解决方案为重点的简短疗法与基于正念的压力减轻相结合,以缓解MR成像期间的闭塞恐惧症
Liyuan Fu1,2, Minghui Mao1, Chengkun Hong1
1Fuzong Teaching Hospital of Fujian University of Traditional Chinese Medicine (900th Hospital), Fuzhou, Fujian Province, China.
Medicine
|July 15, 2025
概括
结合以解决方案为重点的简短治疗 (SFBT) 与基于正念的减压 (MBSR),在MRI扫描期间显著降低了幽闭恐惧症. 这种方法还减少了对镇静和应对行动的需求,改善了患者的治疗结果.
科学领域:
- 心理干预 心理干预
- 医学成像医学成像
背景情况:
- 幽闭恐惧是磁共振成像 (MR) 过程中常见的挑战.
- 接受MRI扫描的高风险患者往往会经历严重的痛苦.
研究的目的:
- 评估结合解决方案为中心的简短治疗 (SFBT) 与基于正念的压力减轻 (MBSR) 在MR检查期间控制幽闭恐惧症的有效性.
- 评估这种联合干预对患者结果的影响,包括焦虑,性和检查效率.
主要方法:
- 一项前性观察性研究比较了接受SFBT和MBSR的77名患者与在MR成像之前接受例行护理的146名对照患者.
- 收集的数据包括幽闭恐惧症事件,焦虑,抑郁,弹性,患者满意度,图像质量和检查完成时间.
- 统计分析包括沙皮罗-威尔克试验,独立样本t试验,曼-惠特尼U试验和χ2试验.
主要成果:
- 干预组的幽闭恐惧症患病率显著降低 (18%vs46%) 并减少了对镇静或应对行动的需求.
- 接受SFBT和MBSR治疗的患者经历了更短的检查时间,更低的焦虑和抑郁症得分,更高的一次性通过率,更好的图像质量和更大的满意度.
- 与对照组相比,干预组的弹性得分显著增加.
结论:
- 结合SFBT和MBSR是一种有效的模型,可以在MR检查期间减少高风险患者的幽闭恐惧症.
- 这种干预策略可以减少对镇静和非镇静应对机制的依赖,提高整体MR成像体验.
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