Abstract:

Objective　To explore the effect of special-topic education video combined with relaxation training on headache patients undergoing CT examination in department of neurology. Methods　Taking the implementation time of relaxation training in department of neurology of the Third People' s Hospital of Hubei Province, Jianghan University as the dividing line (January 2022), 99 patients with headache who required craniocerebral CT examination and were admitted to department of neurology of our hospital from February 2021 to December 2021 were selected as the control group [56 males and 43 females, with an age of (49.75±7.89) years old] and were given special-topic education video intervention before CT examination and routine nursing during examination, and another 99 patients from January 2022 to December 2022 after the implementation were selected as the observation group [52 males and 47 females, with an age of (50.10±8.21) years old] and were given relaxation training intervention on the basis of the control group. The examination cooperation degree (grade A as very good, grade B as good, and grade C as poor) and the number of cases with examination interruption, anxiety [Self-rating Anxiety Scale (SAS)] and self-perceived burden [Self-perceived Burden Scale (SPB)] before and after intervention, and nursing satisfaction were compared between the two groups. The statistical methods used were independent sample t test, paired t test, χ² test, Fisher exact probability method, and group rank sum test. Results　The examination cooperation degree of the observation group (66 cases of grade A, 23 cases of grade B, and 10 cases of grade C) was better than that of the control group (50 cases of grade A, 34 cases of grade B, and 15 cases of grade C), with a statistically significant difference (Z=2.240, P=0.025). There were 1 case of examination interruption in the observation group and 3 cases in the control group, without statistically significant difference (P>0.05). The degree of SAS anxiety in the observation group after intervention (56 normal cases, 29 mild cases, 13 moderate cases, and 1 severe case) was significantly improved compared with that in the control group (42 normal cases, 35 mild cases, 20 moderate cases, and 2 severe cases) (Z=2.082, P=0.037). Before intervention, there were no statistically significant differences in the scores of economic burden, emotional burden, and physical burden of the SPB between the two groups (all P>0.05); after intervention, the above scores of the observation group were lower than those of the control group [(5.42±1.02) points vs. (6.37±1.15) points, (6.13±1.46) points vs. (7.02±1.39) points, (6.47±1.10) points vs. (7.08±1.04) points] (all P<0.05). The service attitude score of the observation group was higher than that of the control group [(8.26±1.12) points vs. (7.35±1.50) points] (P<0.05); there were no statistically significant differences in the scores of operation technique and education quality between the two groups [(9.02±0.54) points vs. (9.03±0.61) points, (8.39±1.07) points vs. (8.10±1.19) points] (both P>0.05). Conclusion　Special-topic education video combined with relaxation training for headache patients in department of neurology before CT examination can improve their self-perceived burden, and enhance the examination cooperation degree and nursing satisfaction.

Key words:

Headache, CT examination, Relaxation training, Special-topic education video, Self-perceived burden

摘要：

目的　探究专题宣教视频结合放松训练对神经内科头痛行CT检查患者的影响。方法　以江汉大学附属湖北省第三人民医院神经内科放松训练实施时间为界限（2022年1月），从实施前2021年2月至2021年12月收治的主诉为头痛需行颅脑CT检查的患者中选取99例纳入对照组，给予CT检查前专题宣教视频干预及检查期间常规护理，其中男56例、女43例，年龄（49.75±7.89）岁。从实施后2022年1月至2022年12月的患者中选取99例纳入观察组，在对照组的基础结合放松训练干预，其中男52例、女47例，年龄（50.10±8.21）岁。比较两组检查配合度（A级为良好，B级为较好，C级为差）及检查中断例数，比较两组干预前后的焦虑情绪［焦虑自评量表（SAS）］、自我感受负担［自我感受负担量表（SPB）］及护理满意度。统计学方法采用独立样本t检验、配对t检验、χ²检验、Fisher确切概率法、成组秩和检验。结果　观察组患者的检查配合度（A级66例、B级23例、C级10例）优于对照组（A级50例、B级34例、C级15例），差异有统计学意义（Z=2.240，P=0.025）；观察组检查中断1例，对照组3例，差异无统计学意义（P>0.05）。观察组干预后的SAS焦虑程度（正常56例、轻度29例、中度13例、重度1例）较对照组（正常42例、轻度35例、中度20例、重度2例）明显改善（Z=2.082，P=0.037）。干预前两组SPB中的经济负担、情感负担及身体负担评分比较差异均无统计学意义（均P>0.05），干预后观察组的上述评分均低于对照组［（5.42±1.02）分比（6.37±1.15）分、（6.13±1.46）分比（7.02±1.39）分、（6.47±1.10）分比（7.08±1.04）分］（均P<0.05）。观察组检查后的服务态度评分高于对照组［（8.26±1.12）分比（7.35±1.50）分］（P<0.05），两组操作技术及宣教质量评分［（9.02±0.54）分比（9.03±0.61）分、（8.39±1.07）分比（8.10±1.19）分］比较差异均无统计学意义（均P>0.05）。结论　给予神经内科头痛患者CT检查前专题宣教视频结合放松训练干预，可改善其自我感受负担，提高检查配合度及护理满意度。

关键词:

头痛, CT检查, 放松训练, 专题宣教视频, 自我感受负担