不同干预方式对CT冠状动脉成像患者心理状态的影响  

Effect of Different Intervention Methods on the Mental State of Patients with CT Coronary Angiography

作　　者：朱文勇[1] 包金丽[2] 韩金堂[1] 

机构地区：[1]山东省枣庄市立医院影像科,山东枣庄277100 [2]山东省枣庄市立医院心内一科,山东枣庄277100

出　　处：《世界复合医学》2017年第3期88-91,共4页World Journal of Complex Medicine

摘　　要：目的探讨不同干预方式对行CT冠状动脉成像患者心理状态的影响及其效果评价。方法选取2013年2月—2014年10月间在该院行CT冠状动脉成像的400例患者,随机分为4组,A组(100例)在CT冠状动脉成像前进行简单健康宣教;B组(100例)在检查前进行详细健康宣教+视频观看;C组在检查前进行简单健康宣教和口服镇静药物;D组(100例)在检查前进行详细健康宣教+视频观看+口服镇静药物。于检查前后均进行SAS评分,并记录检查过程中的心率、不良反应、满意度等。结果(1)A、B、C、D组检查成功率分别为69%、88%、72%和86%。各组成功率比较,B组与D组均高于A组和C组(P<0.05),但B组与D组比较差异无统计学意义(P>0.05)。(2)比较检查前SAS评分,成功组分值(43.1±12.9)d明显低于未成功组(52.3±14.5)d(P<0.05);检查后,成功组的SAS评分(35.6±7.4)d较检查前(43.1±12.9)d有所降低(P<0.05);未成功组的SAS评分(59.3±11.8)d较检查前(52.3±14.5)d有所提高(P<0.05)。(3)根据检查前的SAS评分数值作频数表,将所有患者按该分数差别分为4组,成功率分别为92.80%;85.00%;72.90%;69.60%;结果发现随着SAS分值的升高,CT冠状动脉成像的成功率逐渐降低。(4)患者满意度调查,A、C、D组明显低于B组(P<0.05)。结论焦虑影响CT冠状动脉成像的成功率,检查前应给予干预方式,能明显提高检查成功率,但3种不同干预方式比较,仔细的健康宣教更能有效减轻患者不适,提高患者满意度和工作质量。Objective To study the effect of different intervention methods on the mental state of patients with CT coronary angiography.Methods 400 cases of patients with CT coronary angiography admitted and treated in our hospital from February 2013 to October 2014 were selected and randomly divided into two groups with 100 cases in each, the group A adopted the simple health education, the group B adopted the detailed health education and video, the group C adopted the simple health education and took the sedative drugs orally, and the group D adopted the detailed health education, video and oral administration of sedative drugs, and the SAS score before and after examination was conducted and the heart rate, adverse reactions and satisfactory degree in the examination course were recorded. Results The test successful rates in the four groups were respectively 69%, 88%, 72%, 86%, and the successful rate in the group B and group D was higher than that in the group A and group C（P〈0.05）, but the difference between the group B and group D was not statistically significant（P〈0.05）, and the SAS score before examination in the successful group was obviously lower than that in the non-successful group[（43.1 ±12.9）points vs（52.3±14.5）points]（P〈0.05）, after examinaion, the SAS score in the successful group decreased compared with that before examiantion[（35.6±7.4）points vs（43.1±12.9）points]（P〈0.05）, and the SAS score in the non-successful group increased compared with that before examination, [（59.3 ±11.8）points vs（52.3±14.5）points]（P〈0.05）, and all patients were divided into four groups according to the score diffeence of SAS, and the succesful rates were respectively 92.80%;85.00%, 72.90%, 69.60%, with the increase of SAS score, the succesful rate of CT coronary angiography gradually decreased, and the satisfactory degree of patients in the group A, C, D was obviously lower than that in the group B（P〈0.05）. Conclusion The anxiety can affect the successful rate of

关 键 词：冠状动脉CT 冠心病 干预 效果评价 

分 类 号：R816.2[医药卫生—放射医学]