全程一站式管理干预对行核素心肌灌注显像患者心理状态、血压的作用  

Effects of whole-course one-stop management intervention on psychological state and blood pressure in patients undergoing nuclide myocardial perfusion imaging

作　　者：赵佳佳 孙楚楚 张婷婷 ZHAO Jia-jia;SUN Chu-chu;ZHANG Ting-ting(Department of Nuclear Medicine,Second Affiliated Hospital of Chinese People's Liberation Army Air Force Military Medical University,Xi'an,Shaanxi,710038,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院核医学科,陕西西安710038

出　　处：《心血管康复医学杂志》2024年第5期635-639,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探究核素心肌灌注显像患者应用全程一站式管理干预对心理状态、血压的影响及其安全性。方法:选择2018年1月至2023年1月在中国人民解放军空军军医大学第二附属医院行核素心肌灌注显像的冠心病(CHD)患者100例,按照随机数字表法分为对照组(n=50)及全程组(n=50),对照组采用常规干预方式,全程组采用全程一站式管理干预,比较两组干预前后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、症状自评量表(SCL-90)得分、收缩压(SBP)、舒张压(DBP),以及干预后的不良反应发生率。结果:与对照组比较,全程组干预后SBP[(127.80±7.07)mmHg比(118.64±7.31)mmHg]、DBP[(83.80±2.78)mmHg比(74.76±2.74)mmHg]、HAMA评分[(22.96±3.23)分比(11.94±4.52)分]、HAMD评分[(19.30±3.85)分比(9.62±3.79)分]、SCL-90评分[(103.06±8.02)分比(72.56±10.74)分]均显著降低(P均<0.001)。与对照组比较,全程组患者总不良反应发生率(46.00%比18.00%)显著降低(χ^(2)=9.007,P=0.003)。结论:核素心肌灌注显像患者检查过程中实施全程一站式管理可以提升血压稳定性,同时减轻患者的负面情绪并降低临床不良反应的发生风险,值得临床推广使用。Objective:To explore the influence of whole-course one-stop management intervention on mental state,blood pressure in patients undergoing nuclide myocardial perfusion imaging and its safety.Methods:A total of 100 patients with coronary heart disease(CHD)who underwent nuclide myocardial perfusion imaging in Second Affiliated Hospital of Chinese People's Liberation Army Air Force Military Medical University between January 2018 and January 2023 were selected and divided into control group(n=50)and whole treatment group(n=50)according to random number table method.The control group received conventional intervention,while the whole treatment group received one-stop management intervention.The scores of Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),Symptom Checklist-90(SCL-90),systolic blood pressure(SBP)and diastolic blood pressure(DBP)before and after intervention,and incidence of adverse reactions after intervention were compared between the two groups.Results:Compared with the control group,there were significant reductions in SBP[(127.80±7.07)mmHg vs.(118.64±7.31)mmHg]and DBP[(83.80±2.78)mmHg vs.(74.76±2.74)mmHg],scores of HAMA[(22.96±3.23)points vs.(11.94±4.52)points],HAMD[(19.30±3.85)points vs.(9.62±3.79)points]and SCL-90[(103.06±8.02)points vs.(72.56±10.74)points]in the whole treatment group after intervention(P<0.001 all).Compared with the control group,there was significant reduction in the total incidence rate of adverse reactions(46.00%vs.18.00%)in the whole treatment group(χ^(2)=9.007,P=0.003).Conclusion:Whole-course one-stop management during nuclide myocardial perfusion imaging can improve blood pressure stability,reduce the negative emotions of the patients and the risk of clinical adverse reactions.Our findings suggest the clinical utility of the whole-course one-stop treatment.

关 键 词：冠心病 心肌灌注显像 焦虑 抑郁 

分 类 号：R541.4[医药卫生—心血管疾病]