摘要
目的研究肝脏疾病3.0T磁共振动态增强扫描时,对患者行循证护理的重要性。方法选取肝脏疾病患者72例,随机分为观察组36例和对照组36例,对照组给予常规护理,观察组给予循证护理。记录并比较患者心理状况、屏气配合效果、一次检查成功率、伪影、检查时间及不良反应。采用SPSS 17.0进行分析。结果护理干预后,观察组患者SCL-90各症状评分改善程度优于对照组(P<0.05);观察组患者屏气配合总有效率为94.44%明显高于对照组的总有效率69.44%(χ2=4.709,P=0.016);观察组一次检查成功率、平均检查完成时间、所得影像的伪影出现几率均优于观察组(χ2=4.391,P=0.021,χ2=5.003,P=0.012,t=6.023,P=0.008);观察组过敏反应发生率(13.89%)显著低于对照组过敏反应发生率(27.78%),差异有统计学意义(χ2=4.572,P=0.019)。结论将循证护理应用于3.0T磁共振动态增强扫描过程中,可显著改善患者心理状况,提高屏气效果及检查质量,值得临床广泛推广和应用。
Objective To evaluate the importance of the evidence-based nursing in liver dynamic enhanced scanning of 3.0T MR. Methods 72 cases of patients with liver disease were selected and randomly divided into two groups. 36 cases of observation group were treated with evidence-based nursing while 36 cases of control group were treated with routine care. The psychological conditions, breathing results, success rate of a check, artifacts, checking time and adverse reactions were recorded with after nursing intervention. They were analyzed using SPSS 17.0. Results After nursing intervention,degree of improvement by symptom score of SCL-90 in observation group was better than that of control group （P 〈 0.05 ） ; first check the success rate, the average completion time of inspection, the resulting image artifacts in observation group significantly improved （ X2 = 4. 391, P = 0. 021, X2 = 5. 003, P = 0. 012, t = 6. 023, P = 0. 008 ）. The incidence of allergic reactions in the observation group （ 13.89% ） was significantly lower than that of control group （27. 78% ）, the difference was statistically significant（ X2=4. 572, P = 0. 019）. Conclusion Through the application of evidence-based nursing at dynamic enhanced scanning of 3.0T MRI, it can improve patients psychological conditions, improve the breath effect and check quality of the patients. It was worthy of wider promotion and application.
出处
《中华全科医学》
2014年第3期472-474,共3页
Chinese Journal of General Practice
关键词
循证护理
3
0T磁共振
增强扫描
应用
Evidence-based nursin
3.0T MRI
Dynamic enhanced scanning
Application
