家庭协同护理模式对首次行冠脉CTA检查的老年患者负性情绪及检查结局的影响  

Clinical effect of family collaborative nursing mode on the negative emotion and examination outcomes in elderly patients receiving initial cardiovascular computed tomography angiography

作　　者：朱娇娇[1] 李素兰[1] 曲利媛 高剑波[1] ZHU Jiaojiao;LI Sulan;QU Liyuan;GAO Jianbo(Department of Radiology,First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan Province 450052,China)

机构地区：[1]郑州大学第一附属医院放射科,450052

出　　处：《介入放射学杂志》2020年第10期1043-1047,共5页Journal of Interventional Radiology

摘　　要：目的探讨家庭协同护理模式对首次行冠状动脉CT血管成像(CCTA)检查的老年患者负性情绪及检查结局的影响。方法采用便利抽样的方法,选取郑州市某三级甲等综合医院首次行CCTA检查的老年患者238例,2018年8至9月行CCTA检查的老年患者125例作为对照组,2018年10至11月行检查的老年患者113例作为干预组,对照组采用常规的护理和健康教育,干预组在常规护理的基础上采用家庭协同护理模式的健康教育,比较两组患者干预前和干预后焦虑、抑郁负性情绪、CCTA检查知识及一次性检查成功率的差异。结果两组患者干预后焦虑、抑郁均低于健康教育前,干预组低于对照组,差异具有统计学意义(P<0.05);干预组检查知识、一次性检查成功率均高于对照组,差异具有统计学意义(P<0.05)。结论运用家庭协同护理模式进行健康教育,能显著降低老年冠状动脉CT血管成像检查患者的负性情绪,增强老年冠状动脉CT血管成像的检查知识,提高一次性检查成功率。Objective To evaluate the clinical effect of family collaborative nursing mode on the negative emotion and examination outcomes in elderly patients who are receiving cardiovascular computed tomography angiography(CCTA)for the first time.Methods By using convenient sampling method,a total of238 elderly patients who received initial CCTA at a certain grade 3 A general hospital in Zhengzhou city of China were collected.Among the 238 elderly patients,125 patients who received CCTA from August to September in 2018 were used as the control group and 113 patients who received CCTA from October to November in 2018 were used as the study group.Routine nursing and health education pattern was adopted for the patients of the control group,while health education of family cooperative nursing mode on the basis of routine nursing was employed for the patients of the study group.The pre-intervention and post-intervention anxiety,depression negative emotion,the knowledge about CCTA examination,and the success rate of single examination were compared between the two groups.Results In both groups,the post-intervention degrees of anxiety and depression negative emotion were lower than pre-intervention ones.The post-intervention degrees of anxiety and depression negative emotion in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The knowledge about CCTA examination and the success rate of single examination in the patients of the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion In the elderly patients receiving CCTA,the use of family cooperative nursing mode to execute the health education can significantly reduce the negative emotion,enhance the patients’knowledge of CCTA examination,and improve the success rate of single examination.(J Intervent Radiol,2020,29:1043-1047)

关 键 词：家庭协同护理 老年 冠心病 冠状血管造影术 焦虑 抑郁 

分 类 号：R473.5[医药卫生—护理学]