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编号:13816287
心理护理在胸痛患者增强检查中的临床效益研究(1)
http://www.100md.com 2020年8月25日 《中国现代医生》 202024
     [摘要] 目的 分析胸痛患者增强检查中增加心理护理措施的临床受益。 方法 2019年4~10月收集本院因胸痛行增强检查明确病因的患者123例为观察组,116例患者为对照组。对照组采用常规护理流程,观察组在常规护理基础上增加心理护理措施。比较两组患者前后的状态焦虑量表(State Anxiety inventory,S-AI)得分情况,记录两组患者的人均检查时长、对比剂不良反应发生情况(外渗和过敏反应)、重复穿刺率以及患者满意度。 结果 观察组患者自身前后比较S-AI得分差异有显著统计学意义(P<0.001)。两组患者采用不同护理措施后比较S-AI得分差异有统计学意义(P<0.001)。觀察组患者的人均检查时长、重复穿刺率以及对比剂过敏反应发生情况均明显低于对照组,两组患者满意度比较有明显差异(观察组93.50%,对照组72.41%)。 结论 胸痛患者增强检查中增加心理护理措施有助于降低患者的紧张焦虑程度,增加患者的配合度,缩短增强检查人均时间,提高患者满意度,为患者安全快速明确病因提供重要保障。

    [关键词] 计算机体层成像;胸痛;心理护理;状态焦虑量表

    [中图分类号] R473 [文献标识码] B [文章编号] 1673-9701(2020)24-0162-04

    [Abstract] Objective To analyze the clinical benefits of adding psychological nursing measures to the enhanced examination of patients with chest pain. Methods From April to October 2019, 123 patients with chest pain who received enhanced examination to identify the definite pathogeny were taken as the observation group and another 116 patients were taken as the control group. For the control group, conventional nursing procedures were adopted, while for the observation group, psychological nursing measures were added on the basis of conventional nursing. The scores of the state anxiety inventory(S-AI) of the two groups before and after nursing were compared, and the per capita examination time, the adverse reactions(extravasation and anaphylaxis) to contrast agents, the re-puncture rate and the patients’ satisfaction degree of the two groups were recorded. Results There was significantly statistical difference in the S-AI scores of the patients in the observation group before and after nursing(P<0.001). There was statistically significant difference in the S-AI scores between the two groups after the different nursing measures were adopted(P<0.001). The per capita examination time, the re-puncture rate and the anaphylaxis to contrast agents of the patients in the observation group were all significantly superior to those in the control group. The patients’ satisfaction degree was significantly different between the two groups(93.50% in the observation group and 72.41% in the control group). Conclusion Adding psychological nursing measures to the enhanced examination of patients with chest pain helps to reduce the degree of the patients’ tension and anxiety, increase the degree of their cooperation, shorten the per capita time for enhanced examination, and improve the patients’ satisfaction, providing an important guarantee for the safe and rapid identification of the pathogeny for the patients., http://www.100md.com(张记清 王凤仙 张月英)
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