Purpose: To retrieve, evaluate, and integrate the best available evidence on prevention and management of wound procedural pain management in patients with open wounds, providing evidence-based guidance for clinical practice. Patients and Methods: Following the "6S" pyramid model, we systematically searched guideline websites, professional association websites, and databases for guidelines, clinical decision aids, expert consensus statements, evidence summaries, recommended practices, and systematic reviews related to wound procedural pain management in patients with open wounds. The search period was from the establishment of the database to July 2025. Two researchers independently conducted literature quality assessment, evidence extraction, and synthesis. Results: A total of 23 documents were included: 5 guidelines, 1 expert consensus, 3 recommended practices, 3 clinical decisions, 6 evidence summaries, and 5 systematic reviews. Thirty-two best evidence statements were summarized across six aspects: pain assessment and documentation, education and training, dressing selection and replacement, wound cleansing, debridement, and negative pressure therapy, pharmacological intervention strategies, and non-pharmacological intervention strategies. Conclusion: This study reviews the best available evidence on managing procedural pain in open wounds. It offers guidance on the principles of pain management, standardization of procedural techniques, and the timely application of analgesic, emphasizing the importance of pain awareness. The research serves as a reference for developing specialized pain management protocols to improve wound care quality.

BACKGROUND:Malnutrition due to interruption of enteral nutrition remains a prevalent issue in the intensive care unit (ICU). AIM:This study aimed to determine the frequency and causes of enteral nutrition interruption (ENI)and its impact on implementing enteral nutrition. STUDY DESIGN:This is a secondary analysis of a multicentre, cluster-randomized controlled trial (N = 2772). This secondary analysis included patients in the ICU for at least 72 h and receiving total enteral nutrition. The causes of ENI were defined as (1) feeding intolerance, (2) diagnostic and therapeutic procedures and (3) others. Multiple linear regression analyses investigated the association between ENI and nutrition intake. RESULTS:A total of 1331 patients were included for analysis. Approximately 18.63% of the patients experienced at least one episode of ENI. The main cause of ENI was diagnostic and therapeutic procedures. Energy intake was 17.54 ± 6.85 versus 16.64 ± 7.06 (p = .065) among patients with and without ENI, and the protein intake was 0.69 ± 0.27 versus 0.64 ± 0.27 (p = .016). Multiple linear regression analysis revealed that ENI was significantly associated with diminishing energy and protein intake (B = -1.012, 95% CI -1.857 to -0.167, p = .019; B = -0.050, 95% CI -0.083 to -0.017, p = .003, respectively). CONCLUSIONS:Based on this multicentre study about ENI, the incidence of interruptions in enteral nutrition was 18.6%, with diagnostic and therapeutic procedures being the leading causes. The occurrence of interruptions in the delivery of enteral nutrition leads to a reduction in the nutritional intake of critically ill patients. RELEVANCE TO CLINICAL PRACTICE:Critical care nurses should establish comprehensive nutrition support protocols and strengthen the training of department nurses, equipping them with the skills to effectively prevent and manage ENI. This is essential for actively achieving feeding goals and improving the outcomes of ICU patients.

Background:Although malnutrition is a concern for incremental morbidity in pancreatic surgery, there has been a lack of consensus on nutritional assessment and body composition suitable for prediction of postoperative complications following pancreaticoduodenectomy (PD). Our study was performed to assess whether perioperative CT-based body composition were predictors of morbidity after PD. Methods:231 patients who underwent PD between 2020 and 2024 were enrolled to evaluate perioperative body composition. Uni and multivariate logistic regression models were applied to analyze the correlation between major complications, clinically relevant postoperative fistula (CR-POPF) and body composition abnormalities. Results:For 231 patients, the incidence of sarcopenia and visceral obesity was 151 (65.4) and 97 (42.0). The incidence of complications, major complications and CR-POPF was 68.0, 33.3 and 10.8%. SMI was the only risk factor for complications [odds ratio (OR), 0.92, 95% confidence interval (CI), 0.85-1.00, p = 0.04]. Neither sarcopenia, visceral obesity nor the other body composition had a significant impact on major complications or CR-POPF, while the patients exhibited wide variation in body composition after the surgical trauma. Soft pancreatic texture was the exclusive independent prognostic factor for CR-POPF (OR, 3.23, 95% CI, 1.17-8.89, p = 0.02). Conclusion:Patients with depleted skeletal muscle mass were more likely to develop postoperative complications, while there was no association between perioperative sarcopenia or visceral obesity and major complications or CR-POPF. The study highlights that the highly homogenized and fully managed surgical quality may offset the negative effects of nutritional high-risk factors.

Objective: To investigate the relationship between phase angle (PhA) changes and daily activity ability, skeletal muscle mass, and grip strength in patients with intestinal failure. Methods: We enrolled 170 patients with intestinal failure, divided into a PhA increase group (n=85) and a PhA decrease group (n=85). General information was compared between the two groups. Bioelectrical impedance analysis was used to measure PhA, skeletal muscle mass index (SMI), and grip strength. The Functional Independence Measure (FIM) score was recorded at admission and discharge, and the changes of each indicator were calculated. T-test, chi-square test. Pearson correlation analysis, and multivariate linear regression analysis were performed to explore the relationship between PhA changes and prognosis. Results: Compared with the PhA decrease group, patients in the PhA increase group had larger changes in FIM (20 (18, 23) vs. 13 (12, 15)), SMI (0.21 (-0.49, 0.89) kg/m(2) vs. -0.28 (-1.51, 0.60) kg/m(2)), and grip strength (3.10 (1.95, 4.30) kg vs. 0.90 (0.50, 1.20) kg) (p<0.05). Multivariate regression analysis showed that PhA change was an independent influencing factor for FIM change (beta=0.816, p = 0.002) and SMI change (beta=0.270, p = 0.046). Admission PhA was negatively correlated with PhA change (r=-0.803, p<0.001). Conclusion: PhA change is closely related to the daily activity ability and skeletal muscle mass of patients with intestinal failure and can be used as an objective indicator for assessing nutritional status and prognosis. Clinically, attention should be paid to the dynamic changes of patients' PhA, and targeted nutritional art and rehabilitation measures should be adopted to improve Fund prognosis.

Background and Objectives: This study aimed to investigate readiness for hospital discharge of patients requiring home nutrition support and explore the factors that influence this readiness. Methods and Study Design: This cross-sectional survey included 220 patients discharged from the general surgery department of a tertiarycare teaching hospital in China with home nutrition support. Readiness for Hospital Discharge Scale and Quality of Discharge Teaching Scale scores were calculated and general, disease- and therapy-related information were collected. Univariate, correlation, and multiple linear regression analyses were performed. Results: The mean standardized total Readiness for Hospital Discharge Scale score was 7.33 +/- 1.65, with the subscales expected support, personal status, perceived coping ability, and knowledge scoring 7.40 +/- 1.78, 7.35 +/- 1.66, 7.30 +/- 1.73, and 7.26 +/- 1.74, respectively. The mean standardized Quality of Discharge Teaching Scale score was 7.48 +/- 1.59. The Quality of Discharge Teaching Scale score, length of hospital stay, expected length of home nutrition support, first-time use of home nutrition support, Nutrition Risk Screening 2002 score, and diagnosis were all identified as influencing factors of readiness for discharge (adjusted R-2=0.564, F=14.5, p<0.001). Conclusions: Patients requiring home nutrition support were only moderately ready for discharge. Enhancing the quality of education on patient discharge could significantly improve readiness for discharge, in which patients who have been admitted for longer periods require more attention. They are expected to utilize home nutrition support in the long-term, are at risk of malnutrition, are using home nutrition support for the first time, or have a digestive system malignancy.

Frailty is a significant risk factor for adverse outcomes in elderly surgical patients. Gait speed assessment is a new tool recently used to stratify risk for these pre-operative adverse outcomes. In this prospective study of 392 frail elderly patients undergoing abdominal surgery, we investigated the predictive value of preoperative gait speed for postoperative outcomes. Patients were divided into two groups based on their 6-meter gait speed: normal (≥0.8 m/s, n=184) and slow (<0.8 m/s, n=208). The slow group was older, had more comorbidities, and higher American Society of Anesthesiologists (ASA) grades (P<0.05). They also had significantly higher rates of 30-day overall complications (38.9 vs 18.5%, P<0.01), severe complications (12.0 vs 4.3%, P<0.01), and 1-year mortality (15.4 vs 6.5%, P=0.008) compared to the normal group. Pulmonary infection, wound infection, and delirium were the most common complications. Multivariate logistic regression confirmed slow gait speed as an independent risk factor for 30-day complications (OR=2.38, 95%CI: 1.41-4.01) and 1-year mortality (OR=2.19, 95%CI: 1.07-4.48). Our findings demonstrated that preoperative 6-meter gait speed effectively predicted short-term complications and mid-term mortality in frail elderly patients undergoing abdominal surgery. This suggests the need for individualized perioperative management strategies for high-risk patients with slow gait speed to potentially improve their prognosis.

AIMS AND OBJECTIVE:Many systematic reviews (SRs) and meta-analyses (MAs) have reported the potential advantages and risks of ICU diary psychotherapy in patients and relatives, but the results remain uncertain and their quality has not yet been adequately assessed. We summarise existing SRs/MAs and assess their quality and level of evidence. DESIGN:This overview of SRs was conducted in accordance with the preferred reporting items for overviews of reviews statement. METHODS:We conducted a detailed and comprehensive search of eight Chinese and English electronic databases from inception until March 2025. The Assessment of Multiple Systematic Reviews 2 (AMSTAR 2), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 (PRISMA 2020), and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) were used to assess methodological quality, reporting quality and evidence quality for inclusion in SRs/MAs, respectively. RESULTS:Fifteen published SRs/MAs met the inclusion criteria and were included in the study. The results of the AMSTAR 2 assessment showed that the methodological quality of the included studies was critically low. In the PRISMA 2020 assessment, the response rate of "Yes" for items 7, 14, 15, 16, 21, 22, 24, 25 and 27 was less than 50%. The GRADE assessment showed that no results were high-quality evidence, 2 results were moderate-quality evidence, 26 results were low-quality evidence and 45 results were very low-quality evidence. CONCLUSION:ICU diaries can improve patients' psychological outcomes and quality of life, and whether there are advantages for their relatives needs to be further explored. However, the methodological quality of the studies was low and the risk of migration was high, reducing its reliability. Therefore, these conclusions should be treated with caution. High-quality studies with large sample sizes are needed to provide stronger and more scientific evidence. PATIENT OR PUBLIC CONTRIBUTION:Our paper presents an overview of systematic reviews, and therefore, such specific details may not be relevant to our study. TRIAL REGISTRATION:PROSPERO: CRD42023448359.

Objective: This systematic review and analysis aimed to explore relevant literature influencing the implementation of clinical nutrition management guidelines in the intensive care unit (ICU), providing healthcare professionals with a foundation to enhance nutrition support quality. Methods: A systematic search of PubMed, Embase, Medline, Cochrane, PsycINFO, and CNKI databases was conducted to identify studies addressing barriers and facilitators related to clinical nutrition management guidelines in intensive care unit. The inclusive study types encompassed quantitative, qualitative, and mixed-methods research. The search spanned from January 2003 to December 2023. Evaluation of the literature's quality employed the MMAT mixed-methods research evaluation tool, and analysis was performed using a data-based convergent integration approach. The study protocol was prospectively registered (PROSPERO 2023, CRD42023483287). Result: 22 papers were ultimately included, yielding 65 findings, summarized and integrated into 3 overarching categories: healthcare provider factors, practice settings, and patient values with nutritional support preferences, further classified into 8 distinct categories. Conclusion: Healthcare professionals are encouraged to analyze impediments and enablers to guideline implementation through a multifaceted lens, emphasizing the need to enhance healthcare collaboration, improve education and training systems, rectify misperceptions and heighten awareness of evidence-based practices.

AIMS:To systematically evaluate and analyse literature concerning the factors influencing the implementation of clinical practice guidelines related to enteral nutrition in the adult intensive care unit. BACKGROUND:Guidelines serve as crucial tools for guiding clinical practice. However, a significant gap persists between current clinical practice and guidelines pertaining to enteral nutrition. It is essential to identify the reasons behind this disparity to foster clinical transformation. METHODS:A mixed-methods systematic review. DATA SOURCES:A systematic search was conducted across PubMed, Embase, Medline, Cochrane, PsycINFO and CNKI databases to identify impediments and facilitators to the implementation of ICU clinical practice guidelines related to enteral nutrition. The types of studies included quantitative, qualitative and mixed-methods studies. The search spanned from January 2003 to January 2024 and was updated in May 2024. The quality assessment of the included literature was conducted using the Mixed-Methods Study Evaluation Tool (MMAT). Data analysis was performed using a data-based convergent integration approach. The protocol for this study was prospectively registered (PROSPERO2023, CRD42023483287). RESULTS:Twenty papers were finally included, and 65 findings were extracted, integrating a total of three categories, Category 1: healthcare provider factors, including three sub-themes: knowledge of guideline-related knowledge and awareness of guideline application; social/professional roles and identity domains; beliefs, attitudes and self-efficacy; collaboration, Category 2: practice environments, including two sub-themes: environmental factors and resource areas; systems and behavioural norms, Category 3: patient values and nutritional support preferences including two sub-themes: patient disease status and value orientation. CONCLUSION:Healthcare professionals should analyse obstacles and facilitators to guideline implementation from multiple perspectives, strengthen healthcare collaboration, improve education and training systems, correct misperceptions and increase awareness of evidence-based practice.

Objective To investigate the feasibility of allogeneic platelet-rich plasma(PRP)for the treatment of skin injury around enterostomy.Methods The treatment process by PRP of 2 patients with skin injury around enterostomy was analyzed,and the PRP for each patient was tested with platelet count,bacteria and 5 growth factors.The clinical efficacy of enteral nutrition support therapy combined with allogeneic PRP was explored through analyzing treatment key points and lit-erature review.Results After cleaning the skin around enterostomy,the patients were treated with PRP once daily for 5 days,adjusted to once every other day,and cure was achieved at 15 and 18 days,respectively.Conclusion Allogeneic PRP is a safe and effective treatment to promote skin injury around enterostomy regeneration in a short time,which can pro-vide a new perspective for clinical.

ObjectiveThe quality indexes of enteral feeding nursing process in intensive care unit（ICU）were constructed，and the implementation rate of enteral nutrition quality indexes was monitored to ensure safe and efficient enteral feeding for patients.MethodsUsing the literature review method，the quality index of enteral nutrition nursing process was preliminarily developed through group discussion，and then modified according to the opinions of experts in the letter to construct the best quality index.ResultsThe process indicator system consists of 9 second⁃level items and 29 third⁃level items.In the results of the two rounds of correspondence，the expert positive coefficient was 87%，100%，the opinion submission rate was 55%，50%，the expert authority coefficient was 0.958，0.943，and the Kendall coordination coefficient was 0.089⁃0.237（P<0.05）.ConclusionFocus on the construction of the process index system，further improve the shortcomings，make it scientific and feasible，convenient for clinical application，and improve the quality of enteral feeding of ICU patients.

目的 纵向了解新型冠状病毒感染者在方舱医院的住院体验,为方舱医院的患者管理提供借鉴和思考.方法 采用目的抽样法,运用现象学研究方法,对 2022 年 4 月在上海市国展中心方舱医院收治的 11 名新型冠状病毒感染者进行半结构式访谈,以Colaizz七步分析法对访谈资料进行整理分析.结果 新型冠状病毒感染者在方舱医院的住院体验可分为 4 个阶段.在新入方舱当天,表现为无奈与不安,紧张与焦虑,信心与希望;在方舱住院前期,存在惊讶与欣喜、信任与理解,并建立新型合作关系;在方舱住院后期,表现为担心与惶恐,矛盾与不舍,适应与接受;在出院期,表现为兴奋与喜悦,犹豫与质疑,感恩与回馈.结论 医护人员可适时准确地提供心理指导与健康宣教,充分发挥方舱内患者同伴支持的积极作用,鼓励患者住院期间的积极参与行为,从而更好地开展方舱医院的患者管理.

Objective To summarize the application of self-made simple local oxygen chamber after skin flap grafting for a patient with multiple injuries and gastric air fistula and its nursing care.Methods Retrospective analysis was adopted to summarize the clinical data of a patient with multiple injuries and gastric air fistula in a hospital.The self-made simple local oxygen chamber was used for the treatment of the skin graft area.Targeted nursing and nutritional support were also provided.Results The patient’s condition was stable 15 days after the intervention.The transplanted flap survived and grew well.The patients was discharged successfully.Conclusions The self-made simple local oxygen chamber can be used as an effective intervention in clinic for patients with multiple injuries and gastric air fistula.Clinical nursing related with oxygen chamber should be implemented to accelerate the patients’ rehabilitation process.

Background There is controversy regarding the optimal timing of initiating parenteral nutrition (PN) in critically ill patients. We aimed to evaluate the association between early PN and clinical outcomes and explore the mediation effects of different macronutrients in a cohort of mechanically ventilated patients. Methods This is a post hoc analysis of the NEED trial aiming to investigate the effect of implementing an evidence-based feeding guideline in newly-admitted critically ill patients. All eligible patients were divided into those who received early PN within the first 3 days of enrollment (early PN) or those who did not (non-early PN). Propensity score matching with a one-to-one nearest neighbor-matching algorithm was applied to control potential confounders. Mediation analysis was used to test the indirect effect of different macronutrients from PN on the relationship between early PN and 28-day mortality. Results The propensity score matching created 370 matched pairs of 1154 patients that met the eligibility criteria. Compared with non-early PN, patients receiving early PN had significantly higher 28-day mortality (19.7% vs 12.4%; hazard ratio = 1.904; 95% CI, 1.063-3.410; P = 0.03). Mediation analysis showed that amino acids from early PN mediated 65% (mediation effect = 0.07; 95% CI, 0.02-0.13; P = 0.01) of the detrimental effect of early PN on the 28-day mortality. Conclusion Early PN is associated with increased 28-day mortality in critically ill patients requiring invasive mechanical ventilation. The detrimental effect may be mediated by intravenous amino acids from early PN.

目的:对重症病人肠内营养中断现状进行调查并探讨中断时间与次数对热卡达标的影响.方法:回顾性收集2022年1月至2022年11月入住南京大学医学院附属金陵医院普通外科ICU实施肠内营养的重症病人,记录病人1周内行肠内营养的相关资料,包括每日实际摄入热卡、肠内营养中断的原因、次数与时间.采用多元线性回归分析肠内营养7 d达标天数的相关因素.结果:共纳入115例重症病人,肠内营养7 d内总中断次数为136次,总中断时间为512.94 h.肠内营养中断发生频率最高的原因是外出检查(33％),其次分别是喂养不耐受(15％)与医生操作(13％);肠内营养中断的持续时间因原因而异,包括手术或术前准备10.20(8.81,18.11)h、喂养不耐受7.33(1.34,21.71)h、气道操作4.30(0.93,10.84)h等.多元线性回归分析显示肠内营养7 d达标天数与中断时间和次数呈负相关(P＜0.05).结论:肠内营养中断常见的原因是外出检查、喂养不耐受、医生操作等,肠内营养中断时间越长、中断次数越多,热卡摄入不足的风险越高.医护人员尽量避免肠内营养中断事件的发生从而改善病人的临床营养结局.

目的 系统评价体力活动对炎症性肠病患者的影响和干预效果,为医护人员制订运动方案并采取运动干预策略提供循证依据.方法 以炎症性肠病和体力活动的相关关键词检索 2007 年 1 月—2021 年 11 月期间国内外数据库,筛选文献、评价纳入研究偏倚风险后,部分采用Revman 5.4进行Meta分析,并结合内容分析法对结果进行描述性分析.结果 共纳入11篇随机对照研究,总样本量536例,Meta分析结果显示,生活质量[SMD=0.26,95%CI(0.06,0.46,P=0.009)]、焦虑抑郁评分[MD=-1.2,95%CI(-2.13,-0.27,P=0.01)]与对照组相比,差异有统计学意义;疾病活动度评分[SMD=-0.06,95%CI(-0.24,0.13,P=0.53)]、疲乏评分[MD=-0.92,95%CI(-3.04,1.21,P=0.40)]差异无统计学意义.结论 体力活动能改善炎症性肠病患者生活质量,缓解患者焦虑和抑郁情绪.安全范围内体力活动不增加疾病活动度,未显著降低患者疲乏评分.

目的 了解短肠综合征患者行家庭肠外营养的真实体验,为临床制订有效的护理干预方案提供依据.方法 目的抽样法选取12例短肠综合征行家庭肠外营养患者,对其进行半结构式访谈,并用Colaizzi 7步法分析资料.结果 提炼出3个主题:家庭肠外营养的积极体验(改善营养状况、获得家庭归属感、自我管理意识及能力增强);家庭肠外营养的消极体验(睡眠障碍、活动受到限制、伴随和/或潜在的并发症、负性心理情绪);家庭肠外营养患者的需求(对专业医护人员培训及指导的需求、对医疗资源及政策支持的需求).结论 医护人员应重视患者的负性体验,通过有效干预方法解决患者在家庭肠外营养支持过程中出现的问题,以保障家庭肠外营养支持顺利安全实施.

目的 探讨重症急性胰腺炎(SAP)患者腹内压对机械通气相关因素和预后的影响,以及腹内高压的因素影响.方法 回顾性分析 2020 年 1 月-2022 年 7 月东部战区总医院胰腺治疗中心重症监护室行机械通气的SAP患者临床资料,分析机械通气前3 天监测的最高腹内压与当时血流动力情况、呼吸功能监测参数的相关性.根据第1 天是否发生腹内高压分为2 组,比较年龄、性别、病因、BMI、急性肺损伤/急性呼吸窘迫综合征(ALI/ARDS)、急性生理与慢性病评分Ⅱ(APACHEⅡ)、通气方式、呼吸机模式、呼吸末正压(PEEP)对腹内高压的影响.结果 收集 174 例机械通气SAP患者,机械通气前 3 天发生腹内高压占比分别为 59.77%、67.24%、68.39%.将腹内压与机械通气相关参数进行相关性分析显示,腹内压与气道峰压(Ppeak)、PaCO2呈正相关(r＞0,P＜0.05),与pH、PaO2/FiO2呈负相关(r＜0,P＜0.05),腹内压与血流动力学之间无相关性(P＞0.05).预测腹内高压的多因素Logistics回归分析显示,BMI(OR=1.174,95%CI:1.059～1.302)、PEEP(OR=1.238,95%CI:1.014～1.511)为SAP患者出现腹内高压的独立危险因素.BMI、PEEP每增加 1 个单位,腹内高压的风险就分别增加 17.4%、23.8%,再根据多因素分析结果作ROC曲线显示,BMI、PEEP预测腹内高压的ROC曲线下面积分别为 0.734(95%CI:0.652～0.816)、0.690(95%CI:0.606～0.775),其预测腹内高压发生的临界值分别为 25.865 kg/m2、6.5 cmH2 O.结论 BMI、PEEP是腹内高压的独立危险因素.腹内高压可直接或间接影响呼吸功能,同时腹内压也随机械通气PEEP值的增加而升高,选择最佳PEEP对平衡腹腔压与肺容积至关重要.

目的:探讨高营养风险机械通气病人肠内营养是否达标与呼吸机拔管的相关性及呼吸机拔管失败的影响因素.方法:回顾性分析普通外科ICU接收的105例重症病人,将病人分为拔管成功组(n=55)和拔管失败组(n=50),比较两组病人喂养达标率、喂养不耐受状况、住院时间及28d死亡率,并分析喂养达标与呼吸机拔管的相关性.结果:两组男性占比居多,拔管成功组为41(74.65％),拔管失败组为39(78.0％),拔管成功组不耐受发生率为19(34.5％),拔管失败组不耐受发生率为18(36.0％).拔管成功组的喂养达标率为33(60.0％),拔管失败组为7(14.0％),P=0.002;拔管成功组住院时间为26.5(13.5,63),拔管失败组为40(27.5,65),P＜0.05;拔管成功组28 d死亡率为3.6％,拔管失败组为20％,P＜0.05.Spearman等级相关分析显示喂养达标与呼吸机拔管成功与否呈负相关(r=-0.421,P＜0.01),当喂养达标率越高时,呼吸机拔管的失败率越低.多因素Logistic回归分析表明,EN不达标是呼吸机拔管失败的独立危险因素.结论:高营养风险机械通气病人呼吸机拔管失败与EN不达标有关,导致病人住院时间延长,28 d死亡率增加.

目的 目前支气管镜检查是呼吸系统疾病常见的检查方法,文章主要探讨通过术前行为训练和心理干预,对行支气管镜检查的住院患者在术中的配合效果及焦虑心理的改善情况.方法 选取2022 年1 至6 月某院内镜中心110 例需行支气管镜活检患者,采用抽签法完成随机分组,分为对照组和观察组各55 例,对照组给予常规健康教育,而观察组在常规处理基础上增加行为训练(腹式呼吸训练、渐进式肌肉放松训练和叹息式咳嗽训练)和术前心理干预,比较两组患者手术中的配合度、成功率、舒适度及焦虑情况.结果 观察组主动配合率(74.5％)高于对照组(45.5％),支气管镜检查成功率(92.7％)大于对照组(85.5％),观察组舒适度(5.40±1.35)较对照组(12.03±1.49)明显升高,焦虑评分(39.10±3.90)亦较对照组(29.43±4.90)升高差异均有统计学意义(P＜0.05).结论 术前行为训练和心理干预可以提高患者支气管镜检查的配合度和成功率,增强舒适度,缓解焦虑状况,值得临床推广.