肺功能检查配合困难患者干预措施的研究  

Interventions to the Patients Receiving Pulmonary Function Test with Difficulty

作　　者：张金蓉[1] 李惠[1] 陈斌[1] 

机构地区：[1]绵阳市中心医院呼吸内科,四川绵阳621000

出　　处：《医学综述》2013年第24期4595-4596,共2页Medical Recapitulate

摘　　要：目的探讨肺功能检查患者配合困难的干预措施,以提高肺功能检查的成功率。方法将绵阳市中心医院2011年2月至2012年2月162例肺功能检查配合困难的门诊及住院患者,按就诊先后顺序随机分为A组和B组,两组各81例,B组按一般方法即检查医师反复讲解肺功能检查的要求和方法,患者按要求随即配合检查;A组除了一般方法外,还根据心理状态类型给予针对性的干预措施,包括给予有效心理沟通、示范、心理疏导、集体宣讲以及将检查方法及注意事项以文字和图片方式张贴于墙上等干预措施。统计完成检查患者的例数。结果 B组有55例患者最终完成检查,完成率67.9%。A组有79例患者完成了检查,完成率97.5%。两组比较差异有统计学意义(P<0.05)。结论根据不同的心理状态,对肺功能检查配合困难的患者给予积极有效的心理沟通、多次示范及练习测试、心理疏导、集体宣讲等干预措施,提高了检查成功率。Objective To discuss the interventions to the patients with difficulty in receiving a pulmonary function test,to increase the test successful rate. Methods A total of 162 patients who had difficulty in receivingpulmonary function test were included in the study,and were divided into two groups at random. In group B the doctor gave instruction on the method of test to the patients again and again. In group A the doctorgave psychological interventions besides common methods according to the psychological type,such as effective mental communication,demonstration,psychological counseling,collective talking,posts of inspection methods and precautions in words and pictures and so on. The number of patients who finished the test were counted. Results There were 55 patients who finished the test in group B forming a rate of 67. 9%,while there were 79 in group A,forming a rate of 97. 5%,which was a statistically significant difference（ P 0. 05）. Conclusion Active interventions to patients with difficulty to receive a pulmonary functional test including mental communication,demonstration,psychological counseling,collective talking and so on,have improved the rate of successful test.

关 键 词：肺功能检查 配合 心理状态 干预措施 

分 类 号：R445.9[医药卫生—影像医学与核医学]