目的 探讨治疗性沟通对头颅CT血管造影(CTA)患者中负性情绪及成像质量的影响.方法 2012年10月至2014年10月选取84例头颅CTA患者为研究对象,根据随机数字表将患者分为观察组及对照组各42例,对照组检查前行常规性护理,观察组在对照组基础上行治疗行沟通,对比分析两组检查依从性、并发症、护患纠纷、图像质量评分、负性情绪、满意度评分.结果 观察组于预后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分显著低于对照组(P＜0.05).观察组质量评分及满意度评分高于对照组,而诊查时间则短于对照组(P＜0.05).观察组依从率高于对照组,而并发症及护患纠纷率低于对照组(P＜0.05).结论 治疗行沟通能有效改善头颅CTA患者中负性情绪,提高患者诊查依从率及成像质量.%Objective To investigate the effect of therapeutic communication on negative emotions and image quality of patients undergoing head CT angiography (CTA).Methods 84 patients undergoing head CTA from October 2012 to October 2014 were selected and divided into observation group and control group,42 cases in each group.Control group underwent routine inspection,and observation group underwent therapeutic communication on the basis of control group.The check compliance,complications,nurse-patient disputes,image quality score,negative emotions,satisfaction score of two groups were compared.Results After intervention,HAMA score and HAMD score of observation group were significantly lower than those of control group (P＜0.05),the quality score and satisfaction score were higher than those of control group (P＜0.05),indagation time was shorter than that of control group (P＜0.05),the compliance rate was higher than that of control group (P＜0.05),the rates of complications and nurse-patient disputes were lower than those of control group (P＜0.05).Conclusion Therapeutic communication can effectively improve negative emotions,the check compliance and image quality in patients undergoing head CTA.
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