核磁共振成像检查致幽闭恐怖症患者的心理干预

Psychological Interventions for Patients with Phobia Claustrophobia Induced by MRI Examination

目的探讨核磁共振检查中患者出现幽闭恐怖症后的心理干预效果。方法对43例第1次行MRI检查出现幽闭恐惧症状、无法完成核磁共振检查的患者采取综合心理干预。观察干预前后患者的生命体征和检查中不适症状的变化。结果干预后37例患者均能成功完成检查,有效率为86%,6例经多次心理干预后无法完成检查,无效率为14%。干预前后患者的生命体征和检查中不适症状差异有统计学意义(P<0.05)。结论心理干预能够有效改善MRI检查所致幽闭恐怖症患者的恐惧心理,使其顺利配合并取得检查成功。

Objective To explore the effects of psychological interventions for patients with phobia claustrophobia induced by MRI examination. Methods Comprehensive psychological interventions were offered for patients having the symptoms of phobia claustro- phobia in the first-time MRI examination and thus unable to sustain the check. An observation was made of the vital signs and the changes in the while-check symptoms of discomfort before and after the interventions. Results After the interventions, 37 cases completed the check, accounting for 86%, and 6 failed to despite the several interventions, accounting for 14%. The differences in the vital signs and symptoms of discomfort before and after the interventions had statistical significances （P〈0.05）. Conclusion Psychological interventions can effectively improve the fright of patients undergoing MRI examination and thus help them complete the check.