【摘要】 目的 探讨细节护理干预模式对血管成像CT扫描患者扫描前心理状态及图像质量的影响。方法 选取本院于2020年6月～2021年6月检查的126例需进行增强CT扫描患者，按照护理模式的不同将其分为研究组(n=63)和对照组(n=63)。在扫描期间，对照组患者进行常规护理，研究组则在对照组基础之上采用细节护理干预，护理后，应用汉密尔顿抑郁量表(HAMD)与汉密尔顿焦虑量表(HAMA)评估两组患者心理状况，并记录两组扫描次数与扫描时间，采用 t 检验；同时对比两组单层移动伪影、多层移动伪影、图像合格率以及对比剂外渗情况，统计两组患者护理满意度与不良反应发生情况，采用 x~2 检验。结果 护理后，研究组HAMD、HAMA评分均低于对照组(P<0.05)，研究组扫描次数较对照组少，扫面时间短于对照组(P<0.05)，且研究组单层移动伪影、多层移动伪影以及对比剂外渗情况较对照组少(P<0.05)，研究组图像合格率为93.65%，显著高于对照组的79.37%(P<0.05)。研究组不良反应发生率为4.76%，低于对照组的17.46%(P<0.05)，研究组与对照组护理满意度分别为96.83%和80.85%，对比差异具有统计学意义(P<0.05)。结论 对增强CT扫描患者采用细节护理干预模式能显著改善患者扫描前不良心理，提高扫描效率，图像质量普遍较高，对比剂外渗情况较少，并且能获得理想护理满意度，降低不良反应发生风险。更多还原

【Abstract】 Objective To explore the effect of detail nursing intervention mode on the psychological state and image quality of patients with CT angiography before scanning.Methods 126 patients requiring enhanced CT scanning were selected from our hospital from June 2020 to June 2021 and were divided into study group (n=63) and control group (n=63) according to different nursing patterns.During the scan,giving the control group patients with routine nursing intervention,the team is in the control group patients on the basis of the details of the nursing intervention,after care,application amount of Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA) assessment of two groups of patients psychological status,and record the number of two groups of scanning and the scanning time,using t test.At the same time,the single-layer and multi-layer moving artifacts,the qualified rate of image and the extravasation of contrast agent were compared between the two groups,and the nursing satisfaction and the occurrence of adverse reactions of patients in the two groups were statistically analyzed,using x~2 test.Results After nursing,the scores of HAMD and HAMA in the study group were lower than those in the control group (P<0.05),the number of scanning times in the study group was less than that in the control group,and the scanning time was shorter than that in the control group (P<0.05).The qualified rate of the study group was 93.65%,which was significantly higher than 79.37% of the control group (P<0.05).The incidence of adverse reactions in the study group was 4.76%,which was lower than 17.46% in the control group (P<0.05).Nursing satisfaction in the study group and the control group was 96.83% and 80.85%,respectively,with statistically significant difference (P<0.05).Conclusion For patients with enhanced CT scan,detailed nursing intervention mode can significantly improve the adverse psychology of patients before scanning,improve the scanning efficiency,image quality is generally higher,contrast agent extravasation is less,and can obtain ideal nursing satisfaction,reduce the risk of adverse reactions.更多还原