摘要

【摘要】
目的：探究基于循证医学下的心理护理对桡静脉穿刺碘对比剂外渗后合并焦虑抑郁患者的干预效果。

方法：选取我院2019年1月-2021年2月期间收治的103例桡静脉穿刺碘对比剂外渗后合并焦虑抑郁患者进行研究，采用随机数字表法分组，对照组51例予常规护理管理，观察组52例予基于循证医学下的心理护理，对比两组患者应对方式、干预效果、腕部功能、不良心理状态。

结果：干预后，观察组面对评分、48h治愈率高于对照组，回避、屈服评分、Gartland-weirey 腕部功能评分、焦虑自评量表（SAS）和抑郁自评量表（SDS）评分、视觉模拟评分（VAS）、外渗重度程度患者人数少于对照组（P＜0.05）。

结论：基于循证医学下的心理护理可以有效改善桡静脉穿刺碘对比剂外渗后合并焦虑抑郁患者的焦虑、抑郁状态，进而促进腕关节功能恢复，提高临床干预效果。

关键词：【关键词】心理护理；桡静脉穿刺；碘对比剂；焦虑抑郁

ABSTRACT

【Abstract】
Objective: To explore the intervention effect of psychological nursing based on evidence-based medicine on patients with anxiety and depression after radial vein puncture with iodine contrast medium extravasation.

Methods: A total of 103 patients with anxiety and depression after radial vein puncture with iodine contrast medium extravasation who were admitted to our hospital from January 2019 to February 2021 were selected for study. The random number table method was used to group them. The control group was given routine nursing management and 51 cases were observed. 52 cases in the group were given psychological nursing based on evidence-based medicine, and the coping style, intervention effect, wrist function, and bad psychological state of the two groups were compared.

Results: After the intervention, the observation group’s face score and 48h cure rate were higher than those of the control group, avoidance, yield score, Gartland-weirey wrist function score, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores The number of patients with visual analogue scale (VAS) and severe degree of extravasation was less than that of the control group (P＜0.05).

Conclusion  : Psychological nursing based on evidence-based medicine can effectively improve the anxiety and depression of patients with anxiety and depression after radial vein puncture iodine contrast agent extravasation, thereby promoting the recovery of wrist joint function and improving the effect of clinical intervention.

Key words: [Keywords] psychological care; radial vein puncture; iodine contrast agent; anxiety and depression