基于心理干预的综合护理在肝癌患者增强CT检查中的应用  

Application of comprehensive nursing approach based on psychological intervention in patients with liver cancer undergoing enhanced CT scan

作　　者：王娟妮[1] 王雅俊[2] 梁宗辉[3] Wang Juanni;Wang Yajun;Liang Zonghui(Central Sterile Supply Department, Baoji Centre Hospital, Shaanxi Province, Baoji 721008, China;Department of Medical Imaging, Baoji Centre Hospital, Shaanxi Province, Baoji 721008, China;Department of Radiology, Jing'an District Central Hospital of Shanghai, Shanghai 200040, China)

机构地区：[1]陕西省宝鸡市中心医院消毒供应中心,721008 [2]陕西省宝鸡市中心医院医学影像科,721008 [3]上海市静安区中心医院放射科,200040

出　　处：《中华现代护理杂志》2019年第26期3310-3312,共3页Chinese Journal of Modern Nursing

基　　金：上海市卫计委科研项目(201640064);国家自然科学基金面上项目(81871423).

摘　　要：目的探讨基于心理干预的综合护理在肝癌患者增强CT检查中的应用效果。方法采用便利抽样法,选取2016年7月—2018年4月于宝鸡市中心医院影像科行增强CT检查的100例原发性肝癌患者,随机分为对照组与观察组,各50例。对照组给予常规护理措施,观察组患者在常规护理措施的基础上给予基于心理干预的综合护理。采用SAS评价两组患者的紧张、焦虑程度,并记录两组患者的护理满意度。结果干预后观察组SAS评分为(33.92±6.67)分,低于对照组的(47.04±8.32)分,差异有统计学意义(P<0.05);干预组的护理满意度为88%,高于对照组的68%,差异有统计学意义(P<0.05)。结论基于心理干预的综合护理能明显改善肝癌CT增强检查患者的紧张、焦虑情绪,同时提高护理满意度。Objective To explore the application effect of comprehensive nursing based on psychological intervention in enhanced CT examination of patients with liver cancer. Methods By convenience sampling, a total of 100 patients with primary liver cancer who underwent enhanced CT examination in Imaging Department of Baoji Central Hospital from July 2016 to April 2018 were selected and randomly divided into control group and observation group, 50 cases in each group. The control group was given routine nursing care, while the observation group was given comprehensive nursing based on psychological intervention on the basis of routine nursing care. Self-rating Anxiety Scale (SAS) was used to evaluate the degree of nervousness and anxiety in the two groups, and the nursing satisfaction of the two groups was recorded. Results After intervention, the SAS score of the observation group was (33.92±6.67), lower than that of the control group (47.04±8.32), the difference was statistically significant (P<0.05);the nursing satisfaction of the intervention group was 88%, higher than 68% of the control group, the difference was statistically significant (P<0.05). Conclusions Comprehensive nursing based on psychological intervention can effectively improve the patients' nervousness and anxiety undergoing enhanced CT scan, and improve the nursing satisfaction.

关 键 词：肝肿瘤 心理护理 焦虑自评量表 CT增强 

分 类 号：R473.73[医药卫生—护理学]