情景模拟干预模式在CT冠脉成像检查患者中的应用

Application of Scenario Simulation Intervention Mode in Patients with CT Coronary Imaging

目的:研究情景模拟干预模式在CT冠脉成像检查患者中的应用价值。方法:采用回顾性研究,收集中山市中医院2019年1月—2019年10月114例接受常规护理的CT冠脉成像检查患者资料纳入对照组,收集2019年11月—2020年8月114例接受情景模拟干预模式的CT冠脉成像检查患者资料纳入观察组。两组患者均于检查前接受护理,观察两组患者检查相关指标(候检时间、检查时间、受辐射剂量),比较两组患者准备完好率、一次成功率、CT冠脉成像质量、护理前后焦虑情绪[焦虑自评量表(SAS)]以及健康教育评分。结果:观察组候检时间、检查时间短于对照组,受辐射剂量低于对照,差异有统计学意义(t=6.283、5.030、7.522,P<0.05)。观察组准备完好率、一次成功率高于对照组,差异有统计学意义(t=5.263、4.547,P<0.05)。干预后,观察组CT冠脉成像质量优于对照组,差异有统计学意义(Z=3.627,P<0.05)。干预后,两组SAS评分较干预前低,且观察组较对照组低,两组健康教育评分较干预前高,且观察组较对照组高,差异有统计学意义(t=35.793、22.162,P<0.05)。结论:对CT冠脉成像检查患者应用情景模拟干预模式,可提高患者对CT冠脉成像的认识程度,缓解焦虑情绪,更利于获得高质量检查图像。

Objective: To study the application value of scenario simulation intervention mode in patients with CT coronary angiography. Methods: A retrospective study was used to collect the data of 114 patients with CT coronary angiography who received routine care in the hospital from January 2019 to October 2019, and included in the control group. The data of 114 patients undergoing CT coronary imaging examination in the scenario simulation intervention mode from November 2019 to August 2020 were collected and included in the observation group. Both groups of patients received nursing care before the examination. The examination-related indicators(waiting time, examination time, radiation dose) of the two groups of patients were observed. The readiness rate, one-time success rate, CT coronary imaging quality, anxiety before and after nursing(self-rating anxiety scale [SAS]) and health education scores were compared between the two groups. Results: The waiting time and inspection time of the observation group were shorter than those of the control group, and the radiation dose was lower than that of the control group, and the differences were statistically significant(t=6.283, 5.030, 7.522, P<0.05). The readiness rate and one-time success rate of the observation group were higher than those of the control group, and the difference was statistically significant(t=5.263, 4.547, P<0.05). After the intervention, the CT coronary imaging quality of the observation group was better than that of the control group, and the difference was statistically significant(Z=3.627, P<0.05). After the intervention, the SAS scores of the two groups were lower than those before the intervention, and the observation group was lower than the control group. The health education scores of the two groups were higher than those before the intervention, and the observation group was higher than the control group, and the difference was statistically significant(t=35.793, 22.162, P<0.05). Conclusion: The application of scenario simulation intervention mode to CT coronary imaging examination patients can improve the patients’ understanding of CT coronary imaging, relieve anxiety, and be more conducive to obtaining high-quality examination images.