基于磁共振成像和x线特征的截肢损伤患者心理状态及心理干预效果分析

IF 1 4区 医学 Q4 PSYCHIATRY Rivista di psichiatria Pub Date : 2022-01-01 DOI:10.1708/3749.37325
Jinke Tan, Fengling Wang, Fenghong Zhang, Haimo Wang
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引用次数: 1

摘要

背景:探讨截肢损伤患者的心理状态,并结合磁共振成像(MRI)和x线特征评价心理干预的效果。方法:将2016年6月至2019年5月收治的200例患者随机分为对照组和观察组(n=100)。两组均进行常规护理,观察组在此基础上给予心理干预。比较两组患者的应对方式、检查依从性、精神压力、感知控制程度、焦虑程度、抑郁程度、不良事件发生率、护理服务满意度。结果:干预后,观察组患者积极应对得分、考试依从性得分和控制态度修正量表(CAS-R)得分显著高于对照组,而消极应对得分、中国感知压力量表(CPSS)得分、焦虑自评量表(SAS)得分和抑郁自评量表(SDS)得分均低于对照组。两组患者积极应对评分、检查依从性评分、CAS-R评分均显著升高,消极应对评分、CPSS评分、SAS评分、SDS评分均显著降低(p结论:MRI和x线检查前的心理干预有利于断肢再植术患者心理状态的调整,从而提高检查依从性、完成率和影像质量。
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Psychological status of patients with amputation injury and effects of psychological interventions based on magnetic resonance imaging and X-ray characteristics.

Background: To explore the psychological status of patients with amputation injury and to evaluate the effects of psychological interventions based on magnetic resonance imaging (MRI) and X-ray characteristics.

Methods: Two hundred patients admitted from June 2016 to May 2019 were randomly assigned into control and observation groups (n=100). Routine care was performed for both groups, based on which observation group was given psychological interventions. Coping style, compliance to examinations, mental stress, degree of perceived control, degree of anxiety, degree of depression, incidence rate of adverse events, and satisfaction with nursing services were compared.

Results: After interventions, the score of positive coping, score of compliance to examinations and Control Attitudes Scale-Revised (CAS-R) score were significantly higher, whereas the score of negative coping, Chinese perceived stress scale (CPSS) score, self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score were lower in observation group than those in control group. The score of positive coping, score of compliance to examinations and CAS-R score were significantly elevated, while the score of negative coping, CPSS score, SAS score and SDS score reduced in both groups (p<0.05). The satisfaction rate was significantly higher in observation group than that in control group (p<0.05). The incidence rate of these adverse events was significantly lower in observation group than that in control group (p<0.05).

Conclusion: Psychological interventions before MRI and X-ray examinations are conducive to adjustment of the mental state of patients receiving replantation of a severed limb, thus improving the compliance to examinations, completion rate and image quality.

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来源期刊
Rivista di psichiatria
Rivista di psichiatria 医学-精神病学
CiteScore
5.00
自引率
3.70%
发文量
31
审稿时长
6-12 weeks
期刊介绍: Gli interessi della rivista riguardano l’approfondimento delle interazioni tra mente e malattia, la validazione e la discussione dei nuovi strumenti e parametri di classificazione diagnostica, la verifica delle prospettive terapeutiche farmacologiche e non.
期刊最新文献
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