心理疏导在动态CT增强扫描中的应用价值  

Application value of psychological counseling in dynamic enhanced CT scan

作　　者：汪令生[1] 付传明[1] 周选民[1] 刘超[1] 王开华[1] 

机构地区：[1]湖北医药学院附属太和医院放射影像中心,湖北十堰442000

出　　处：《生物医学工程与临床》2014年第3期247-250,共4页Biomedical Engineering and Clinical Medicine

摘　　要：目的探讨心理疏导在动态CT增强扫描中的应用价值。方法将360例行动态CT增强扫描患者随机分为对照组和疏导组，其中男性192例，女性168例；年龄25。75岁，平均年龄55．5岁。对照组采用常规护理，其中男性91例，女性89例；年龄25～73岁，平均年龄56.5岁；疏导组在常规护理的基础上给予心理疏导措施，其中男性101例，女性79例；年龄26～75岁，平均年龄53．5岁。统计CT增强碘对比剂不良反应发生率及患者满意度。结果疏导组发生碘对比剂轻度反应5例，中度反应1例，无不良反应174例，碘对比剂不良反应发生率为3.33％（6／180）；满意166例，基本满意13例，不满意1例，满意度为99．44％（179／180）。对照组发生碘对比剂轻度反应27例，中度反应9例，重度反应3例．无不良反应141例，碘对比剂不良反应发生率为21．67％（39／180）；满意93例，基本满意41例，不满意46例，满意度为74．44％（134／180）。两组碘对比剂不良反应发生率与患者满意度差异均具有统计学意义（P〈0．05）。结论行动态CT增强扫描时采取心理疏导措施可以有效淡化或消除患者紧张焦虑情绪．明显降低了碘对比剂不良反应发生率．并提高了患者的满意度及检杏成功率．Objective To assess the application value of psychological counseling scheme in patients accepted dynamic enhanced CT. Methods A total of 360 patients （192 males and 168 females, aged 25 - 75 years old with mean age of 55.5） performed dynamic enhanced CT scan were enrolled, which were randomly divided into control group（conventional care, 91 males and 89 females, aged 25 - 73 years old with mean age of 56.6） and counseling group（psychological counseling ＋ conventional care, 101 males and 79 females, aged 26 - 75 years old with mean age of 53.5）. The iodinated contrast enhanced CT incidence of adverse reactions and patient satisfaction were counted. Results The incidence of adverse reaction in counseling group was 5 eases of mild reaction, 1 of moderate reaction and 174 of non-adverse reaction, the rate was 3.33 %（6/180）; 166 cases of satisfied, 13 of relatively satisfied and 1 of dissatisfied, the satisfaction rate was 99.44 %（179/180）. The incidence of adverse reaction in control group was 27 eases of mild reaction, 9 of moderate reaction, 3 of severe reaction and 141 of non-adverse reaction, the rate was 21.67 %（39/180）; 93 cases of satisfied, 41 of relatively satisfied and 46 of dissatisfied, the satisfaction rate was 74.44 %（134/180）. The incidence of adverse reaction and satisfaction rate of 2 groups had significant difference（P 〈 0.05）. Conclusion It is demonstrated that after dynamic enhanced CT scan, the patients with psychological counseling could efficiently eliminate the anxiety and stress. The psychological counseling could reduce the incidence of adverse reactions and increase the satisfaction rate of patients.

关 键 词：心理疏导 动态CT增强扫描 碘对比剂 不良反应 

分 类 号：R816[医药卫生—放射医学]