认知行为干预联合音乐放松疗法在核磁共振增强扫描患者中的应用

Application of cognitive behavioral intervention combined with music relaxation therapy to patients examined by magnetic resonance imaging enhanced scanning

目的 分析认知行为干预联合音乐放松疗法在核磁共振(MRI)增强扫描检查患者中的应用效果。方法 选取2021年5月至2023年4月于放射科行MRI增强扫描检查的82例患者为研究对象,根据随机数字表法随机分为观察组(认知行为干预联合音乐放松疗法)和对照组(常规呼吸和护理干预),每组41例。观察2组检查前后呼吸、心率、血压、焦虑程度及完成检查时间、不良反应发生、图像质量情况。结果 观察组呼吸、心率、收缩压、舒张压与检查前比较,差异无统计学意义(P>0.05);检查后,对照组呼吸、心率、收缩压、舒张压水平高于检查前(P<0.05),且观察组检查后上述指标低于对照组(P<0.05);观察组完成检查时间、不良反应发生低于对照组,而一次图像合格率高于对照组(P<0.05);观察组检查前、检查后7项广泛性焦虑障碍量表(GAD-7)评分均低于对照组(P<0.05)。结论 认知行为干预联合音乐放松疗法可有效减轻MRI增强扫描检查患者生命体征波动,缓解患者焦虑程度,提高检查效率。

Objective To analyze the application effect of cognitive behavioral intervention combined with music relaxation therapy on patients undergoing magnetic resonance imaging(MRI)enhanced scanning.Methods A total of 82 patients who underwent contrast-enhanced MRI from May 2021 to April 2023 were included in the study.They were randomly assigned into the observation group(41 cases treated with cognitive behavioral intervention combined with music relaxation therapy)and control group(41 cases treated with routine respiratory and nursing intervention).The respiration rate,heart rate,blood pressure,anxiety degree,duration of MRI,adverse events and image quality of the two groups before and after examination were observed.Results There were no significant differences in the respiratory rate,heart rate,systolic and diastolic blood pressures in the observation group before and after the examination(P>0.05).After the examination,respiration rate,heart rate,systolic blood pressure,and diastolic blood pressure in the control group were significantly higher than those before the examination(P<0.05).The above indicators in the observation group were significantly lower than those of the control group after the examination(P<0.05).Significantly shorter duration of MRI,lower incidence of adverse events,and higher first-attempt image qualification rate were detected in the observation group compared to the control group(P<0.05).The Generalized Anxiety Disorder 7-Item(GAD-7)scores of the observation group before and after the examination were significantly lower than those of the control group(P<0.05).Conclusion Cognitive behavioral intervention combined with music relaxation therapy can effectively reduce the fluctuations of vital signs in patients undergoing contrast-enhanced MRI scanning,alleviate their anxiety level,and improve examination efficiency.