摘要
目的:探讨纽曼系统护理模式对肝脏MRI动态增强扫描负性情绪及并发症的影响。方法:2012年10月至2014年10月选取120例行肝脏核磁共振成像(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60例,对照组行常规护理,观察组实施纽曼系统护理模式,干预前后应用汉密尔顿焦虑量表(HAMA)以及汉密尔顿抑郁量表(HAMD)对两组患者焦虑、抑郁进行评价。记录两组患者收缩压(SBP)、舒张压(DBP)、心率变化情况及并发症发生情况。结果:观察组干预后汉密尔顿焦虑量表(HAMA)以及汉密尔顿抑郁量表(HAMD)评分显著低于对照组(P<0.05)。观察组干预后收缩压(SBP)、舒张压(DBP)、心率水平显著低于对照组(P<0.05)。观察组心律失常、心绞痛、低血压、发热、造影剂过敏、24 h内排尿困难、皮下血肿的发生率低于对照组(P<0.05)。结论:纽曼系统护理模式能有效改善肝脏MRI动态增强扫描患者负性情绪,改善患者心理应激反应,有利于降低并发症发生率。
Objective To study the influence of negative emotions and complications under the care of Neuman systems modelfor liver dynamic contrast-enhanced MRI scanning. Methods 120 selected cases patients undergoing liver magnetic resonanceimaging （MR1） were randomly divided into an observation group（n=60） and a control group （n=60） from October 2012 to Octo-ber 2014. The control group underwent the routine care while the observation group underwent the care of Neuman systemsmodel. The anxiety and depression of patients were evaluated before and after the intervention by the Hamilton anxiety Scale（HAMA） and Hamilton depression Rating Scale （HAMD）. The blood pressure （SBP）, diastolic blood pressure （DBP）, heart ratechanges and occurrence of complications of two groups were recorded. Results The HAS and HDRS levels of observation groupwere lower than the control group＇s （P〈0-05）. SBP, diastolic blood pressure （DBP）, heart rate of observation group were lowerthan the control group （P〈0-05） after the intervention. The rates of arrhythmia, angina, hypotension, fever, allergic to the contrastagent, dysuria within 24 h and subdermal hematoma of observation group were also lower than the control group （P〈0-05）.Conclusion Neuman systems model can effectively enhance the system of the dynamic enhanced MRI in patients with livernegative emotions and improve the psychological stress response of patients while reduce the complications.
出处
《中国医学物理学杂志》
CSCD
2015年第1期64-67,共4页
Chinese Journal of Medical Physics
关键词
纽曼系统护理模式
核磁共振成像
负性情绪
并发症
Neuman systems model
magnetic resonance imaging
negative emotions
complications
