心理干预在恶性骨肿瘤患儿CT增强检查中的应用价值  

Significance and value of psychological intervention in CT contrast enhancement examination of children with malignant bone tumor

作　　者：付玲[1] 祖桂利 隆海红 綦维维[1] 洪楠[1] FU Ling;ZU Gui-li;LONG Hai-hong(Department of Radiology,Peking University People's Hospital,Beijing 100044,China;不详)

机构地区：[1]北京大学人民医院放射科,北京100044

出　　处：《中国医学装备》2020年第9期172-177,共6页China Medical Equipment

摘　　要：目的:探讨心理干预对恶性骨肿瘤患儿CT增强检查影响因素的作用。方法:选取医院行CT增强扫描的152例7~15岁恶性骨肿瘤患儿,采用系统抽样的方法将其随机分为对照组和干预组,每组76例。对照组在CT增强检查时给予常规健康教育,干预组在CT增强检查时采用常规健康教育内容基础上给予患儿及陪检家属心理干预教育;采用一般资料问卷调查表、儿童抑郁评价量表(CDI)、Spence儿童焦虑量表(SCAS)及家庭功能评定量表(FAD),对患儿及陪检家属进行问卷调查,评价心理干预在恶性骨肿瘤患儿CT增强扫描中的作用。结果:干预组患儿对比剂注射后的不良反应发生例数少于对照组,其差异有统计学意义(x^2=2.356,P<0.05);干预组患儿CT增强检查后血压和脉搏均低于对照组,差异有统计学意义(t=11.54,t=15.72;P<0.05);CDI、SCAS和FAD评分均低于对照组,差异有统计学意义(t=1.02,t=1.94,t=2.58;P<0.05)。二元回归分析显示,低龄、化疗和无家属陪同检查是CT增强扫描图像质量的独立危险因素;低龄、化疗、陪护者文化程度低和无家属陪同是对比剂注射不良反应发生率的独立危险因素。结论:恶性骨肿瘤患儿行CT增强扫描检查中,采用心理干预能够缓解患儿抑郁和焦虑症状,增进家庭支持功能,提高一次性检查成功率,亦可保证图像质量。Objective: To explore the effect of psychological intervention on the influencing factors of computed tomography(CT) contrast enhancement examination of children with malignant bone tumor. Methods: A total of 152 children with malignant bone tumors from 7 to 15 years old who underwent CT enhancement scan in hospital were selected and randomly divided into intervention group and control group by using a systematic sampling method, with 76 cases in each group. The control group was given routine health education during enhanced CT examination, while the intervention group received psychological intervention education for children and their family members on the basis of routine health education when they underwent CT enhancement examination. For evaluating the effects of psychological intervention in CT enhancement scan for children with malignant bone tumors, the self-made general information questionnaire, the Children’s Depression inventory(CDI) scale, the Spence Children’s Anxiety Scale(SCAS) and the Family Assessment Device(FAD) were used to conduct a questionnaire survey on the children and their family members. Results: The number of adverse reactions of intervention group after contrast agent was injected was significantly less than that of control group(x^2=2.356, P<0.05). And the blood pressure and pulse of intervention group after CT enhancement examination were significantly lower than those of control group(t=11.54, t=15.72, P<0.05). CDI, SCAS and FAD scores of intervention group also were significantly lower than those of control group(t=1.02, t=1.94, t=2.58, P<0.05). Binary regression analysis showed that young in age, chemotherapy, and non-accompany by family members were independent risk factors for CT enhanced scan image quality. Young in age, chemotherapy, low education level of the attendant, and non-accompany by family members were defined as independent risk factors for the incidence of adverse effects of contrast agent injection. Conclusion: In enhanced CT examination of children with mal

关 键 词：心理干预 恶性骨肿瘤 儿童 CT增强扫描 

分 类 号：R816.8[医药卫生—放射医学]