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MRI检查前心理干预对颅面外伤患者检查质效的影响 被引量:8

Quality effect of systemic psychological intervention for patients with craniofacial trauma before MRI scanning
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摘要 目的:探讨MRI检查前的心理干预对颅面外伤患者焦虑、抑郁情绪的影响。方法将2012年12月—2013年12月住院期间行MRI检查的140例颅面外伤患者按时间先后顺序排序分为干预组和对照组,每组70例。对两组患者均进行常规护理,同时对干预组患者在检查前进行针对性的心理干预。干预前后分别采用焦虑自评量表、抑郁自评量表对两组患者心理状态进行评价。结果干预前,两组患者焦虑、抑郁评分差异均无统计学意义(P〉0.05);干预后,干预组焦虑评分为(38.96±10.15)分,低于对照组的(43.53±9.32)分,差异有统计学意义(t=-2.776,P〈0.05);干预组抑郁评分为(46.86±11.25)分,低于对照组的(52.51±6.80)分,差异有统计学意义(t=-3.601,P〈0.05)。干预组患者均顺利完成检查,对照组2例患者无法完成检查。干预组的图像质控均为优,图像清晰,没有伪影;对照组3例患者图像质控为良。结论 MRI检查前的心理干预有助于调整颅面外伤患者的心理状态,提高检查的配合度、完成率及图像质量。 Objective To investigate the psychological influence of anxiety and depression of patients with craniofacial trauma using psychological intervention before MRI scanning. Methods One hundred and forty hospitalized patients with craniofacial trauma were enrolled averagely divided into psychological experimental group and control group by time sequence. The patients of the experimental group received psychological intervention before MRI scanning, whereas the patients of the control group did not, but patients in both groups underwent routine nursing. The psychological state of all the patients were evaluated using self-rating anxiety scale ( SAS) and self-rating depression scale ( SDS) . Results There was no difference in either SAS or SDS between two groups before intervention (P〉0. 05). After intervention, the anxiety score and depression score were (38. 96 ± 10. 15) and (46. 86 ± 11. 25), which were lower than (43. 53 ± 9. 32) and (52. 51 ± 6. 80) of the control group (t= -2. 776, -3. 601, respectively;P 〈0. 05). All patients in the experimental group completed examination, but two cases failed in the control group. The image quality control in the experimental group were excellent ( clear and no constructed defect ) , and there were three cases of good image for quality control in the control group. Conclusions Psychological intervention before MRI scanning may play an important role in improving the psychological state of patients with craniofacial trauma so as to improve the cooperation of examination, completion rate and quality of image.
出处 《中华现代护理杂志》 2015年第15期1783-1785,共3页 Chinese Journal of Modern Nursing
关键词 心理干预 颅面外伤 磁共振成像(MRI) Psychological intervention Craniofacial trauma Magnetic resonance imaging(MRI)
作者简介 通信作者:马小青,Email:ma_xiaoqing@sina.com
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