门诊赋能式护理宣教对拟行核磁共振检查患者心理状况及疾病不确定感的影响
Effects of Outpatient Empowerment Nursing Education on Psychological Status and Disease Uncertainty of Patients Undergoing MRI
DOI: 10.12677/ns.2025.145102, PDF,   
作者: 王萍萍:淄博市第一医院核磁共振科,山东 淄博
关键词: 赋能式护理宣教NMR心理状况疾病不确定感护理Enabling Nursing Education NMR Psychological Status Disease Uncertainty Nurse
摘要: 目的:探究门诊赋能式护理宣教对拟行核磁共振(NMR)检查患者心理状况及疾病不确定感的影响。方法:选取2023年12月到2024年12月收治的150例拟行NMR检查患者,分为传统教育组与赋能组,各75例。对比两组护理前后恐惧程度(CMFS)、焦虑程度(GAD-7)、疾病不确定感及护理不良事件发生率。结果:护理后,两组CMFS评分均显著下降(P < 0.05),且赋能组CMFS各项评分均显著低于传统教育组(P < 0.05);护理后,两组GAD-7评分均显著下降(P < 0.05),且赋能组GAD-7各项评分均显著低于传统教育组(P < 0.05);护理后,两组MUIS评分均显著下降(P < 0.05),且赋能组MUIS各项评分均显著低于传统教育组(P < 0.05);赋能组护理不良事件发生率5.33% (4/75)显著低于传统教育组16.00% (12/75) (P < 0.05)。结论:门诊赋能式护理宣教可改善拟行NMR检查患者心理状况与疾病不确定感,护理效果明显,值得应用。
Abstract: Objective: To explore the effects of outpatient empowerment nursing education on psychological status and disease uncertainty of patients undergoing nuclear magnetic resonance (NMR) examination. Methods: From December 2023 to December 2024, 150 patients undergoing NMR examination were selected and divided into the traditional education group and the empowerment group, with 75 patients in each group. Fear degree (CMFS), anxiety degree (GAD-7), disease uncertainty and incidence of nursing adverse events were compared between the two groups before and after care. Results: After nursing, CMFS scores of both groups were significantly decreased (P < 0.05), and CMFS scores of the empowered group were significantly lower than those of the traditional education group (P < 0.05). After nursing, the GAD-7 scores of both groups were significantly decreased (P < 0.05), and the GAD-7 scores of the empowered group were significantly lower than those of the traditional education group (P < 0.05). After nursing, MUIS scores in both groups were significantly decreased (P < 0.05), and MUIS scores in the empowerment group were significantly lower than those in the traditional education group (P < 0.05). The incidence of nursing adverse events in the empowerment group was 5.33% (4/75) significantly lower than that in the traditional education group (16.00% (12/75) (P < 0.05). Conclusion: Outpatient empowering nursing education can improve the psychological status and disease uncertainty of patients undergoing NMR examination, the nursing effect is obvious, and it is worthy of application.
文章引用:王萍萍. 门诊赋能式护理宣教对拟行核磁共振检查患者心理状况及疾病不确定感的影响[J]. 护理学, 2025, 14(5): 748-754. https://doi.org/10.12677/ns.2025.145102

参考文献

[1] 积累, 王丽, 黄淑程, 等. 健康教育结合心理护理在老年上腹部磁共振成像(MRI)增强扫描检查中的应用价值[J]. 生命科学仪器, 2024, 22(2): 207-209.
[2] 白琳, 王亚丽, 王明, 等. 认知护理干预对儿童MRI检查图像质量的影响[J]. 实用放射学杂志, 2023, 39(11): 1862-1865.
[3] 何晓华, 胡梅东, 杨艺, 等. 芳香音乐疗法联合MRI检查前声音场景模拟在幽闭恐惧综合症患者检查中的应用[J]. 生命科学仪器, 2024, 22(2): 27-29.
[4] 张玉平, 蒋晓莉, 张燕. 以计划行为理论为基础的赋能宣教在腰椎间盘突出症患者中的应用[J]. 国际护理学杂志, 2024, 43(18): 3351-3355.
[5] 聂慧, 唐莺莺. 赋能情绪护理小组模式对癫痫患者心理状态与生活质量的影响[J]. 现代中西医结合杂志, 2024, 33(11): 1603-1606.
[6] San Martín-Rodríguez, L., Soto-Ruiz, N., Ferraz-Torres, M., García-Vivar, C., Saralegui-Gainza, A. and Escalada-Hernández, P. (2021) The Spanish Version of the Child Medical Fear Questionnaire: Cross-Cultural Adaptation and Validation. International Journal of Environmental Research and Public Health, 19, Article 451. [Google Scholar] [CrossRef] [PubMed]
[7] Sauer, M.C., Barlow, P.B., Comellas, A.P. and Garg, A. (2024) Anxiety and Depression Symptoms among Patients with Long COVID: A Retrospective Cohort Study. European Archives of Psychiatry and Clinical Neuroscience, 274, 1879-1886. [Google Scholar] [CrossRef] [PubMed]
[8] Liang, Y., Yang, D., Li, Q. and Guo, Z. (2024) Effects of Cognitive Behavioural Therapy on Mental Health and Sleep in Acute Kidney Injury Patients with Ureteral Calculi in the Emergency Department: A Retrospective Study. Archivos Españoles de Urología, 77, 338-344. [Google Scholar] [CrossRef] [PubMed]
[9] 张娟, 闫威, 高亚岭. 认知行为干预联合音乐放松疗法在核磁共振增强扫描患者中的应用[J]. 河北医药, 2024, 46(16): 2474-2476.
[10] Zhang, L., Bai, Y., Cui, X., Cao, G., Li, D. and Yin, H. (2022) Negative Emotions and Brain: Negative Emotions Mediates the Association between Structural and Functional Variations in Emotional-Related Brain Regions and Sleep Quality. Sleep Medicine, 94, 8-16. [Google Scholar] [CrossRef] [PubMed]
[11] Lo, H.Z., Choy, K.T. and Kong, J.C.H. (2024) FDG-PET/MRI in Colorectal Cancer Care: An Updated Systematic Review. Abdominal Radiology, 50, 49-63. [Google Scholar] [CrossRef] [PubMed]
[12] 李玲莉, 吴伟, 熊培佳. 3种护理措施在直肠癌磁共振检查中的应用效果观察[J]. 护士进修杂志, 2023, 38(13): 1226-1228.
[13] 赵海艳, 马冯慧, 刘清, 等. 一站式管理对孕妇MRI检查效能及图像质量的影响[J]. 上海护理, 2023, 23(12): 28-30.
[14] Mittendorff, L., Young, A., Lee, A. and Sim, J.H. (2023) New Zealand and Australian MRI Technologists’ (Radiographers) MRI Safety Knowledge and Confidence Levels. Radiography, 29, 697-704. [Google Scholar] [CrossRef] [PubMed]
[15] 徐云霞, 陶福媛, 陈江明. 全程护理联合心理干预在复发性肝内胆管结石病人磁共振检查过程中的应用效果[J]. 护理研究, 2023, 37(7): 1314-1316.
[16] 张诗晴. 赋能教育结合激励式心理干预对经皮冠状动脉介入术术后患者情绪状态, 自我效能和康复依从性的影响[J]. 临床与病理杂志, 2023, 43(6): 1266-1273.
[17] 张杰, 陈慧敏, 孟凡玲, 等. 基于赋能理论的康复护理教育在创伤性脑损伤患儿照顾者中的应用效果研究[J]. 中国康复医学杂志, 2023, 38(8): 1138-1141.
[18] 杨支兰, 郝雯君, 姚太平, 等. 基于赋能理论的居家康复锻炼方案在老年膝骨关节炎病人中的应用效果[J]. 护理研究, 2023, 37(3): 539-542.
[19] 叶梦梦, 叶梦雷, 耿蒙慧, 等. 基于时机理论的赋能教育对妇科恶性肿瘤患者心理情绪和健康行为的影响[J]. 中国妇幼保健, 2024, 39(11): 2094-2097.
[20] 张俊, 苏海燕. 基于赋能理论的改良护理模式对心衰患者自我护理能力及生活质量的影响分析[J]. 贵州医药, 2023, 47(10): 1658-1659.
[21] 张冰倩, 宋晓彤, 王帅, 等. 基于赋能理论的延续性干预对脑梗死患者应对情况及心理状态的影响[J]. 河北医药, 2024, 46(9): 1340-1344.
[22] 王娜娜, 程春华. 基于赋能理论的分阶段管理干预对急性心肌梗死患者心功能和自我管理效能的影响[J]. 心血管康复医学杂志, 2024, 33(2): 179-184.
[23] 王勤, 贾筱娴, 吴孝姐. 基于赋能理论的多维护理对腹腔镜结直肠癌根治术患者术后疼痛程度及恢复进程的影响[J]. 河北医药, 2024, 46(4): 637-640.
[24] 唐姗姗, 李邦静, 罗曦. 赋能理论模式护理对老年继发性癫痫患者不良情绪, 自我管理能力和生活质量的影响[J]. 老年医学与保健, 2023, 29(2): 336-341.
[25] 尹小文, 万桂芹, 李国红. 血液透析患者实施授权赋能理论下运动训练对低血压发生率的影响研究[J]. 中国急救复苏与灾害医学杂志, 2024, 19(12): 1600-1604.
[26] 占云燕, 林燕, 吴珊珊. 以家属为主导的赋能心理护理对宫颈癌患者创伤后应激及复发恐惧的影响[J]. 中国性科学, 2023, 32(11): 104-108.