预防性护理结合心理干预在行CT增强扫描患者中的应用效果OA
Application effect of preventive nursing combined with psychological intervention in patients undergoing CT enhanced scan
目的 探讨预防性护理结合心理干预在行CT增强扫描患者中的应用效果.方法 自2022年1月至2023年7月,以于南京医科大学附属苏州医院行CT增强扫描的140例患者为研究对象,按随机数字表法将其分为对照组(常规护理)和观察组(预防性护理+心理干预),各70例,比较2组的干预情况.结果 检查前15 min和检查后15 min,2组的心率(HR)均快于检查前30 min,收缩压(SBP)和舒张压(DBP)均高于检查前30 min;而观察组的HR均慢于同期对照组,SBP和DBP均低于同期对照组;检查后15 min,2组的上述指标均优于检查前15 min,结果均有统计学差异(P均＜0.05).检查前30 min和检查后1 h,观察组的焦虑自评量表(SAS)评分均低于同期对照组,简化舒适状况量表(GCQ)评分均高于同期对照组,且2组均优于检查前1 d;检查后1 h,2组的上述评分均优于检查前30 min,结果均有统计学差异(P均＜0.05).观察组的造影剂外渗和不良反应总发生率均低于对照组,护理满意度评分高于对照组(P均＜0.05).结论 预防性护理结合心理干预能提升行CT增强扫描患者的舒适度和护理满意度,缓解其生理应激反应和焦虑情绪,减少造影剂外渗及不良反应的发生.
Objective To explore the application effect of preventive nursing combined with psychological intervention in patients undergoing CT enhanced scan.Methods A total of 140 patients who underwent CT enhanced scan at the Affiliated Suzhou Hospital of Nanjing Medical University from January 2022 to July 2023 were selected as the study subjects.They were divided into a control group(conventional nursing)and an observation group(preventive nursing combined with psychological intervention)using a random number table method,with 70 cases in each group.The intervention situation of the two groups were compared.Results At 15 minutes before and 15 minutes after examination,the heart rates(HR)of both groups were faster than 30 minutes before examination,and the systolic blood pressure(SBP)and diastolic blood pressure(DBP)were higher than 30 minutes before examination.The HR of the observation group was slower than that of the control group during the same period,and the SBP and DBP of the observation group were lower than those of the control group during the same period.At 15 minutes after examination,the above indicators in both groups were better than those of 15 minutes before examination,and the results showed statistical differences(all P＜0.05).At 30 minutes before and 1 hour after examination,the Self-Rating Anxiety Scale(SAS)scores of the observation group were lower than those of the control group during the same period,while the General Comfort Questionnaire(GCQ)scores of the observation group were higher than those of the control group during the same period,and the above scores of both groups were better than those of the day before examination.At 1 hour after examination,the above scores of both groups were better than those of 30 minutes before examination,and the results showed statistical differences(all P＜0.05).The total incidence of contrast agent extravasation and adverse reactions in the observation group was lower than that in the control group,and the nursing satisfaction score in the observation group was higher than that in the control group(all P＜0.05).Conclusion The combination of preventive nursing and psychological intervention can improve the comfort and nursing satisfaction of patients undergoing CT enhanced scan,alleviate their physiological stress reactions and anxiety,and reduce the occurrence of contrast agent extravasation and adverse reactions.
金燕;钟芳
南京医科大学姑苏学院南京医科大学附属苏州医院苏州市立医院,江苏苏州,215008
临床医学
CT增强扫描预防性护理心理干预生理应激造影剂外渗
CT enhanced scanpreventive nursingpsychological interventionphysiological stresscontrast agent extravasation
《中西医结合护理（中英文）》 2024 (003)
21-24 / 4
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