CAJ | 학술논문

目的：评价人文关怀护理在MRI增强扫中的应用价值。方法应用GE HDX 1.5 T超导核磁共振扫描仪对200例患者行常规扫描和MRI增强扫描，随机分为对照组100例、观察组100例，调查每组患者对MRI增强检查的反应，将患者的反应分为四等级：无不适感、轻度不适、明显不适和不良反应，同时调查患者对扫描服务的满意度，分别对各组参数进行x2检验统计学处理。结果对照组和观察组均未见明显不适感。对照组轻度不适感17例，不良反应6例，满意度评分为75。观察组轻度不适感5例，不良反应1例，满意度评分为90。对两组不适感进行x2检验，得到两组不适感反应x2值及P值，分别为x2=8.4795， P=0.004。对两组不适感加不良反应、满意度分别进行x2检验，得到两组不适感加不良反应x2值及P值，分别为x2=11.6506，P=0.001，两组间满意度x2=7.792，P=0.005。对照组、观察组的满意度、不良反应和不适感差异均有统计学意义（P＜0.05）。结论人文关怀护理能够减少高场核磁共振成像增强检查中患者的不适感和不良反应，提高满意度，在MRI增强检查中有重要的价值。
목적：평개인문관부호리재MRI증강소중적응용개치。방법응용GE HDX 1.5 T초도핵자공진소묘의대200례환자행상규소묘화MRI증강소묘，수궤분위대조조100례、관찰조100례，조사매조환자대MRI증강검사적반응，장환자적반응분위사등급：무불괄감、경도불괄、명현불괄화불량반응，동시조사환자대소묘복무적만의도，분별대각조삼수진행x2검험통계학처리。결과대조조화관찰조균미견명현불괄감。대조조경도불괄감17례，불량반응6례，만의도평분위75。관찰조경도불괄감5례，불량반응1례，만의도평분위90。대량조불괄감진행x2검험，득도량조불괄감반응x2치급P치，분별위x2=8.4795， P=0.004。대량조불괄감가불량반응、만의도분별진행x2검험，득도량조불괄감가불량반응x2치급P치，분별위x2=11.6506，P=0.001，량조간만의도x2=7.792，P=0.005。대조조、관찰조적만의도、불량반응화불괄감차이균유통계학의의（P＜0.05）。결론인문관부호리능구감소고장핵자공진성상증강검사중환자적불괄감화불량반응，제고만의도，재MRI증강검사중유중요적개치。
ObjectiveTo evaluate the application value of humanistic care nursing in enhanced MRI scan. Methods200 patients were divided into 2 groups with each group of 100 patients, and each group was divided into 4 levels: no discomfort, mild discomfort, obvious discomfort, and adverse reactions. GE HDX 1.5 T superconducting magnetic resonance imaging (MRI) scanner was used for conventional scan and enhanced MRI scan. Chi-square statistics was used to analyze the parameters in each group according to the patients' satisfaction of enhanced MRI scan.ResultsNo obvious discomfort was seen in control group and observation group. And in control group, 17 cases were mild discomfort and 6 cases had adverse reactions, the scores of satisfactory degree were 75. In observation group, 5 cases were mild discomfort and 1 case had adverse reactions, the scores of satisfactory degree were 90. Chi-square test was used to analyze discomfort in the two groups (x2= 8.4795,P=0.004; respectively). Chi-square test was used to analyze discomfort with adverse reactions, and satisfaction in the two groups (x2=11.6506,P=0.001;x2=7.792,P=0.005; respectively).Discomfort with adverse reactions, and satisfaction were both statistically significant between the control group and the observation group.Conclusion Humanistic care nursing has an important value in enhanced MRI scan.