Abstract: Objective　To observe, evaluate, and analyze the application value of therapeutic communication system nursing combined with relaxation therapy in patients treated with bronchoscopy. Methods　From January 2018 to January 2020, 106 patients treated with bronchoscopy in Department of Respiratory Medicine, The Seventh Affiliated Hospital of Southern Medical University were selected, and were simply randomly divided into two groups. There were 53 cases in the control group, including 29 males and 24 females, aged (52.13±6.89) years, were given routine nursing intervention; there were 53 cases in the observation group, including 28 males and 25 females, aged (56.95±6.73) years, were given therapeutic communication system nursing combined with relaxation therapy intervention on the basis of the control group. The nursing effects of the two groups were compared. t test was used for the measurement data, and chi-square test was used for the count data. Results　After intervention, the Symptom Check List 90 (SCL-90) scores of the observation group and the control group were significantly lower than those before intervention (both P<0.05), and the SCL-90 score of the observation group was significantly lower than that of the control group [(144.05±7.47) vs. (152.49±7.51)] (P<0.000 1). After intervention, the score of positive coping in the Trait Coping Style Questionnaire (TCSQ) in the observation group was significantly higher than that in the control group, and the score of negative coping in the TCSQ was significantly lower than that in the control group [(38.73±3.82) vs. (33.98±4.34), (26.43±3.55) vs. (29.36±3.14)] (both P<0.05). After intervention, the heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) of the observation group were significantly lower than those of the control group (all P<0.05). Conclusion　Therapeutic communication system nursing combined with relaxation therapy for patients treated with bronchoscopy can effectively improve their preoperative heart rate, blood pressure, and sleep state, significantly relieve their preoperative negative mental state, which is worthy of vigorous promotion and application in clinical nursing.

Key words: Bronchoscopy, Therapeutic communication system, Relaxation therapy, Nursing intervention

摘要： 目的　评价治疗性沟通系统护理联合放松疗法对支气管镜治疗患者的应用价值。方法　选择2018年1月至2020年1月期间南方医科大学第七附属医院呼吸内科收治的需支气管镜治疗的患者106例，简单随机分为两组，对照组53例，其中男29例，女24例，年龄（52.13±6.89）岁，给予常规护理干预，观察组53例，其中男28例，女25例，年龄（56.95±6.73）岁，在对照组基础上给予治疗性沟通护理联合放松疗法干预措施，并比较两组干预后的护理效果。计量资料采用t检验，计数资料采用χ²检验。结果　观察组与对照组干预后症状自评量表（SCL-90）评分较干预前均明显下降（均P<0.05），且观察组SCL-90评分显著地低于对照组［（144.05±7.47）分比（152.49±7.51）分］（P<0.000 1）。干预后，观察组特质应对方式问卷（TCSQ）积极应对评分明显地高于对照组，TCSQ消极应对评分显著地低于对照组［（38.73±3.82）分比（33.98±4.34）分，（26.43±3.55）分比（29.36±3.14）分］（均P<0.05）。干预后，观察组心率（HR）、收缩压（SBP）及舒张压（DBP）水平均显著地低于对照组（均P<0.05）。结论　治疗性沟通系统护理联合放松疗法对支气管镜治疗患者能够有效地改善术前HR、血压及睡眠状态，显著地缓解术前负性心理状态，值得临床护理大力推广应用。

关键词: 支气管镜, 治疗性沟通系统, 放松疗法, 护理干预