目的：探讨心理干预联合音乐疗法在肝脏3T磁共振动态增强扫描中的作用及意义。方法：收集2012年9月-2014年10月来本院行肝脏MRI动态增强扫描的患者共230例，随机数字表法分为三组：实验一组采用常规护理，给予常规的认知干预护理和环境干预护理；实验二组采用心理干预，在常规治疗护理的基础上同时采用心理干预护理；实验三组采用音乐疗法，在心理干预的基础上加用音乐疗法干预。观察检查前后患者的心率、呼吸、血压，症状与心理变化以及三组完成检查所需的时间。结果：三组患者行MRI检查后，常规护理组患者的心率、呼吸、血压均有明显增加，且心理护理组与音乐疗法组相比，心率、血压和呼吸也有不同程度的轻度增高。常规护理组完成MRI检查的时间是（25.5±6.7）min，明显长于心理护理组（20.5±4.1）min与音乐疗法组（18.3±2.1）min的完成时间，比较差异具有统计学意义（P<0.05）。结论：采用科学适当的心理干预联合音乐疗法可减轻患者检查前后生命体征以及心理变化，缩短患者检查时间，帮助患者顺利完成MRI检查，为获得高质量的图像提供了保障。%Objective:To explore the role and significance of psychological intervention and music therapy in liver dynamic enhancement scanning with 3.0 T MRI.Method:230 patients who underwent liver dynamic enhancement scanning from June 2012 to June 2014, and were randomly divided into three groups, the first experimental group received routine nursing care, the second experimental group used psychological intervention nursing and routine nursing care, the third experimental group used psychological intervention nursing and music therapy nursing.Changes of vital signs were observed and compared before and after examination (blood pressure, heart rate, respiration, pulse), symptoms, psychological and time.Result:(1) The first experimental group had statistical differences before and after MRI examination; the second experimental group had slightly increased than the third experimental group before and after MRI examination.(2) The first experimental group need (25.5±6.7)min than the second experimental group (20.5±4.1)min and the third experimental group (18.3±2.1)min.Conclusion:The psychological intervention and music therapy could alleviate the physiological and psychological changes of patients before and after MRI examination, relieve anxiety and depression, and it was helpful to get a satisfactory results.
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