CICARE沟通模式联合细节护理及呼吸训练在心脏磁共振检查患者中的应用

The application effect of CICARE communication mode combined with detailed nursing and respiratory training in cardiac magnetic resonance imaging examination patients

目的探讨CICARE沟通模式联合细节护理及呼吸训练在心脏磁共振检查患者中的应用效果。方法选取2022年1月—2022年12月在医院行心脏磁共振检查患者180例,按照组间基线资料可比的原则分为对照组和观察组,各90例,对照组给予常规护理,观察组在对照组基础上给予CICARE沟通模式联合细节护理及呼吸训练,比较两组患者护理前后的Zung焦虑自评量表(SAS)和汉密尔顿焦虑自评量表(HAMA)评分、检查相关情况、图像质量、患者满意度。结果护理干预后,观察组患者SAS、HAMA评分低于对照组,差异有统计学意义(P<0.05)。观察组患者检查时间短于对照组,差异有统计学意义(P<0.05),两组扫描成功率比较,差异无统计学意义(P>0.05)。观察组患者图像质量优于对照组,图像伪影发生率为18.89%,低于对照组的50.00%,差异有统计学意义(P<0.05)。观察组患者物理环境、护理、护理技术、安全、指导沟通满意度评分高于对照组,差异有统计学意义(P<0.05)。结论CICARE沟通模式联合细节护理及呼吸训练应用于心脏磁共振检查患者中,可有效缓解焦虑情况,提高图像质量、扫描成功率和患者满意度,提高检查效率。

Objective The application effect of CICARE communication mode combined with detailed nursing and respiratory training in cardiac magnetic resonance imaging examination patients.Methods 180 patients who underwent cardiac magnetic resonance imaging examination in the hospital from January to December 2022 were divided into control group and observation group according to the comparability of basic data between groups;with 90 cases in each group.The control group received routine nursing,while the study group received CICARE communication mode combined with detailed nursing and respiratory training.The Self-rating Anxiety Scale(SAS)and Hamilton Anxiety Scale(HAMA)scores,examination related conditions,image quality,and patient satisfaction before and after nursing were compared between the two groups before and after intervention.Results After nursing,the SAS and HAMA scores of the observation group was lower than the control group,the difference was statistically significant(P<0.05).The examination time of the study group was significantly shorter than that of the control group,the difference was statistically significant(P<0.05),and the scanning success rates of the two groups was not statistically significant(P>0.05).The image quality of the study group was better than that of the control group,and the incidence of image artifacts in the study group was 18.89%,significantly lower than the 50.00%in the control group,the difference was statistically significant(P<0.05).The satisfaction scores of physical environment,nursing,nursing technology,safety,and guidance communication in the research group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion The application of the CICARE communication model combined with detailed nursing and respiratory training in patients undergoing cardiac magnetic resonance imaging could effectively alleviate anxiety,improve image quality,scan success rate,patient satisfaction,and improve examination efficiently.