微信正念冥想的护理干预模式对胶质瘤患者术前磁共振肿瘤恶性度评估图像质量的影响

Effects of image quality of preoperative magnetic resonance tumor malignancy evaluation of glioma patients based on WeChat mindfulness meditation nursing mode

目的探讨微信正念冥想的护理干预模式对胶质瘤患者术前磁共振肿瘤恶性度评估图像质量的影响。方法选取2020年2月至2022年10月期间在南京医科大学附属脑科医院神经外科住院的40例患者,检查前4天进行基于微信正念冥想训练。检查过程中患者佩戴耳机听正念冥想音频。并与40例性别、年龄及检查时程相匹配的常规影像护理患者的图像质量进行对照。2组患者均行胶质瘤术前磁共振肿瘤恶性度评估序列检查,并进行焦虑自评量表(SAS)和抑郁自评量(SDS)表评分。干预组检查前再次进行SAS和SDS评分。图像质量和评分由2名影像科主治技师和2名主治医师分别进行评价。结果两组患者间性别及年龄无统计学差异。两组患者均存在轻度焦虑和抑郁症状,SAS和SDS表评分无显著差异(t=-2.17,P>0.05;t=2.57,P>0.05)。干预组患者在正念冥想干预后,其SAS和SDS评分较检查前降低,差异具有统计学意义(t=9.53,P<0.05;t=12.13,P<0.05)。图像质量评价对照显示,干预组患者图像质量总体好于对照组(χ2=17.84,P<0.05)。结论微信正念冥想干预护理模式可有效减轻胶质瘤患者的抑郁和焦虑症状,使患者能够配合磁共振的特殊检查,进而提高图像质量,最终满足临床诊断的需要。

Objective To explore the effect of image quality of preoperative magnetic resonance tumor malignancy evaluation for patients with glioma based on WeChat mindfulness meditation nursing mode.Methods 40 patients admitted in department of neurosurgery of brain hospital from February 2020 to October 2022,and accepted the training based on WeChat mindfulness meditation nursing mode 4 days before the MRI examination.During the examination,the patients put on headphones,listen to the audio of mindfulness meditation.The image quality was compared with that of 40 cases with conventional image nursing patients matched with gender,age and examination duration matching.All patients in the two groups were examined by MRI malignant degree evaluation sequence before glioma surgery,and scored by self⁃rating anxiety scale(SAS)and self⁃rating depression scale(SDS).The intervention group received SAS and SDS scores again before examination.The image quality and clinical score were evaluated by 2 technicians 2 attending physicians,and 2 nurses in charge respectively.Results There was no significant difference in gender and age between the two groups.There were mild anxiety and depression symptoms in both groups,and there was no significant difference in the scores of the SAS and SDS(t=-2.17,P>0.05;t=2.57,P>0.05).After mindfulness meditation intervention,the scores of SAS and SDS in the intervention group were significantly different from those before examination(t=9.53,P<0.05;t=12.13,P<0.05).The comparison of image quality evaluation showed that there was a significant statistical difference in image quality between the mindfulness meditation intervention group and the control group(χ2=1784,P<0.05).Conclusions Mindfulness meditation intervention nursing mode can effectively alleviate the depression and anxiety symptoms of glioma patients,enable patients to cooperate with the special MRI examination,and then improve the image quality to meet the needs of clinical diagnosis.