CAJ | 학술논문

目的：探究聚焦解决模式对磁共振室患者心理护理效果的影响。方法选取2011年1月—2014年1月进行磁共振成像( MRI)检查且幽闭恐惧症患者，采用随机数字表法分为观察组和对照组，每组64例。对照组采用常规内容和模式进行心理护理。观察组按照聚焦解决模式的5个步骤进行心理护理。比较分析护理结束时两组患者的自我评价、对护理人员的评价，护理前后两组患者的焦虑和抑郁状况，患者在进行MRI检查时的症状和MRI检查完成情况。结果护理结束时观察组患者的自我评价和对护理人员的评价显著优于对照组，差异有统计学意义(P<0.05)。护理前两组患者的焦虑和抑郁评分差异无统计学意义(P>0.05)。护理后，观察组患者焦虑和抑郁水平显著低于对照组，差异有统计学意义(P<0.05)。观察组患者检查时出现呼吸困难17例(26.5%)、大汗淋漓30例(46.8%)等的例数显著少于对照组患者的24例(37.5%)和41例(64.1%)，差异均有统计学意义(P<0.05)。观察组患者一次心理护理后完成检查的患者55例(85.9%)显著多于对照组39例(60.9%)，差异有统计学意义(P<0.05)。结论采用聚焦解决模式对缓解幽闭恐惧症患者进行MRI检查时的不良反应具有显著的指导作用，可以改善患者的心理状态、帮助患者顺利完成MRI检查。
목적：탐구취초해결모식대자공진실환자심리호리효과적영향。방법선취2011년1월—2014년1월진행자공진성상( MRI)검사차유폐공구증환자，채용수궤수자표법분위관찰조화대조조，매조64례。대조조채용상규내용화모식진행심리호리。관찰조안조취초해결모식적5개보취진행심리호리。비교분석호리결속시량조환자적자아평개、대호리인원적평개，호리전후량조환자적초필화억욱상황，환자재진행MRI검사시적증상화MRI검사완성정황。결과호리결속시관찰조환자적자아평개화대호리인원적평개현저우우대조조，차이유통계학의의(P<0.05)。호리전량조환자적초필화억욱평분차이무통계학의의(P>0.05)。호리후，관찰조환자초필화억욱수평현저저우대조조，차이유통계학의의(P<0.05)。관찰조환자검사시출현호흡곤난17례(26.5%)、대한림리30례(46.8%)등적례수현저소우대조조환자적24례(37.5%)화41례(64.1%)，차이균유통계학의의(P<0.05)。관찰조환자일차심리호리후완성검사적환자55례(85.9%)현저다우대조조39례(60.9%)，차이유통계학의의(P<0.05)。결론채용취초해결모식대완해유폐공구증환자진행MRI검사시적불량반응구유현저적지도작용，가이개선환자적심리상태、방조환자순리완성MRI검사。
Objective To investigate the solution focused approach on the effects of psychological care in patients in MRI Room. Methods To select 128 patients for MRI from January 2011 to January 2014, all patients had claustrophobic examination and were averagely divided into observation group and control group by random number table. The patients of control group used the conventional mode and content of psychological nursing while the patients of observation group utilized solution focused approach as psychological nursing care of 5 steps. Comparative analysis on evaluation of two groups′ patients were carried out on self evaluation and evaluation for nursing staff, patients′ anxiety and depression, patients′ symptom during and after MRI examination. Results After nursing intervention, the patients of observation group were apparently better than the patients of control group at aspects of self-evaluation and evaluation for nursing staffs (P<0. 05). Before intervention scores of anxiety and depression had no statistical difference compared before and after interventions (P>0. 05), but after intervention, the patients in the observation group presented lower status of depression and anxiety with patients in the control group (P<0. 05). The symptom of dyspnea (17 cases, 26. 5%), sweat profusely (30 cases, 46. 8%) were less than 24 cases (37. 5%) and 41 cases (64. 1%) in the control group (P<0. 05). The completion cases of MRI was 55 (85. 9%) in the observation group after psychological nursing while it was 39 cases (60. 9%)in the control group in the control group (P<0. 05). Conclusions The utilization of solution focused approach can release the symptom of claustrophobic patients to have MRI examination, improve patients′psychological status, and help patients to complete the examination of MRI.