老年患者冠状动脉双源CT检查前健康教育价值的研究

Study of the effect of health education of coronary artery double source CT scan on aged patients

目的:探讨老年患者在行冠状动脉双源CT检查前的护理方法对检查结果有效性的影响。方法:结合相关量表自行设计问卷对138例行冠状动脉双源CT检查后的老年患者进行问卷调查。分为两组,试验组和对照组各69例,试验组在行双源CT检查前为患者做好生理、心理方面的健康教育以及对检查中可能出现的不良反应及对策给患者做详细讲解,让患者检查前心中有数、主动配合检查。对照组按常规护理。结果:试验组69例检查项目清楚,检查过程、用药反应知晓率80%,均获3、4级图像(占100%),患者检查时不良反应少(8.57%);检查时间明显缩短,辐射量减少50%。对照组69例知晓率74.5%,3、4级图像占92.75%,不良反应占20.29%。结论:老年患者在行冠状动脉双源CT检查前健康教育利于提高CT扫描成像质量,值得临床推广。

Objective： To discuss the effect of nursing methods on result of coronary artery double sources CT scan on aged patient. Methods： 138 subjects planed to receive double sources CT scan were included and questionnaire surveyed by designed forms. Patients were divided into the experiment and the control groups. The experiment group received physiological and psychological heath education before examination as well as been explained the adverse effect might be appear during scan and guided the correct corresponding measurements. The control group received general nursing. Results： The awareness rate of scan examination items, procedure and drug reactions was 80% vs 74.5 % in subjects of the experiment and the control groups. 100% vs 92.75% gained 3 or 4 grade image in the experiment group wand the control respectively.8.57% vs ：20.29% of subjects had side effects in these two groups, The scan period of those patients in the experiment group were shortened which decrease the radiation quantity. Conclusion： Better quality of coronary artery double source CT scan image could be gained by health education before examination in aged patients.