“纾解式”自我情绪管理联合穴位按摩在提高冠脉CTA检查成功率中的临床应用

Clinical Application of “Relief-Oriented” Self-Emotion Management Combined with Acupoint Massage in Improving the Success Rate of Coronary CTA Examination

摘要: 目的：探讨“纾解式”自我情绪管理与穴位按摩联合应用在改善冠脉CTA检查成功率中的临床实践效果。方法：研究对象：2022年11月至2023年8月于义乌市中心医院112例行冠脉CTA检查的患者；分组方法：采用随机数字法随机分为对照组和观察组，每组各56例。干预措施：对照组给予常规护理，观察组在常规护理基础上，加用“纾解式”自我情绪管理与穴位按摩。观察指标：对比两组患者干预前、后的心理状态(采用SCL-90量表、HAMA量表、HAMD量表评估)、护患信任度(采用护患关系信任度量表评估)及冠脉CTA检查成功率。结果显示，干预实施前，两组患者的心理状态及护患信任度比较，差异无统计学意义(P > 0.05)。干预实施后观察组心理状态、护患信任度评分高于对照组，SCL-90、HAMA、HAMD评分低于对照组，检查成功率高于对照组，差异均有统计学意义(P < 0.05)。结论：“纾解式”自我情绪管理联合穴位按摩能够提高能够缓解冠脉CTA检查患者紧张、焦虑等消极情绪，增加护患信任度，提高冠脉CTA检查成功率。

Abstract: Objective: To explore the clinical application effect of the combined use of “relief-oriented” self-emotion management and acupoint massage in improving the success rate of coronary CTA examinations. Methods: Study subjects: A total of 112 patients who underwent coronary CTA examinations at Yiwu Central Hospital from November 2022 to August 2023. Grouping method: The patients were randomly divided into a control group and an observation group using the random number table method, with 56 cases in each group. The intervention measures: The control group received routine nursing care, while the observation group was given additional “relief-oriented” self-emotion management combined with acupoint massage on the basis of routine nursing care. Observation indicators: The psychological status (evaluated by the Symptom Checklist-90 [SCL-90], Hamilton Anxiety Scale [HAMA], and Hamilton Depression Scale [HAMD]), nurse-patient trust (evaluated by the Nurse-Patient Relationship Trust Scale), and success rate of coronary CTA examinations were compared between the two groups before and after intervention. Results: Before intervention, there were no statistically significant differences in psychological status and nurse-patient trust between the two groups (P > 0.05). After intervention, the observation group had higher scores in nurse-patient trust, lower scores in SCL-90, HAMA, and HAMD, and a higher examination success rate compared with the control group, with statistically significant differences (P < 0.05). Conclusion: “Relief-oriented” self-emotion management combined with acupoint massage can alleviate negative emotions such as tension and anxiety in patients undergoing coronary CTA examinations, enhance nurse-patient trust, and improve the success rate of coronary CTA examinations.