视觉物体和音乐对焦虑水平和成像过程的影响 在接受冠状动脉CT血管造影的患者中
Muhammed Tekinhatun1, Kadir Han Alver2, İbrahim Akbudak3
1Department of Radiology, Dicle University, Diyarbakir, Turkey. mtekinhatun@gmail.com.
European radiology
|April 24, 2025
概括
在等待室中的音乐和视觉刺激显著降低了冠状动脉计算机断层扫描血管造影 (CCTA) 之前的患者焦虑和心率. 这种干预改善了成像质量,减少了药物和辐射暴露.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是指放射学
- 心理学 心理学 心理学
背景情况:
- 在接受冠状动脉计算机断层扫描血管造影 (CCTA) 的患者中,高焦虑水平可能会对成像质量产生负面影响,增加辐射暴露,并需要更高的药物剂量.
- 优化手术前环境对于改善患者的治疗结果和CCTA手术的效率至关重要.
研究的目的:
- 调查设计的等待室环境,结合音乐和视觉刺激,对患者焦虑,心率,辐射剂量和贝塔阻断剂在CCTA之前的使用的影响.
- 评估环境修改对CCTA成像质量的影响.
主要方法:
- 进行了一项涉及216名患者的前性随机试验,将标准等待室 (SWR) 与设计等待室 (DWR) 进行比较,其中包括音乐和视觉元素.
- 用医院焦虑和抑郁量表 (HADS) 和州道焦虑目录 (STAI) 来测量患者的焦虑和抑郁.
- 对所有参与者记录了心率,辐射剂量和β-阻断剂的要求.
主要成果:
- 与SWR组相比,DWR组的患者表现出明显较低的焦虑评分和心率 (p < 0.001).
- 该DWR与辐射剂量和β-阻断剂使用的显著降低有关 (p < 0.05).
- 图像质量在DWR组显著改善 (p < 0.001),在一般患者群体中,更高的焦虑与更差的图像质量相关.
结论:
- 在CCTA之前,结合音乐和视觉刺激的等待室设计有效地减少了患者的焦虑和生理压力标志物.
- 这种环境干预导致更好的成像质量,更少的辐射暴露,以及更少的β-阻断剂需求.
- 实施此类设计提供了一种简单,具有成本效益的策略,以改善患者体验和优化CCTA程序中的临床结果.
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