CICARE沟通模式在增强CT/MRI扫描患者中的应用
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摘要
目的研究分析CICARE沟通模式在增强CT/MRI患者中的应用。方法选取2018年1-2月实施CICARE沟通方式前在我院进行增强CT/MRI扫描患者170例作为对照组,选取2018年3-4月实施CICARE沟通方式后的170例患者作为观察组,比较2组患者心率和血压波动情况、焦虑发生率及不良反应情况。结果观察组心率波动、血压波动、焦虑情绪发生率分别为18.24%、7.65%、55.88%,低于对照组的30.59%、14.71%、74.12%;观察组患者不良反应情况轻于对照组(Z=-2.460,P=0.014)。结论 CICARE模式有效减轻了患者的心理压力和不良反应,值得推广应用。
Objective To explore the application of CICARE communication mode in patients undergoing enhanced computed tomography/magnetic resonance imaging(CT/MRI).Methods A total of 170 patients undergoing enhanced CT/MRI between January and February 2018 were selected into a control group,while another 170 counterparts receiving CT/MRI between March and April were selected into an observation group.The CICARE communication mode was applied in the observation group,but not in the control group.The incidence of heart rate and blood pressure fluctuation,as well as the anxiety and adverse reactions were compared between the two groups.Results The incidence of the heart rate and blood pressure fluctuation,as well as the anxiety and adverse reactions of the observation group were 18.24%,7.65% and 55.88%,significantly lower than those of the control group(30.59%,14.71%,74.12%).Conclusion The application of the CICARE mode significantly relieves the mental stress and adverse reactions of patients undergoing enhanced CT/MRI,which is worth popularizing and applying in the clinical practice.
Objective To explore the application of CICARE communication mode in patients undergoing enhanced computed tomography/magnetic resonance imaging(CT/MRI).Methods A total of 170 patients undergoing enhanced CT/MRI between January and February 2018 were selected into a control group,while another 170 counterparts receiving CT/MRI between March and April were selected into an observation group.The CICARE communication mode was applied in the observation group,but not in the control group.The incidence of heart rate and blood pressure fluctuation,as well as the anxiety and adverse reactions were compared between the two groups.Results The incidence of the heart rate and blood pressure fluctuation,as well as the anxiety and adverse reactions of the observation group were 18.24%,7.65% and 55.88%,significantly lower than those of the control group(30.59%,14.71%,74.12%).Conclusion The application of the CICARE mode significantly relieves the mental stress and adverse reactions of patients undergoing enhanced CT/MRI,which is worth popularizing and applying in the clinical practice.
引文
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[2]李基臣,顾人东.增强CT在结肠肿瘤诊断中的灵敏度与特异度研究[J].中国实用医药,2016,11(2):21-22.
[3]王红燕.动态增强MRI在前列腺癌诊断中的临床价值分析[J].深圳中西医结合杂志,2015,25(24):69-70.
[4]何斌.访斯坦福医院有感-CICARE模式介绍[EB/OL].(2011-11-16)[2014-02-20].http//www.e5413.com/News Message-9048.aspx.
[5]王冠虎,李进,王霞,等.角色体验法对提高ICU低年资护士人性照护能力的研究[J].中国临床护理,2018,10(3):263-265.
[6]娄彦平.优质护理对预防多排螺旋CT增强检查患者对比剂不良反应的应用价值研究[J].临床医学工程,2016,23(9):1261-1262.
[7]汪向东,王希林,马弘.心理卫生评定量表手册(增刊)[M].北京:中国心理卫生杂志社,1999:235-237.
[8]陈秀梅,毕纯龙.舒适护理在老年冠状动脉多层螺旋CT血管造影中的应用[J].国际护理学杂志,2015,34(14):2008-2011.
[9]杨顺碧,袁红梅,黄显龙,等.系统化护理干预对增强CT检查中造影剂外漏发生率及满意度的影响[J].重庆医学,2014,43(27):3682-3683,3696.