老年患者行上腹部CT增强扫描不良反应的干预措施及其效果评价

Preventive measures and effect evaluation of adverse reaction for elderly patients undergoing abdominal CT enhanced scan

目的:探讨老年患者上腹部CT增强扫描不良反应的预防策略,评价干预措施的效果。方法:将106例CT上腹部增强扫描的老年患者随机分为干预组和对照组,每组53例,实施不同的干预措施,并观察两组患者检查前心率、血压、焦虑情况、检查中对比剂不良反应发生情况以及患者对检查的满意度。结果:干预组检查前HAMA分值明显低于对照组,差异有统计学意义(t=4.418,P<0.01)。干预组中焦虑症状患者比例明显低于对照组,差异有统计学意义(x2=6.469,P<0.05),与初诊时的血压、心率比较,两组患者检查前血压、心率均有所增加,差异有统计学意义(t=3.073,t=2.993;P<0.05);干预组不良反应发生率为3.8%,低于对照组(11.3%);干预组患者满意度评分明显高于对照组,差异有统计学意义(x2=4.196,P<0.05)。结论:对老年上腹部CT增强扫描患者实施针对性的认知和心理干预,加强检查前后的护理配合能显著改善患者紧张、焦虑状态,降低不良反应发生率,提高护理满意度,利于检查的顺利开展。

Objective： To investigate the preventive measures and evaluate the effect of adverse reaction for elderly patients undergoing CT enhanced scan. Methods： One hundred and six cases of elderly patients underwent abdominal CT enhanced scanning were randomly divided into intervention group and control group with 53 cases respectively, through implemented different nursing measure, and patients＇ status of heart rate, blood .pressure, anxiety before examination, adverse reactions occurrence of contrast in the inspection, and the patients satisfaction of two groups were observed. Results： The HAMA score of intervention group before the examination was significantly lower than that of the control group, the difference was statistically significant（t=4：4.18, P〈0.01）. The ratio of patients with anxiety symptoms in intervention groupwas significantly lower than that of the control group, and the difference was significant（x2=6.469, P〈0.05）. Compared blood pressure, heart rate of patients before the examination with newly diagnosed, both of two groups increased, the differences were statistically significant（t=3.073, t=2.993; P〈0.05）, but the changes of symptoms in the intervention group was significantly lower than the control group, the differences was significant. The incidence of adverse reaction in intervention group was 3.8%, which was lower than that of the control group（11.3% ）. The patient satisfaction scores of intervention group was significantly higher than that of the control group, the difference was statistically significant（x2=4.196, P〈0.05）. Conclusion： By implementation of the cognitive and psychological intervention and strengthening nursing cooperation before and after examination for the elderly abdominal patients undergo CT enhanced scan, it can significantly decrease patients nervousness and anxiety, reduce the incidence of adverse reactions, and improvenursing satisfaction, which can facilitate the inspection process.