摘要
目的探讨呼吸训练对消化道恶 性肿瘤核磁共振成像(MRI)增强扫描患 者诊查依从性及图像质量的影响。方法 2012年6月至2014年6月选取128例消化道 恶性肿瘤MRI增强扫描患者为研究对象, 根据随机数字表将患者分为观察组及对照 组各64例,对照组行放射科常规性护理, 观察组在对照组基础上于检查前行呼吸训 练及心理干预,对比分析两组患者不良情 绪、图像质量、扫描时间、依从性、不良 反应及护理满意度的差异。结果 观察组 干预后汉密尔顿焦虑量表(HAMA)评分、 汉密尔顿抑郁量表(HAMD)评分均低于对 照组(P<0.05)。观察组诊查依从率、满 意率高于对照组(P<0.05),而不良反应 率低于对照组(P<0.05)。观察组图像清 晰比例高于对照组,而扫描时间短于对照 组(P<0.05)。结论 呼吸训练能有效改 善消化道恶性肿瘤MRI患者负性情绪,提 高患者检查依从性,减轻患者检查不良反 应,有利于提高图像情绪度,从而提高患 者满意度。
Objective To investigate the impact of image quality of breathing exercises and checkups compliance for gastrointestinal cancer magnetic resonance imaging (MRI). Methods 128 cases of patients with gastrointestinal cancer enhanced MRI were divided into observation group and control group from June 2012 to June 2014. The control group were underwented with conventional radiology care.The observation group were underwented with breathing exercises.The image quality, scan time, compliance, adverse reactions and nursing satisfaction of two groups were compared. Results The scores of Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Rating Scale (HAMD) of observation group were lower than the control group (P<0.05).The checkups compliance rate, satisfaction rate of observation group were higher than control groups (P<0.05), while the rate of adverse reactions were lower than the control group (P<0.05). The proportion of the image of observation group were clear than observation group, while the scanning time were shorter than control group (P<0.05). Conclusion Breathing exercises can improve gastrointestinal cancer patients MRI negative emotions, improve patient compliance check, mitigate adverse patient examination, will help improve the mood of the image, thereby improving patient satisfaction.
【关键词】呼吸训练;消化道恶性肿瘤; 核磁共振成像;图像质量
【中图分类号】R183.4
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2015.09.034
前言
消化道恶性肿瘤核磁共振成像(MRI)增强扫描是通过注射造影剂增 加病灶组织间或病灶与正常组织间的对比度[1]。MRI检测对病灶尤其是 微小病灶定性及定位具有重要的作用,对病灶行MRI检查可使得病灶尤 其是微小病灶能清晰显示,从而为临床下一步治疗提供指导[2]。但MRI 检测试剂较长、噪声较大、磁性空间封闭,且检查中需要患者多次吸 气屏气才能获得清晰、有效的图像[3]。为了能更好地缓解患者检查过 程中不良情绪,提高图像质量,确保诊查准确性,本研究于2012年6月 至2014年6月对消化道恶性肿瘤MRI增强扫描患者行呼吸训练及心理干 预,效果理想,现报告如下。
中国CT和MRI杂志
第13卷, 第 9 期
2015年09月
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