MRI检查中发生幽闭恐惧症的心理疏导对策探讨  

Research on the Psychological Counseling for Patients with Phobia Claustrophobia Induced by MRI Examination

作　　者：艾丹[1] 李红霞[1] 焦亚辉[2] 付培德[1] 方芳[1] 

机构地区：[1]哈尔滨医科大学附属第四医院,黑龙江哈尔滨150010 [2]哈尔滨医科大学大庆校区,黑龙江大庆163000

出　　处：《现代生物医学进展》2014年第5期947-950,共4页Progress in Modern Biomedicine

基　　金：教育部中国博士后科研启动基金(2009047194);黑龙江省卫生厅面上项目(2009143)

摘　　要：目的：探讨MRI检查中发生幽闭恐惧症患者的心理特征及其心理疏导对策。方法：根据Marks的4条诊断幽闭恐惧症的标准，选择2008年1月～2011年6月在我院磁共振室检查的102例出现不同程度幽闭恐惧症且MRI检查无法顺利完成的患者。分析其临床症状，查找检查失败发生的原因，并进行心理疏导、改善检查环境、家属陪同检查、优化扫描时间、程序以及口服镇静药物等方法保证检查的顺利完成。对干预前后患者的生命体征和检查中不适症状发生情况的差异进行比较。结果：102例发生幽闭恐惧症的患者通过心理疏导、改善检查环境、家属陪同检查、优化扫描时间、程序以及口服镇静药物等方法实施有效的护理干预，第二次检查成功87例，第三次成功10例，5例患者放弃检查，有效率达95．1％，干预后患者的生命体征：呼吸、脉搏、收缩压、舒张压等较干预前有明显的减轻；检查中不适症状：心悸、头晕、窒息感、压抑感等在干预后也明显减轻，各项指标的干预前后的变化有统计学差异，P〈0．05。结论：积极有效的心理疏导护理可缓解MRI检查中幽闭恐惧症的不适症状，使多数患者顺利完成MRJ检查。Objective： Considering the patients with MR claustrophobic in different degree of clinical symptoms, take care measures, ensure that the exam successfully completed and image is clear, to support clinical accurate diagnosis of basis Methods： Accor- ding to Marks＇ diagnosis of claustrophobic standards, to analysis diagnosed as claustrophobic 102 patients with clinical symptoms on January 2008 to June 2011, Find the cause of the failure inspection, give psychological persuasion, improve environment, accompanied by family members check, optimizing the scanning time, procedure and oral sedation medicine, to ensure completion of the examination. statistical analysis the life of the patient for the difference between before and aRer the symptoms of the check, The P value of less than. 05 was considered to indicate a significant difference between the two groups. Results： After nursing intervention, including psychologic- al counseling, increasing the environment adaption, accompanied by family members, optimizing the scan time and the program, as well as administrating drugs, there are 87 cases success in the second check, 10 cases in the third successful, 5 patients give up inspection of 102 cases of patients with MR claustrophobic,the successful rate was 95.1%. After the intervention, the patient＇s vital signs： respiration, pulse, systolic blood pressure, diastolic blood pressure changed better than before; the symptoms during the examiantion： palpitations, dizziness, a sense of suffocation, and the sense of oppression also significantly reduced after the intervention, the indicators changes significant difference before and after the intervention, P〈0.05. Conclusion： Active and effective care reduce claustrophobic clinical manifestations, which is helpful for patients with successful completion of the checks.

关 键 词：MRI 幽闭恐惧症 护理对策 

分 类 号：R445.2[医药卫生—影像医学与核医学] R47[医药卫生—诊断学]