心理健康指导对行CT增强扫描患者的影响.pdfVIP

现代临床护理(Modem Clinical Nursing)2007．6(3) l7 心理健康指导对行CT增强扫描患者的影响 谭彩琴，曾玉英，甘汉娜 (惠州市中心人民医院，广东惠州，516001) [摘要] 目的 探讨心理健康指导与行CT增强扫描患者心理状态、不良反应及治疗效果的关系。方法 2004年6月～ 2006年6月将594例初次接受腹部CT增强扫描患者分为心理健康指导组和常规组。指导组进行全程心理健康指导，常规组 按常规操作进行，比较两组检查前的心理状况、在造影过程中不良反应的发生情况及所获得的CT图像质量。结果 两组患 者在检查前的心理状况、检查过程中不良反应的发生率及CT图像运动性伪影的出现率方面存在统计学差异(均P0．05)。 其中指导组检查前焦虑的发生情况、检查过程中不良反应发生率及CT图像运动性伪影的出现均低于常规组。结论 CT增 强扫描中进行全程心理健康指导，能有效地减轻患者焦虑心理及降低副反应发生率，有助于患者更好地配合检查，获得更好 的CT诊断图像质量。 [关键词] 心理健康；健康教育；CT增强扫描；不良反应；运动性伪影 [中图分类号] R47：1181 [文献标识码] A [文章编号] 1671—8283(2007)03—0017一o4 [Abstract] 0bjective To determine the relationship between mental health guidance and the image quali~and adverse reaction when patients accepted CT reinforce scan．Methods From Jun，2004 to Jun，2006，594 consecutive patients who underwent abdomen spiral CT reinforce scan at the first time were randomly divided into two groups：a mental health guidance group nd a contrastive group．Patients of the fa irst group received mental care before the examination，while the other group did not．Then the adverse reactions caused by fear during the visualization process and the quality of the CT images of patients from both groups were compared．Results Compared with patients from the contrastive group，patients from the mental health guidance group showed a lower occurrence rate of ill reactions during the process， and a lower occurrence of motor artifact of CT images．After a chisquarc test， a significant difference was found(P0．05)．Conclusion Mental health guidance before the CT reinforced scan can efficiently reduce mental stress and occurrence of ill reactions and help obtain better CT diagnostic images． [Key words] mental health；health guidance；CT reinforced scan；adverse reaction；motor artifact 随着医学影像的不断发展，增强扫描已是 CT 1 资料与方法