冠脉CTA检查的心理护理方式及施行效果研究

Study on the Psychological Nursing Mode and Effect of Coronary CTA Examination

目的:探讨冠脉CT血管造影术(CTA)检查期间的心理护理方式及其施行效果。方法:选取本院2016年1月-2017年1月接待的冠脉CTA检查者500例作为研究对象,按照随机数字表法分为对照组和研究组,每组250例。对照组检查者接受常规护理干预,研究组检查者则在对照组护理基础上重点加强心理护理干预。对两组检查者的造影剂一次灌注成功率、护理满意率进行记录,并评价两组检查者护理前后负面情绪(焦虑、抑郁、恐惧、悲伤)变化情况。结果:护理后,研究组造影剂一次灌注成功率明显高于对照组,差异有统计学意义(x^2=10.291 1,P<0.05);护理后,研究组的满意率为98.80%,明显高于对照组的92.00%,差异有统计学意义(x^2=13.171 1,P<0.05);护理后,两组检查者的负面情绪评分均较护理前明显下降,且研究组检查者负面情绪评分均显著低于对照组,差异均有统计学意义(P<0.05)。结论:冠脉CTA检查中除了实施常规护理外,加强心理护理干预,可以明显提高造影剂一次灌注成功率与护理满意率,而且可以更好地改善患者的焦虑、抑郁、恐惧、悲伤等负面情绪,值得借鉴。

Objective:To explore the psychological nursing method and its effect during coronary CT angiography(CTA)examination.Method:Coronary CTA examination in our hospital from January 2016 to January 2017 received 500 cases as the research objects,according to the random digital table method,they were divided into the control group and the study group,250 cases in each group.The control group received routine nursing intervention,while the study group focused on strengthening psychological nursing intervention on the basis of the control group nursing.The one-time perfusion success rate of contrast agent and nursing satisfaction rate were recorded of the two groups,and evaluation of the negative emotions(anxiety,depression,fear and sadness)changes of the two groups before and after nursing.Result:After nursing,the success rate of one-time perfusion of contrast agent in the study group was significantly higher than that in the control group,the difference was statistically significant(χ2=10.291 1,P<0.05);after nursing,the satisfaction rate of the study group was 98.80%,which was significantly higher than 92.00%of the control group,the difference was statistically significant(χ2=13.171 1,P<0.05);after nursing,the negative emotion scores of the two groups were significantly lower than those before nursing,and the negative emotion scores of the study group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Coronary CTA examination in addition to routine nursing,strengthen the psychological nursing intervention can significantly improve the success rate of a contrast agent one-time perfusion and nursing satisfaction rate,and can better improve the patients’anxiety,depression,fear,sadness and other negative emotions,worth learning.