CAJ | 학술논문

目的：探讨老年患者上腹部CT增强扫描不良反应的预防策略，评价干预措施的效果。方法：将106例CT上腹部增强扫描的老年患者随机分为干预组和对照组，每组53例，实施不同的干预措施，并观察两组患者检查前心率、血压、焦虑情况、检查中对比剂不良反应发生情况以及患者对检查的满意度。结果：干预组检查前HAMA分值明显低于对照组，差异有统计学意义(t=4.418，P＜0.01)。干预组中焦虑症状患者比例明显低于对照组，差异有统计学意义(x2=6.469，P＜0.05)，与初诊时的血压、心率比较，两组患者检查前血压、心率均有所增加，差异有统计学意义(t=3.073，t=2.993；P＜0.05)；干预组不良反应发生率为3.8%，低于对照组(11.3%)；干预组患者满意度评分明显高于对照组，差异有统计学意义(x2=4.196，P＜0.05)。结论：对老年上腹部CT增强扫描患者实施针对性的认知和心理干预，加强检查前后的护理配合能显著改善患者紧张、焦虑状态，降低不良反应发生率，提高护理满意度，利于检查的顺利开展。
목적：탐토노년환자상복부CT증강소묘불량반응적예방책략，평개간예조시적효과。방법：장106례CT상복부증강소묘적노년환자수궤분위간예조화대조조，매조53례，실시불동적간예조시，병관찰량조환자검사전심솔、혈압、초필정황、검사중대비제불량반응발생정황이급환자대검사적만의도。결과：간예조검사전HAMA분치명현저우대조조，차이유통계학의의(t=4.418，P＜0.01)。간예조중초필증상환자비례명현저우대조조，차이유통계학의의(x2=6.469，P＜0.05)，여초진시적혈압、심솔비교，량조환자검사전혈압、심솔균유소증가，차이유통계학의의(t=3.073，t=2.993；P＜0.05)；간예조불량반응발생솔위3.8%，저우대조조(11.3%)；간예조환자만의도평분명현고우대조조，차이유통계학의의(x2=4.196，P＜0.05)。결론：대노년상복부CT증강소묘환자실시침대성적인지화심리간예，가강검사전후적호리배합능현저개선환자긴장、초필상태，강저불량반응발생솔，제고호리만의도，리우검사적순리개전。
Objective:To investigate the preventive measures and evaluate the effect of adverse reaction for elderly patients undergoing CT enhanced scan.Methods: One hundred and six cases of elderly patients underwent abdominal CT enhanced scanning were randomly divided into intervention group and control group with 53 cases respectively, through implemented different nursing measure, and patients’ status of heart rate, blood pressure, anxiety before examination, adverse reactions occurrence of contrast in the inspection, and the patients satisfaction of two groups were observed.Results: The HAMA score of intervention group before the examination was significantly lower than that of the control group, the difference was statistically significant(t=4.418,P<0.01). The ratio of patients with anxiety symptoms in intervention groupwas significantly lower than that of the control group, and the difference was significant(x2=6.469,P<0.05). Compared blood pressure, heart rate of patients before the examination with newly diagnosed, both of two groups increased, the differences were statistically significant(t=3.073,t=2.993;P<0.05), but the changes of symptoms in the intervention group was significantly lower than the control group, the differences was significant. The incidence of adverse reaction in intervention group was 3.8%, which was lower than that of the control group(11.3%). The patient satisfaction scores of intervention group was significantly higher than that of the control group, the difference was statistically significant(x2=4.196,P<0.05).Conclusion: By implementation of the cognitive and psychological intervention and strengthening nursing cooperation before and after examination for the elderly abdominal patients undergo CT enhanced scan, it can significantly decrease patients nervousness and anxiety, reduce the incidence of adverse reactions, and improve nursing satisfaction, which can facilitate the inspection process.