心理护理联合精细化指导对接受冠状动脉计算机断层扫描血管造影患者应激反应及心理状态的影响

Effect of Psychological Care Combined with Refined Guidance on the Stress Response and Psychological State of Patients Undergoing Coronary Artery Computed Tomography Angiography

目的探讨心理护理结合精细化指导对接受冠状动脉计算机断层扫描血管造影(CTA)患者应激反应及心理状态的影响。方法选取医院2022年1月至2023年9月拟接受冠状动脉CTA的患者80例,按随机数字表法分为观察组和对照组,各40例。对照组患者予常规护理,观察组患者予心理护理联合精细化护理。结果观察组患者检查期间心律异常、血压升高的发生率均显著低于对照组(P<0.05);干预后,观察组患者焦虑自评量表与抑郁自评量表评分均显著低于对照组(P<0.05);观察组患者影像质量为Ⅰ级的占比显著高于对照组(P<0.05)。结论心理护理联合精细化指导可明显降低接受冠状动脉CTA患者的应激反应发生率,缓解其焦虑、抑郁情绪,提高影像检查质量。

Objective To investigate the effects of psychological care combined with refined guidance on stress reaction and psychological state of patients undergoing coronary artery computed tomography angiography(CTA).Methods A total of 80 patients who were to undergo coronary artery CTA from January 2022 to September 2023 in the hospital were selected and divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The patients in the control group were given conventional care,and the patients in the observation group were given psychological care combined with refined care.Results The incidence of cardiac rhythm abnormality and elevated blood pressure during the examination in the observation group was significantly lower than that in the control group(P<0.05);after the intervention,the scores of anxiety self-assessment scale and depression self-assessment scale were significantly lower than those in the control group(P<0.05);the percentage of patients with image quality of gradeⅠin the observation group was significantly higher than that in the control group(P<0.05).Conclusion Psychological care combined with refined guidance can significantly reduce the incidence of stress reactions in patients undergoing coronary CTA,alleviate their anxiety and depression,and improve the quality of imaging examinations.