摘要
探究心理健康指导及干预在64排螺旋CT冠状动脉血管造影(CTA)检查中的应用价值。方法:选取2017年3月—8月于我院放射科行CTA检查的患者120例,根据检查顺序随机分为观察组和对照组,每组60例,对照组检查前实施常规护理和操作,观察组在此基础上给予心理护理干预。观察2组患者检查过程中心率、血压、呼吸及焦虑情况,对比2组患者成像质量、检查所用时间及一次性成功率。结果表明:观察组患者心率、收缩压、舒张压、呼吸频率以及焦虑评分均低于对照组,差异有统计学意义(P<0.05)。观察组图像质量为Ⅰ~Ⅱ级患者所占比例高于对照组,Ⅳ~Ⅴ级患者所占比例低于对照组,差异有统计学意义(P<0.05);图像质量为Ⅲ级患者所占比例在2组之间的差异无统计学意义(P>0.05)。观察组4例患者检查前用药控制心率,2例屏气不佳,1例因恐惧终止检查,最终53例患者检查一次性成功,一次性成功率为88.3%,高于对照组的76.7%(46/60),差异有统计学意义(x2=6.832,P<0.05);观察组与对照组患者检查所用时间分别为(26.6±5.3)min和(34.1±6.2)min,差异有统计学意义(t=3.124,P<0.05)。结论:对冠脉CTA检查患者实施心理健康指导及干预能够有效改善患者即时心理状态,控制检查前心率及血压,提高成像质量和检测一次性成功率,缩短检查时间,提高检查效率,值得推广。
It researches the application value of psycho-health guidance and intervention in an examination of 64-slice spiral CT and coronary angiography.One hundred twenty patients,who accepted CTA examination in the radiology department of our hospital during the March 2017—August 2017,were chosen.Then they were grouped randomly,observation group and control group.Each group has 60 patients.The control group accepted routine nursing and operation before examination,and observation group accepted an intervention of psychological nursing based on that.Two groups accepted examination of heart rate,blood pressure,breathing and anxiety situations during the examination process.And a comparison was made between imaging quality,examination time and disposable success rate.The heart rate,systolic pressure,diastolic pressure,respiratory rate and anxiety score of the observation group was lower than that of the control group,which has statistically significance（P〈0.05）.The image quality of the observation group was that the proportion of patients in Class Ⅰ—Ⅱ was higher than the control group.The proportion of patients with ClassⅣ—Ⅴimage quality was lower than the control group,and its difference was statistically significant;The discrepancy of proportion of patients whose image quality of was ClassⅢin two groups didn’t have any statistical significance（P〉0.05）.In the observation group,4 patients were medicated to control their heart rate before examination,and 2 patients held their breath badly,and one patient didn’t accept examination because of fear.Finally,there were 53 patients successfully accepting examination.The one-time successful rate was 88.3%,higher than 76.7% of the control group（46/60）,and its discrepancy was statistically significant（x2=6.832,P〈0.05）The examination time of the observation group and the control group was（26.6＋5.3）min and（34.1＋6.2）min,respectively.And its discrepancy has a statistical significancy.The application of sycho-health guidance and intervention in the patients of coronary artery CTA examination will effectively improve immediate psychological states of patients,control their heart rate and blood pressure before examination,improve imaging quality and one-time successful rate of examination,shorten examination time,promote examination efficiency.Hence,it is worthy of promotion.
作者
李爽
宗晓芳
Li Shuang;Zong Xiaofang(Department of Nuclear Medicine General Hospital of Lanzhou,Lanzhou 730050,China)
出处
《甘肃科学学报》
2018年第3期74-77,共4页
Journal of Gansu Sciences
关键词
心理干预
冠状动脉CTA
成像质量
血管造影
Psychological intervention
Coronary artery CTA
Imaging quality
CT angiography
