总有效率比较[例(%)]

Table 1. Comparison of treatment effects between the two groups of patients with hemoptysis treated with BAE[cases(%)]

组别	例数	显效	有效	无效	总有效
观察组	40	35(87.50)	3(7.50)	2(5.00)	38(95.00)
对照组	40	27(67.50)	4(10.00)	9(22.50)	31(77.50)
注：2组总有效率比较，χ²=5.165，P=0.023。

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表 2 2组经BAE治疗的咳血患者住院时间和再咯血量比较(x±s)

Table 2. Comparison of hospitalization days and rebleeding volume between the two groups of patients with hemoptysis treated with BAE(x±s)

组别	例数	住院时间(d)	再咯血量(mL)
观察组	40	5.93±1.49	22.78±2.82
对照组	40	9.32±1.77	63.11±4.73
t值		-9.277	-46.283
P值		＜0.001	＜0.001

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表 3 2组经BAE治疗的咳血患者护理干预前后生活质量比较(x±s，分)

Table 3. Comparison of quality of life before and after nursing intervention in two groups of patients with hemoptysis treated with BAE(x±s, points)

组别	例数	护理干预前	护理干预后
观察组	40	58.92±5.93	96.67±4.49^b
对照组	40	57.87±4.24	80.23±5.66^b
统计量		0.910^a	63.864^c
P值		0.366	＜0.001
注：^a为t值，^c为F值；与同组护理干预前比较，^bP＜0.05。

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表 4 2组经BAE治疗的咳血患者护理满意度比较[例(%)]

Table 4. Comparison of nursing satisfaction among two groups of patients with hemoptysis treated with BAE[cases(%)]

组别	例数	非常满意	满意	不满意	总满意
观察组	40	28(70.00)	11(27.50)	1(2.50)	39(97.50)
对照组	40	13(32.50)	19(47.50)	8(20.00)	32(80.00)
注：2组总满意度比较，χ²=6.135，P=0.029。

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表 5 2组经BAE治疗的咳血患者护理干预前后心理状态评分比较(x±s，分)

Table 5. Comparison of psychological state scores before and after nursing intervention in two groups of patients with hemoptysis treated with BAE(x±s, points)

组别	例数	SAS评分		SDS评分
组别	例数	护理干预前	护理干预后	护理干预前	护理干预后
观察组	40	65.33±6.98	31.25±5.59^b	58.78±6.30	31.22±4.78^b
对照组	40	65.08±6.17	44.55±4.01^b	59.08±5.95	43.35±5.90^b
统计量		0.170^a	76.210^c	-0.219^a	50.550^c
P值		0.866	＜0.001	0.827	＜0.001
注：^a为t值，^c为F值；与同组护理干预前比较，^bP＜0.05。

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表 6 2组经BAE治疗的咳血患者并发症发生率比较[例(%)]

Table 6. Comparison of complication rates in two groups of patients with hemoptysis treated with BAE[cases(%)]

组别	例数	并发症		合计
组别	例数	肾功能损伤	栓塞综合征	合计
观察组	40	1(2.50)	1(2.50)	2(5.00)
对照组	40	3(7.50)	5(12.50)	8(20.00)
注：2组并发症发生率比较，χ²=4.114，P=0.043。

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