呼吸训练对消化道恶性肿瘤MRI图像质量的影响

The Impact of Image Quality of Breathing Exercises for Gastrointestinal Cancer MRI

目的探讨呼吸训练对消化道恶性肿瘤核磁共振成像(MRI)增强扫描患者诊查依从性及图像质量的影响。方法2012年6月至2014年6月选取128例消化道恶性肿瘤MRI增强扫描患者为研究对象,根据随机数字表将患者分为观察组及对照组各64例,对照组行放射科常规性护理,观察组在对照组基础上于检查前行呼吸训练及心理干预,对比分析两组患者不良情绪、图像质量、扫描时间、依从性、不良反应及护理满意度的差异。结果观察组干预后汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分均低于对照组(P<0.05)。观察组诊查依从率、满意率高于对照组(P<0.05),而不良反应率低于对照组(P<0.05)。观察组图像清晰比例高于对照组,而扫描时间短于对照组(P<0.05)。结论呼吸训练能有效改善消化道恶性肿瘤MRI患者负性情绪,提高患者检查依从性,减轻患者检查不良反应,有利于提高图像情绪度,从而提高患者满意度。

Objective To investigate the impact of image quality of breathing exercises and checkups compliance for gastrointestinal cancer magnetic resonance imaging （MRI）. Methods 128 cases of patients with gastrointestinal cancer enhanced MRI were divided into observation group and control group from June 2012 to June 2014. The control group were underwented with conventional radiology care.The observation group were underwented with breathing exercises.The image quality, scan time, compliance, adverse reactions and nursing satisfaction of two groups were compared. Results The scores of Hamilton Anxiety Scale （HAMA） score, Hamilton Depression Rating Scale （HAMD） of observation group were lower than the control group （P〈0.05）.The checkups compliance rate, satisfaction rate of observation group were higher than control groups （P〈0.05）, while the rate of adverse reactions were lower than the control group （P〈0.05）. The proportion of the image of observation group were clear than observation group, while the scanning time were shorter than control group （P〈0.05）. Conclusion Breathing exercises can improve gastrointestinal cancer patients MRI negative emotions, improve patient compliance check, mitigate adverse patient examination, will help improve the mood of the image, thereby improving patient satisfaction.