家属参与式行为认知干预在老年患者冠脉CTA检查中的应用效果  

Application effect of family participatory behavioral cognitive intervention in coronary CTA examination of aged patients

作　　者：段芬 唐晨虎[1] DUAN Fen;TANG Chen-hu(Radiology Center,Integrated Traditional Chinese and Western Medicine Hospital of Nanjing City,Nanjing,Jiangsu,210014,China)

机构地区：[1]南京市中西医结合医院放射中心,江苏南京210014

出　　处：《心血管康复医学杂志》2022年第2期188-192,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:研究家属参与式认知干预在老年患者冠脉CT血管成像(CTA)检查中的应用效果。方法:于我院治疗的行冠脉CTA检查的150例老年患者被随机均分为常规护理组(接受常规护理)和家属参与组(在常规护理组基础上接受家属参与式行为认知干预),观察比较两组检查依从率、一次检查成功率、图像优良率、护理满意度,检查前、后收缩压、舒张压,心率,及护理前、后焦虑自评量表(SAS)评分,抑郁自评量表(SDS)评分,检查基本知识水平。结果:与常规护理组比较,家属参与组检查依从率(85.3%比96.0%)、一次检查成功率(84.0%比97.3%)、图像优良率(86.7%比96.0%)、护理满意度(80.0%比96.0%),检查后基本知识水平分[(62.02±9.95)分比(70.58±11.94)分]显著升高,检查后收缩压[(129.78±11.63)mmHg比(124.75±11.14)mmHg]、舒张压[(82.16±8.10)mmHg比(78.47±8.71)mmHg]、心率[(84.22±10.60)次/min比(77.67±9.20)次/min]及SAS评分[(49.76±8.62)分比(43.31±7.54)分]、SDS评分[(47.19±6.84)分比(42.50±8.44)分]均显著降低(P<0.05或<0.01)。结论:家属参与式行为认知干预能显著提高老年冠脉CT血管成像检查质量,改善焦虑、抑郁状态,控制血压及心率,且满意度高。Objective:To study application effect of family participatory behavioral cognitive intervention in coronary CT angiography(CTA)examination of aged patients.Methods:A total of 150 aged patients of our hospital undergoing coronary CTA examination were randomly and equally divided into routine nursing group and family participation group(received family participation behavioral cognitive intervention based on routine nursing group).Examination compliance rate,one-time examination success rate,good image rate,nursing satisfaction,systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)before and after examination,scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)and check basic knowledge level before and after nursing were observed and compared between two groups.Results:Compared with routine nursing group,there were significant rise in examination compliance rate(85.3%vs.96.0%),one-time examination success rate(84.0%vs.97.3%),good image rate(86.7%vs.96.0%),nursing satisfaction(80.0%vs.96.0%)and check basic knowledge level[(62.02±9.95)scores vs.(70.58±11.94)scores]after examination,and significant reductions in SBP[(129.78±11.63)mmHg vs.(124.75±11.14)mmHg],DBP[(82.16±8.10)mmHg vs.(78.47±8.71)mmHg]and HR[(84.22±10.60)beats/min vs.(77.67±9.20)beats/min]after examination,scores of SAS[(49.76±8.62)scores vs.(43.31±7.54)scores]and SDS[(47.19±6.84)scores vs.(42.50±8.44)scores]after examination in family participation group(P<0.05 or<0.01).Conclusion:Family participatory behavioral cognitive intervention can significantly improve quality of coronary CT angiography in aged patients,improve anxiety and depression,control blood pressure and heart rate,with high satisfaction.

关 键 词：冠状血管 老年人 焦虑 抑郁 

分 类 号：R541.4[医药卫生—心血管疾病]