摘要
目的 研究心理护理干预在CT冠状动脉血管造影(CTA)检查中的应用效果。方法 选取2018年1月—2020年1月在天津市宝坻区人民医院接受CTA检查的120例患者,采用随机数字表法分为观察组和对照组各60例,对照组行常规护理,观察组在常规护理基础上行心理护理。比较两组心理状态评分、临床造影质量及依从率。结果 护理前,两组患者HAMD评分、HAMA评分比较,差异均无统计学意义(P>0.05);护理后,两组HAMD评分、HAMA评分均低于护理前,且观察组评分低于对照组,差异均有统计学意义(P<0.05)。观察组图像质量Ⅰ级率高于对照组,Ⅳ级率低于对照组,差异有统计学意义(P<0.05)。观察组患者的总依从率为96.67%,高于对照组的85.00%,差异有统计学意义(χ^(2)=4.904,P<0.05)。结论 常规护理与心理护理的联合开展,可帮助进行冠状动脉CTA检查的患者缓解其不良心理状态,提升其依从性,有助于提高冠状动脉CTA的成像质量,且安全性良好,临床应用价值较高。
Objective To study the effect of psychological nursing intervention in CT coronary angiography(CTA)examination.Methods A total of 120 patients who underwent CTA examination at Tianjin Baodi District People's Hospital from January 2018 to January 2020 were randomly divided into an observation group and a control group,with 60 patients in each group.The control group received routine nursing,while the observation group received psychological nursing on the basis of routine nursing.The psychological status,clinical imaging quality,and the incidence of compliance between two groups were compared.Results Before nursing,there were no statistically significant differences in HAMD and HAMA scores between the two groups of patients(P>0.05);after nursing,the HAMD and HAMA scores in both group were lower than before nursing,and the observation group was lower than the control group,and the difference were statistically significant(P<0.05).The image quality of grade I of the observation group was higher than that of the control group,the grade IV was lower than that of the control,and the differences were statistically significant(P<0.05).The total compliance rate of the observation group patients was 96.67%,which was higher than that of the control group with 85.00%,and the difference was statistically significant(χ^(2)=4.904,P<0.05).Conclusion The joint implementation of routine nursing and psychological nursing could help patients undergoing CTA to alleviate their adverse psychological state,improving their compliance,which could improve the imaging quality of CTA and had good safety.It had clinical application value.
作者
李微
张学娟
LI Wei;ZHANG Xue-juan(Department of Cardiovascular Medicine,Tianjin Baodi District People's Hospital,Tianjin 301800,China)
出处
《中国城乡企业卫生》
2025年第11期160-162,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
心理护理干预
冠状动脉血管造影检查
心理状态
造影质量
Psychological nursing intervention
Computed tomography(CT)
Coronary angiography examination
Psychological state
Quality of imaging
