心理护理在妇科癌症患者MR检查的临床应用  

Clinical application of psychological nursing in MR examination of gynecological cancer patients

作　　者：梁韵思 张大伟[1] Liang Yunsi;Zhang Dawei(Department of Radiology,Foshan Maternity and Children's Healthcare Hospital,Foshan 528000,China)

机构地区：[1]佛山市妇幼保健院放射科,528000

出　　处：《国际医药卫生导报》2020年第16期2477-2479,共3页International Medicine and Health Guidance News

摘　　要：目的探讨心理护理干预在妇科癌症患者MR检查的临床应用效果。方法选取2017年1月1日至2019年6月30日本院妇科癌症患者256例,随机分为两组,各128例。对照组进行常规护理干预;观察组在常规护理基础上施行个性化心理护理方案。评价患者心理应激状态、生理应激状态、MR扫描失败率和护理工作满意度。结果入院时,两组患者SAS、SDS评分比较,差异均无统计学意义(均P>0.05);检查前、检查后,观察组SAS、SDS评分分别为[(46.69±9.32)分、(32.38±7.12)分,(37.81±9.68)分、(28.78±5.61)分],均明显低于对照组[(51.38±9.33)分、(40.03±8.21)分,(45.78±9.60)分、(33.22±8.26)分],差异均有统计学意义(均P<0.05);入院时,两组患者收缩压、心率比较,差异均无统计学意义(均P>0.05);检查前,观察组收缩压、心率分别为(134.81±11.43)mmHg(1 mmHg=0.133 kPa)、(91.25±11.04)次/min,均低于对照组(141.97±11.76)mmHg、(100.31±9.81)次/min,差异均有统计学意义(均P<0.05);通过比较两组患者干预前后收缩压、心率的波动情况发现,对照组两指标的波动更明显,差异有统计学意义(P<0.05);观察组MR扫描失败率为4.69%,明显低于对照组14.84%,差异有统计学意义(P<0.05);观察组护理满意度为87.50%,明显高于对照组67.97%,差异有统计学意义(P<0.05)。结论对MR检查的妇科癌症患者施行心理干预,能减轻患者心理应激上和生理应激上的负面影响,降低扫描失败率,提高护理工作的满意度。Objective To explore the clinical effect of psychological nursing intervention in enhanced MR examination of gynecological cancer patients.Methods A total of 256 patients with gynecological cancer treated at our hospital from January 1,2017 to June 30,2019 were randomly divided into an observation group and a control group,with 128 cases in each group.The control group was given routine psychological nursing intervention,while the observation group was given personalized psychological nursing program on the basis of routine psychological nursing.The psychological stress state,physiological stress state,failure rate of MR scanning,and nursing work satisfaction were evaluated.Results There were no statistical differences in the scores of SAS and SDS,as well as systolic blood pressure and heart rate,between these two groups at admission(all P>0.05).Before and after the examination,the scores of SAS and SDS were lower in the observation group than in the control group[SAS:(46.69±9.32)vs.(51.38±9.33)and(32.38±7.12)vs.(40.03±8.21);SDS:(37.81±9.68)vs.(45.78±9.60)and(28.78±5.61)vs.(33.22±8.26);all P<0.05].Before the examination,the systolic blood pressure and heart rate were lower in the observation group than in the control group[(134.81±11.43)mmHg(1 mmHg=0.133 kPa)vs.(141.97±11.76)mmHg and(91.25±11.04)beats/min vs.(100.31±9.81)beats/min;both P<0.05],with bigger fluctuations in the control group.The failure rate of MR scanning was significantly lower and the nursing satisfaction was significantly higher in the observation group than in the control group(4.69%vs.14.84%and 87.50%vs.67.97%;both P<0.05).Conclusions Psychological nursing for gynecological cancer patients during MR enhancement examination can reduce the negative effects on patients and failure rate of scanning and improve the nursing work satisfaction.

关 键 词：心理护理 妇科癌症 MR检查 

分 类 号：R473.73[医药卫生—护理学]