多元化干预措施对老年肿瘤患者PET/CT检查中心理状态及依从率的影响

Impact of diversified intervention measures on psychological state and compliance rate of elderly tumor patients during PET/CT examination

目的探讨多元化护理干预措施在老年肿瘤患者正电子发射型断层(PET)/X线计算机断层(CT)检查中的应用效果,为治疗该病症提供护理方法。方法选取2020年10月—2022年10月于西京医院收治的老年肿瘤患者81例,采用随机摸红蓝球的方式分为多元化护理组(n=41,蓝球)和常规护理组(n=40,红球)。常规护理组接受常规护理干预,多元化护理组在常规护理组的基础上采用多元化护理干预,2组均干预2周。比较2组干预前后心理状态[采用综合性医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)评估]评分;比较2组检查用时、检查中断率和重复检查率、PET/CT显像结果准确性、PET/CT显像优良率(以最终诊断为标准)及检查依从率。结果干预后,2组HADS评分中焦虑、抑郁和总分均较同组干预前降低,且多元化护理组评分低于常规护理组,差异均有统计学意义(P<0.05);检查后,多元化护理组检查用时、检查中断率、重复检查率均低于常规护理组(均P<0.05);多元化护理组检查依从率、PET/CT图像优级率均高于常规护理组(均P<0.05);2组PET/CT图像优良率和显像结果准确性差异无统计学意义(P>0.05)。结论多元化护理干预措施可能有效提高老年肿瘤患者PET/CT检查的依从率,减少外界因素对测量结果的影响,有助于改善患者检查期间的心理状态,具有一定的临床应用价值。

Objective To explore the application effects of diversified nursing intervention measure on elderly tumors patients during positron emission tomography(PET)/computed tomography(CT)examination,and provide nursing methods for the treatment of this condition.Methods 81 elderly tumor patients admitted to Xijing Hospital from October 2020 to October 2022 were selected.They were divided into diversified nursing group(n=41,blue ball)and routine nursing group(n=40,red ball)by the method of randomly touching red and blue balls.The routine nursing group received routine nursing intervention,and the diversified nursing group received diversified nursing intervention on the basis of the routine nursing group.Both groups were intervened for 2 weeks.The scores of psychological state[Hospital Anxiety and Depression Scale(HADS)]before and after the intervention were compared between the two groups.The examination time,examination interruption rate and repeated examination rate,accuracy of PET/CT imaging results,excellent and good rate of PET/CT imaging(based on final diagnosis)and examination compliance rate were compared between the two groups.Results After intervention,HADS scores for anxiety,depression,and total scores of both groups were lower than those of the same group before intervention,and the scores of the diversified nursing group were lower than those of the routine nursing group,with statistical significance(P<0.05).After examination,the examination time,examination interruption rate and repeated examination rate of the diversified nursing group were shorter or lower than those of the routine nursing group(all P<0.05);the examination compliance rate and excellent rate of PET/CT imaging of the diversified nursing group were higher than those of the routine nursing group(all P<0.05).There was no significant difference in the excellent and good rate of PET/CT imaging and the accuracy of imaging results between the two groups(P>0.05).Conclusion Diversified nursing interventions measures may effectively improve the compliance rate of PET/CT examination in elderly tumor patients,reduce the influence of external factors on the examination results,and improve the psychological state of patients during the examination,which has certain clinical application value.