呼吸训练联合分阶段心理干预对肝脏MRI动态增强扫描患者的影响

Influence of respiratory training combined with staged psychological intervention on patients underwent MRI dynamic contrast-enhanced scan on liver

目的探讨呼吸训练联合分阶段心理干预对肝脏核磁共振成像(MRI)动态增强扫描患者心理状态、应对方式和图像质量的影响。方法选择2018年6月—2020年3月于本院行肝脏MRI动态增强扫描患者118例作为研究对象,采用抛硬币法将患者分为对照组和研究组两组,每组各59例。对照组入院后采用常规护理,研究组在对照组基础上给予呼吸训练联合分阶段心理干预。对比两组心理状态、应对方式、图像质量及临床指标。结果两组检查准备时间对比无差异(P>0.05),研究组检查时间较对照组短,一次性检查成功率高于对照组(P<0.05)。两组干预后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均下降,研究组较对照组低(P<0.05)。两组干预后消极应对方式评分下降,且研究组较对照组低(P<0.05),积极应对方式评分升高,且研究组较对照组高(P<0.05)。研究组的图像伪影发生率低于对照组(P<0.05)。结论肝脏MRI动态增强扫描患者经呼吸训练联合分阶段心理干预后,可有效缓解患者焦虑、抑郁情绪,使其以积极的态度面对检查,进而提高图像质量。

Objective To investigate the effect of respiratory training combined with staged psychological intervention on mental state,coping style and image quality on patients underwent magnetic resonance imaging(MRI)dynamic contrast-enhanced scan on liver.Methods 118 patients those underwent MRI dynamic contrast-enhanced liver scanning in our hospital from June 2018 to March 2020 were selected as study subjects,and they were divided into control group and study group by coin tossing method,59 cases in each group.The control group was given routine nursing after admission,and the study group was given respiratory training combined with staged psychological intervention on the basis of the control group.The mental state,coping style,image quality and clinical indicators were compared between the two groups.Results There was no significant difference in the inspection preparation time between the two groups(P>0.05).The inspection time in study group was shorter than that in control group,and the one-time success rate of examination was higher than that in the control group(P<0.05).After intervention,the scores of self rating Depression Scale(SDS),self rating Anxiety Scale(SAS)decreased in both groups,and the study group was lower than the control group(P<0.05).After intervention,the scores of negative coping style decreased in both groups,and the study group was lower than the control group(P<0.05),and the score of positive coping style increased,and the study group was higher than the control group(P<0.05).The incidence of image artifacts in the study group was lower than that in the control group(P<0.05).Conclusions The anxiety and depression of the patients underwent MRI dynamic contrast-enhanced scan on liver could be effectively alleviated after respiratory training combined with staged psychological intervention,it makes them have a positive attitude to face the inspection,and improve the image quality.