摘要：
Objective To investigate the related factors of anxiety in patients undergoing liver puncture,so as to provide better clinical care and psychological intervention for patients to ensure the successful completion of liver puncture. Methods From January 2008 to January 2014,310 cases of patients from the Third People's Hospital of Shenzhen with liver puncture were selected as the research object. The patients' general condition and self rating Anxiety Scale were investigated. Results The SAS score of the patients who would undergo liver puncture was(47.25±0.44)points,and the incidence of anxiety symptoms was 91.3%. The results of univariate and multivariate analysis showed that the effect of patients with anxiety before liver biopsy can explain the variation of the size of the corresponding factors:whether accompanied by family members, payment methods,awareness of the disease,ear of liver failure,the education level,and gender(β' =0.617, 0.352,0.114,0.102,0.082、0.043;P < 0.05). Conclusions Before the liver puncture,the patients show a state of anxiety. The main factors affecting the anxiety status are whether to have family members,to pay for the disease,to understand the disease,to worry about the failure of liver failure,the degree of education and gender medical staff should provide targeted nursing intervention for patients to alleviate anxiety and promote rehabilitation on the basis of the above factors and the relevant circumstances.%目的 探讨影响肝脏穿刺术患者焦虑程度的相关因素,通过为患者提供更好的护理干预,以确保肝脏穿刺术更加顺利完成.方法 选取2008年1月—2014年1月于广东医学院附属深圳市第三人民医院住院并行肝脏组织活检术的患者310例,使用患者一般情况问卷及SAS量表进行调查研究.结果 拟行肝脏穿刺患者SAS得分为(47.25±0.44)分,焦虑症状发生率91.3%,单因素和多因素分析结果显示,影响肝脏穿刺前患者焦虑情况能够解释相应变异量大小的因素依次为有无家属陪伴、付费方式、对疾病认识、担心肝穿失败、文化程度和性别(β'值分别为0.617、0.352、0.114、0.102、0.082、0.043;P<0.05).结论 肝脏穿刺术前患者呈明显焦虑状态,影响其焦虑状态的主要因素为有无家属陪伴、付费方式、对疾病认识、担心肝穿失败、文化程度和性别.医护人员针对上述影响因素结合相关情况,为患者提供有针对性的护理干预,减轻焦虑,促进康复.
