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基于多层面重建 CT 的鼻窦炎全麻患者术前心理护理干预效果评价

Effect Evaluation of Preoperative Psychological Nursing Intervention on Sinusitis Patients Undergoing General Anesthesia by Multiplanner Reformation-Based CT.

机构信息

Department of Anesthesia Surgery, The Fourth Hospital of Changsha, Changsha, 410006 Hunan, China.

Department of Children's Emergency, The First Affiliated Hospital of University of South China, Hengyang, 421000 Hunan, China.

出版信息

Comput Math Methods Med. 2022 Jul 28;2022:7516339. doi: 10.1155/2022/7516339. eCollection 2022.

Abstract

The aim of this study was at exploring the clinical effect of CT images based on multiplanner reformation (MPR) combined with a preoperative psychological nursing intervention model in sinusitis patients undergoing general anesthesia. Sixty sinusitis patients who received MPR-based CT examination and general anesthesia were selected as the study subjects and randomly divided into the control group ( = 30) and the experimental group ( = 30). The control group used traditional preoperative education. The experimental group added the psychological nursing intervention based on traditional preoperative education. The blood pressure and heart rate before and after the operation, the self-rating anxiety scale (SAS) score before and after intervention, and satisfaction were comprehensively assessed. The results showed that CT based on MPR could observe the lesions and anatomical structures of the sinus wall and sinus in detail from multiple angles. The blood pressure (systolic blood pressure 135.12 ± 14.89 mmHg, diastolic blood pressure 87.05 ± 11.24 mmHg), heart rate (78.42 ± 12.19 beats/min), SAS score (45.85 ± 4.97 points), and nursing satisfaction (78.9%) of the experimental group were significantly better than those of the control group (145.83 ± 15.62 mmHg, 94.21 ± 10.86 mmHg, 86.44 ± 13.65 beats/min, 56.44 ± 5.12 points, 56.4%), and the differences were statistically significant ( < 0.05). In summary, the preoperative psychological care model has a positive role in reducing the tension and anxiety of patients before general anesthesia surgery and CT based on MPR is important for the clinical diagnosis and treatment of sinusitis. This study provides a theoretical reference for the clinical treatment of patients with sinusitis.

摘要

本研究旨在探索 CT 图像基于多平面重建(MPR)联合全身麻醉鼻窦炎患者术前心理护理干预模型的临床效果。选取 60 例接受 MPR 基 CT 检查及全身麻醉的鼻窦炎患者作为研究对象,随机分为对照组(n=30)和实验组(n=30)。对照组采用传统术前教育,实验组在传统术前教育的基础上增加心理护理干预。综合评估两组患者手术前后的血压和心率、干预前后的焦虑自评量表(SAS)评分和满意度。结果表明,基于 MPR 的 CT 可以从多角度观察鼻窦壁和窦腔的病变及解剖结构。实验组的血压(收缩压 135.12±14.89mmHg,舒张压 87.05±11.24mmHg)、心率(78.42±12.19 次/分)、SAS 评分(45.85±4.97 分)和护理满意度(78.9%)明显优于对照组(145.83±15.62mmHg、94.21±10.86mmHg、86.44±13.65 次/分、86.44±13.65 次/分、56.44±5.12 分、56.4%),差异有统计学意义(<0.05)。综上所述,术前心理护理模式对减轻全麻手术患者术前的紧张和焦虑有积极作用,基于 MPR 的 CT 对鼻窦炎的临床诊断和治疗具有重要价值。本研究为鼻窦炎患者的临床治疗提供了理论参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eae9/9352500/552b29bc462a/CMMM2022-7516339.001.jpg

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