冠脉CTA检查的心理护理方式及施行效果研究
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摘要
目的:探讨冠脉CT血管造影术(CTA)检查期间的心理护理方式及其施行效果。方法:选取本院2016年1月-2017年1月接待的冠脉CTA检查者500例作为研究对象,按照随机数字表法分为对照组和研究组,每组250例。对照组检查者接受常规护理干预,研究组检查者则在对照组护理基础上重点加强心理护理干预。对两组检查者的造影剂一次灌注成功率、护理满意率进行记录,并评价两组检查者护理前后负面情绪(焦虑、抑郁、恐惧、悲伤)变化情况。结果:护理后,研究组造影剂一次灌注成功率明显高于对照组,差异有统计学意义(x~2=10.291 1,P<0.05);护理后,研究组的满意率为98.80%,明显高于对照组的92.00%,差异有统计学意义(x~2=13.171 1,P<0.05);护理后,两组检查者的负面情绪评分均较护理前明显下降,且研究组检查者负面情绪评分均显著低于对照组,差异均有统计学意义(P<0.05)。结论:冠脉CTA检查中除了实施常规护理外,加强心理护理干预,可以明显提高造影剂一次灌注成功率与护理满意率,而且可以更好地改善患者的焦虑、抑郁、恐惧、悲伤等负面情绪,值得借鉴。
Objective:To explore the psychological nursing method and its effect during coronary CT angiography(CTA) examination.Method:Coronary CTA examination in our hospital from January 2016 to January 2017 received 500 cases as the research objects,according to the random digital table method,they were divided into the control group and the study group,250 cases in each group.The control group received routine nursing intervention,while the study group focused on strengthening psychological nursing intervention on the basis of the control group nursing.The one-time perfusion success rate of contrast agent and nursing satisfaction rate were recorded of the two groups,and evaluation of the negative emotions(anxiety,depression,fear and sadness) changes of the two groups before and after nursing.Result:After nursing,the success rate of one-time perfusion of contrast agent in the study group was significantly higher than that in the control group,the difference was statistically significant( x~2=10.291 1,P<0.05);after nursing,the satisfaction rate of the study group was 98.80%,which was significantly higher than 92.00% of the control group,the difference was statistically significant( x~2=13.171 1,P<0.05);after nursing,the negative emotion scores of the two groups were significantly lower than those before nursing,and the negative emotion scores of the study group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Coronary CTA examination in addition to routine nursing,strengthen the psychological nursing intervention can significantly improve the success rate of a contrast agent one-time perfusion and nursing satisfaction rate,and can better improve the patients' anxiety,depression,fear,sadness and other negative emotions,worth learning.
Objective:To explore the psychological nursing method and its effect during coronary CT angiography(CTA) examination.Method:Coronary CTA examination in our hospital from January 2016 to January 2017 received 500 cases as the research objects,according to the random digital table method,they were divided into the control group and the study group,250 cases in each group.The control group received routine nursing intervention,while the study group focused on strengthening psychological nursing intervention on the basis of the control group nursing.The one-time perfusion success rate of contrast agent and nursing satisfaction rate were recorded of the two groups,and evaluation of the negative emotions(anxiety,depression,fear and sadness) changes of the two groups before and after nursing.Result:After nursing,the success rate of one-time perfusion of contrast agent in the study group was significantly higher than that in the control group,the difference was statistically significant( x~2=10.291 1,P<0.05);after nursing,the satisfaction rate of the study group was 98.80%,which was significantly higher than 92.00% of the control group,the difference was statistically significant( x~2=13.171 1,P<0.05);after nursing,the negative emotion scores of the two groups were significantly lower than those before nursing,and the negative emotion scores of the study group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Coronary CTA examination in addition to routine nursing,strengthen the psychological nursing intervention can significantly improve the success rate of a contrast agent one-time perfusion and nursing satisfaction rate,and can better improve the patients' anxiety,depression,fear,sadness and other negative emotions,worth learning.
引文
[1]沈文,张灵敏,刘金有,等.护理干预在64排螺旋CT冠状动脉血管造影中的应用[J].医学理论与实践,2013,26(9):1227-1228.
[2]石今山.浅谈心理护理在冠脉CTA检查中的影响[J].中国保健营养,2016,26(18):339.
[3]白呼和巴拉,白力嘎,王亚梅,等.256排螺旋CT冠脉CTA与头颈CTA患者的心理护理[J].内蒙古民族大学学报(自然科学版),2012,27(6):721-722.
[4]高丽.多层螺旋CT行冠脉CTA检查的护理体会[J].心血管病防治知识(下半月),2011,18(2):71,74.
[5]苏春香.心理护理干预对冠脉CT检查患者心率的影响[J].内蒙古中医药,2014,33(21):154.
[6]熊培佳,李智.护理干预对冠状动脉CT检查结果的影响分析[J].科学咨询,2015,15(21):55-57.
[7]陈维,陈容,谭艳梅,等.心理护理对提高冠状动脉CTA检查成功率的作用[J].实用临床医药杂志,2016,20(18):1-3.
[8]李蓉.心理护理在64层螺旋CT冠状动脉检查中的应用[J].国际护理学杂志,2009,28(1):105-107.
[9]孔敏.双源CT冠状动脉CTA患者的心理护理[J].基层医学论坛,2014,17(36):4951-4952.
[10]史金雁,王巧红,柴云花,等.心理护理在64排螺旋CT冠状动脉血管造影检查中的应用效果[J].护理研究,2016,30(21):2677-2679.
[11]滑岩峰,朱桂杰,刘素峰,等.16层螺旋CT冠状动脉CTA检查的护理体会[J].护理实践与研究,2011,8(19):71-72.
[12]周薇.多层螺旋CT冠状动脉血管造影术检查的护理配合[J/OL].中西医结合心血管病电子杂志,2015,27(11):158,160.
[13]宋喜明,宋游,李旭霞,等.对CT冠状动脉成像中的心理护理[J].中国实用医药,2010,5(36):199.
[14]梁伟.护理干预对行冠状动脉CTA检查患者心理状况的影响[J].中国医药指南,2013,11(13):724-725.
[15]王静华.军队离退休干部行冠状动脉CTA成功检查的护理方法[J].中国疗养医学,2017,26(6):665-667.
[16]Tsai C J,Lee J J S,Chen L K,et al.Evaluation of radiation dose of triple rule-out coronary angiography protocols with different scan length using 256-slice CT[J].Nuclear Instruments&Methods in Physics Research,2011,652(1):771-774.
[17]Dong W,Wang Q,Gu S,et al.Cardiac hybrid SPECT/CTAimaging to detect“functionally relevant coronary artery lesion”:a potential gatekeeper for coronary revascularization[J].Annals of Nuclear Medicine,2014,28(2):88-93.
[18]Van V J E,De G F R,Kroft L J,et al.Performance and efficacy of 320-row computed tomography coronary angiography in patients presenting with acute chest pain:results from a clinical registry[J].International Journal of Cardiovascular Imaging,2012,28(4):865-876.
[19]Sandgaard N C,Diederichsen A C,Petersen H,et al.Patients’views of cardiac computed tomography angiography compared with conventional coronary angiography[J].Journal of Thoracic Imaging,2012,27(1):36-39.
[20]Sun Y Y,Kim Y S,Su J C,et al.Association between colorectal adenoma and coronary atherosclerosis detected by CTcoronary angiography in Korean men;a cross-sectional study[J].Journal of Gastroenterology&Hepatology,2010,25(11):1795-1799.
[2]石今山.浅谈心理护理在冠脉CTA检查中的影响[J].中国保健营养,2016,26(18):339.
[3]白呼和巴拉,白力嘎,王亚梅,等.256排螺旋CT冠脉CTA与头颈CTA患者的心理护理[J].内蒙古民族大学学报(自然科学版),2012,27(6):721-722.
[4]高丽.多层螺旋CT行冠脉CTA检查的护理体会[J].心血管病防治知识(下半月),2011,18(2):71,74.
[5]苏春香.心理护理干预对冠脉CT检查患者心率的影响[J].内蒙古中医药,2014,33(21):154.
[6]熊培佳,李智.护理干预对冠状动脉CT检查结果的影响分析[J].科学咨询,2015,15(21):55-57.
[7]陈维,陈容,谭艳梅,等.心理护理对提高冠状动脉CTA检查成功率的作用[J].实用临床医药杂志,2016,20(18):1-3.
[8]李蓉.心理护理在64层螺旋CT冠状动脉检查中的应用[J].国际护理学杂志,2009,28(1):105-107.
[9]孔敏.双源CT冠状动脉CTA患者的心理护理[J].基层医学论坛,2014,17(36):4951-4952.
[10]史金雁,王巧红,柴云花,等.心理护理在64排螺旋CT冠状动脉血管造影检查中的应用效果[J].护理研究,2016,30(21):2677-2679.
[11]滑岩峰,朱桂杰,刘素峰,等.16层螺旋CT冠状动脉CTA检查的护理体会[J].护理实践与研究,2011,8(19):71-72.
[12]周薇.多层螺旋CT冠状动脉血管造影术检查的护理配合[J/OL].中西医结合心血管病电子杂志,2015,27(11):158,160.
[13]宋喜明,宋游,李旭霞,等.对CT冠状动脉成像中的心理护理[J].中国实用医药,2010,5(36):199.
[14]梁伟.护理干预对行冠状动脉CTA检查患者心理状况的影响[J].中国医药指南,2013,11(13):724-725.
[15]王静华.军队离退休干部行冠状动脉CTA成功检查的护理方法[J].中国疗养医学,2017,26(6):665-667.
[16]Tsai C J,Lee J J S,Chen L K,et al.Evaluation of radiation dose of triple rule-out coronary angiography protocols with different scan length using 256-slice CT[J].Nuclear Instruments&Methods in Physics Research,2011,652(1):771-774.
[17]Dong W,Wang Q,Gu S,et al.Cardiac hybrid SPECT/CTAimaging to detect“functionally relevant coronary artery lesion”:a potential gatekeeper for coronary revascularization[J].Annals of Nuclear Medicine,2014,28(2):88-93.
[18]Van V J E,De G F R,Kroft L J,et al.Performance and efficacy of 320-row computed tomography coronary angiography in patients presenting with acute chest pain:results from a clinical registry[J].International Journal of Cardiovascular Imaging,2012,28(4):865-876.
[19]Sandgaard N C,Diederichsen A C,Petersen H,et al.Patients’views of cardiac computed tomography angiography compared with conventional coronary angiography[J].Journal of Thoracic Imaging,2012,27(1):36-39.
[20]Sun Y Y,Kim Y S,Su J C,et al.Association between colorectal adenoma and coronary atherosclerosis detected by CTcoronary angiography in Korean men;a cross-sectional study[J].Journal of Gastroenterology&Hepatology,2010,25(11):1795-1799.