家属陪同模拟场景呼吸训练对冠状动脉CT血管造影检查的影响

目的 探讨在家属陪同下进行模拟场景呼吸训练对冠状动脉CT血管造影(CCTA)检查时患者呼吸配合及图像质量的影响，旨在提高患者检查配合度、检查效率及图像质量。方法 选取2021年7月至2022年6月收治于西安大兴医院心脏内科拟行CCTA检查的患者作为研究对象。将其随机分为3组，每组各90例。A组：检查前1 d至医院准备室，在家属全程陪同下于模拟场景中进行呼吸训练；B组：检查当天在无家属陪同的情况下，于模拟场景中进行呼吸训练；C组：检查当天接受常规呼吸训练。比较3组患者呼吸训练前及正式检查前焦虑自评量表(SAS)得分情况，以及正式检查时的呼吸配合达标率、心率稳定度和冠状动脉图像质量。结果 A组及B组患者CCTA检查呼吸配合达标率均为100%,C组为91.11%,3组比较差异有统计学意义(χ²=8.326,P=0.004)。正式检查前，A组患者SAS评分低于B组与C组(P<0.05)；且A组患者检查过程中心率波动最小[(1.81±6.99)次/min]，冠状动脉图像质量优良率最高(97.78%)；均优于B、C组(P<0.05)。结论 检查前1 d在家属陪同下...

Analysis of the effect of training breathing combined with different degrees of psychological intervention on the effect of coronary CTA examination

Objective To compare and analyze the effect of training breathing combined with different degrees of psychological intervention on the effect of coronary CTA examination in patients. Methods A total of 270 patients in the Cardiology Department of our hospital who needed coronary CTA were selected and randomly divided into group A, group B and group C, 90 cases in each group. Group A was accompanied by family members one day in advance, followed by psychological counseling in a simulated scenario, and then underwent coronary CTA examination the next day. Group B used breathing training without family members and with simulated scenarios, and underwent CTA examination on the same day; group C adopted routine breathing training, that is, without family members and simulated scenarios to train breathing, and only performed breathing training before routine examination and psychological counseling immediately after CTA check. The respiratory coordination compliance rate, heart rate stability, coronary image quality, and Self-Rating Anxiety Scale (SAS) of the three groups were counted and compared.