The Effect Of Progressive Muscle Relaxation Training In In-patients Receiving 64-row Spiral Computed Tomography Coronary Angiography

Object: On line 64 row spiral CT coronary artery imaging for hospitalized patients with progressive muscle relaxation training, To analyze the effect of progressive muscle relaxation training(PMR) on the levels of anxiety, pain and the levels of image quality in-patients receiving 64-row spiral computed tomography coronary angiography.Methods: The 120 in-patients in cardiovascular department of the No. 7 people hospital undergoing 64-row spiral computed tomography coronary angiography from Jan. 2014 to Dec. 2014 were been chosen to research objects. The 120 in-patients were divided into two groups randomly by the method of table of random number, which were research group and control group. Each group had 60 subjects. The patients of control group receiving 64-row spiral computed tomography coronary angiography were taken with the routine train and respiratory training. The patients of research group were taken with the PMR training in addition to the nursing methods of control group. The three time points were set,the point of the visiting day was T0, the point of 30 min after sit quietly was T1 and after scanning CT was T21 Normal data indexesThe patients of two groups were filled with the question of normal data, which were including age, weight,gender, occupation, cultural degree, medical expense payment, the knowledge of the CT examination, This question of normal data was finished by patients at T0.2 The indexes of vital signsts and compared between two groups, including heart rate(HR), respiratory rate(RR), systemic blood pressure(SBP) and diatomic blood pressure(SBP).3 The indexes of anxietyThe indexes of anxiety were recorded by Zung self- rating Anxiety Scale(SAS) at T0 and T2.The values of SAS in two time points were compared between two groups.4 The indexes of painThe indexes of pain were recorded by visual analogue scale(VAS) at T0 and T2. The values of VAS in two time points were compared between two groups.5 The indexes of sleep qualityThe scores of Vthens Insomnia Scale(VIS) were taken by investigator at T0 and T2. The degrees of sleep quality at the two time points were compared between two groups.6 The indexes of image qualityThe image quality of CT coronary angiography was evaluated and graded. The image qualities were compared between two groups.Results:1 The fall-off caseThe fall-off cases were 5 cases and the fall-off rate was 4.17%(5/120)in total 120 research objectives. The fall-off cases were 3 cases and the fall-off rate was 5.00%(3/60)in research group, and the all-off cases were 2 cases and the fall-off rate was 3.33%(2/60)in control group.2 Normal data indexesThe normal data indexes of age, weight, gender, occupation, cultural degree, medical expense payment, the knowledge of the CT examination were no different between two groups(P>0.05).3 The indexes of vital signsThe indexes of heart rate(HR), respiratory rate(RR), systemic blood pressure(SBP) and diatomic blood pressure(SBP) were no different between two groups at T0(P>0.05). The indexes of heart rate(HR), respiratory rate(RR), systemic blood pressure(SBP) and diatomic blood pressure(SBP) of research group were lower than control group at T1 and T2(P<0.05).4 The indexes of anxietyThe indexes of SAS were no different between two groups at T0(P>0.05). The indexes of SAS of research group were lower than control group at T2(P<0.05).5 The indexes of painThe indexes of VAS were no different between two groups at T0(P>0.05). The indexes of VAS of research group were lower than control group at T2(P<0.05).6 The indexes of sleep qualityThe indexes of VIS were no different between two groups at T0(P>0.05). The indexes of VIS of research group were lower than control group at T2(P<0.05).7 The indexes of image qualityThe ratios of image quality class and of CT coronary angiography Ⅰ Ⅱin research group were higher than control group(P<0.05), and the ratios of image quality class and were no different between two groups(Ⅲ Ⅳ P<0.05).Conclusion:Progressive muscle relaxation training can be applied to the lines of 64 hospitalized patients with spiral CT coronary artery imaging top of nursing work.