摘要
目的观察眼科循证护理在老年眼眶肿瘤患者进行磁共振成像(magnetic resonance imaging,MRI)中的作用,为提高MRI效果提供方法。方法选取2018年6月—2021年6月于鄂东医疗集团黄石市中心医院收治的行MRI检查的老年眼眶肿瘤患者152例,根据随机数字表法分为观察组(n=76)与对照组(n=76)。对照组采用MRI常规护理,观察组在与对照组相同护理的基础上,增加眼科循证护理。观察并比较2组的护理效果、平均检查时间、重复检查率、图像合格率、患者焦虑和抑郁程度(采取SAS和SDS评分)及满意度(采取量表评分)。结果护理干预后,观察组的护理总有效率明显高于对照组,平均检查时间明显少于对照组,重复检查率明显低于对照组,图像合格率明显高于对照组,差异均有统计学意义(P<0.05);观察组SAS和SDS评分均明显低于对照组(P<0.05);观察组护理心理辅导评分、患者配合评分、图像质量评分和总体评价满意率均明显高于对照组(P<0.05)。结论在老年眼眶肿瘤患者MRI检查中,应用眼科循证护理,可明显提高MRI的效果,减轻患者焦虑和抑郁,提高患者满意度,具有一定的应用价值。
Objective To observe the role of ophthalmic evidence-based nursing in magnetic resonance imaging(MRI)examination in elderly patients with orbital tumors,and to provide methods to improve the effect of MRI examination.Methods 152 elderly patients with orbital tumors who underwent MRI examination in Huangshi Municipal Central Hospital from June 2018 to June 2021 were selected and randomly divided into observation group(n=76)and control group(n=76)according to the number table method.The control group received routine nursing for MRI examination,and the observation group added ophthalmic evidence-based nursing on the same nursing basis as the control group.The nursing effect,average examination time,repeated examination rate,image qualification rate,as well as negative emotion(anxiety and depression)and satisfaction of patients were observed and compared between the two groups.Results After nursing intervention,the total effective rate of nursing of the observation group was significantly higher than that of the control group,the average examination time was significantly shorter than that of the control group,the repeated examination rate was significantly lower than that of the control group,and the image qualification rate was significantly higher than that of the control group(P<0.05).The scores of SAS and SDS of the observation group were significantly lower than those of the control group(P<0.05).The scores of psychological counseling,patient cooperation and image quality and overall evaluation satisfaction rate of the observation group were better than those of the control group(P<0.05).Conclusion The application of ophthalmic evidence-based nursing in MRI examination of elderly patients with orbital tumors can significantly improve the effect of MRI examination,reduce patients’anxiety and depression,and improve patients’satisfaction,which has certain application value.
作者
晏妮
罗曼丽
熊超
陈兴
Yan Ni;Luo Manli;Xiong Chao;Chen Xing(Department of Ophthalmology,Huangshi Municipal Central Hospital,East Hubei Medical Group,Huangshi,Hubei,435002,P.R.China;Department of Medical Imaging,Huangshi Municipal Traditional Chinese Medicine Hospital(Huangshi Municipal Infectious Disease Hospital)of Eastern Hubei Medical Group,Huangshi,Hubei,435002,P.R.China)
出处
《老年医学与保健》
CAS
2021年第6期1209-1212,共4页
Geriatrics & Health Care
关键词
老年
眼眶肿瘤
磁共振成像
循证护理
焦虑
抑郁
elderly
orbital tumor
magnetic resonance imaging
evidence based nursing
anxiety
depression