摘要
目的:探讨磁共振成像(MRI)检查前行呼吸训练干预对轻度阿尔兹海默症患者心理压力及检查质效的影响。方法:选取2020年5月-2021年5月期间于某院接受MRI检查的轻度阿尔兹海默症患者204例,依据入院先后顺序分为对照组(n=102)和研究组(n=102)。对照组在MRI检查前给予常规临床干预,研究组在此基础上给予呼吸训练干预。比较两组患者干预前后的心理压力[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分],比较两组检查准备时间、检查时间、一次性检查成功率;比较两组干预前后简易智力状态检查量表(MMSE)各维度评分、Mattis痴呆评定量表(DRS)评分,并对比两组检查图像质量及不良事件发生情况。结果:干预后,两组患者HAMD、HAMA评分均有所下降,且研究组HAMD、HAMA评分较对照组更低(t=5.173,7.940;P<0.05);研究组检查准备时间、检查时间均少于对照组(t=13.641,16.976;P<0.05),研究组一次性检查成功率高于对照组(χ~2=6.095,P<0.05);干预后,两组MMSE、DRS评分均提高,且研究组各评分均显著高于对照组(t=4.448,4.479;P<0.05);研究组图像伪影发生率及患者不良状况发生率均低于对照组(χ~2=4.539,4.980;P<0.05)。结论:呼吸训练干预对行MRI检查的轻度阿尔兹海默症患者效果显著,能够减轻其心理压力,提高患者的检查配合度和一次性检查成功率,减少检查时不良状况的发生,提高检查效率和图像质量。
Objective:To investigate the effect of breathing training intervention before MRI examination on psychological stress and quality of patients with mild Alzheimer's disease.Methods:A total of 204 patients with mild Alzheimer's disease who received MRI examination in our hospital from May 2020 to May 2021 were selected and divided into control group(n=102)and study group(n=102)according to the order of admission.The control group was given routine clinical intervention before MRI examination,and the research group was given breathing training intervention on this basis.The psychological stress of the two groups before and after intervention was compared[Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA)score],and the preparation time,examination time and one-time examination success rate of the two groups were compared.The scores of MMSE and DRS were compared between the two groups before and after intervention,and the image quality and adverse events were compared between the two groups.Results:After intervention,HAMD and HAMA scores in 2 groups were decreased,and HAMD and HAMA scores in study group were lower than those in control group(t=5.173,7.940;P<0.05).The preparation time and examination time of the study group were shorter than those of the control group(t=13.641,16.976;P<0.05),and the one-time success rate of the study group was higher than that of the control group(χ2=6.095,P<0.05).After intervention,MMSE and DRS scores were increased in both groups,and the scores in the study group were significantly higher than those in the control group(t=4.448,4.479;P<0.05).The incidence of image artifacts and adverse events in the study group was lower than that in the control group(χ2=4.539,4.980;P<0.05).Conclusion:Breathing training intervention has a significant effect on patients with mild Alzheimer's disease undergoing MRI examination,which can reduce their psychological pressure,improve their examination cooperation and one-time examination success rate,reduce the occurrence of adverse conditions during examination,improve examination efficiency and image quality.
作者
赵辉
孙亚平
丁雪英
李晓洁
马雯
邵明月
ZHAO Hui;SUN Yaping;DING Xueying;LI Xiaojie;MA Wen;SHAO Mingyue(Department of Medical Imaging,Henan Provincial People's Hospital,Henan Provincial Key Medicine Laboratory of Nursing,Zhengzhou University People's Hospital,Zhengzhou 450003,China)
出处
《中国健康心理学杂志》
北大核心
2023年第7期989-993,共5页
China Journal of Health Psychology
