肿瘤患者全脊柱磁共振增强检查的护理体会

Effect of Nursing Interventions in Cancer Patients Underwent the Contrast-Enhanced Magnetic Resonance Imaging

目的探讨肿瘤患者全脊柱磁共振增强检查的护理干预.方法对120例怀疑肿瘤转移患者进行全脊柱磁共振增强检查,检查前排除磁共振禁忌证,其中60例给予常规护理作为对照组,另60例给予优质全程护理干预作为观察组,记录两组检查结果,并对两组护理前后的焦虑自评量表评分(SAS)以及护理满意度进行观察。结果120例患者顺利完成检查,图像显示良好,符合诊断要求,无药物外渗;1例患者无法长时间平卧经中途休息后分2次进行,最后完成检查。护理前,两组SAS评分差异无统计学意义,P>0.05;采取相应护理措施后,观察组SAS评分明显低于对照组,差异有统计学意义,P<0.05。观察组护理满意度为96.67%明显高于对照组的83.33%,差异有统计学意义,P<0.05。结论优质全程护理干预不仅能提高患者对检查的依从性,保证扫描顺利完成,减少伪影提高图像质量,而且可确保患者安全,改善其焦虑情绪,提高其满意度。

Objective To discuss the effect of nursing interventions in cancer patients underwent the contrast-enhanced magnetic resonance imaging. Methods 120 suspected tumor metastasis patients received the contrast-enhanced magnetic resonance imaging examination on the whole spine. Before examination, the contraindications were excluded. Patients were assigned to control group (n = 60) and observation group (n = 60). The control group was served with conventional nursing. The observation group was served with high quality nursing interventions. According to examination results, the self-rating anxiety scale (SAS) scores and patients’ satisfaction were probed. Results 120 patients were successfully completed for imaging examination;the images were finely revealed;the diagnosis was acceptable without drug leakage;one patient could not lie on the back for long time and completed the examination after a break. Before intervention, SAS scores between groups showed no statistically significant difference (P > 0.05). After intervention, SAS scores in the observation group were lower than those of control group, with statistically significant difference (P < 0.05). The nursing satisfaction in the observation group (96.67%) was higher than that of control group (83.33%), with statistically significant difference (P < 0.05). Conclusion The high quality nursing interventions can increase the patients’ compliance, ensure the smooth examination, reduce the artifacts, improve the clinical safety and satisfaction, and relieve the anxiety.