多成分干预在提高儿童对颅脑磁共振成像检查配合度中的应用研究

doi:10.3761/j.issn.1672-9234.2025.09.016

摘要/Abstract

摘要：

目的探讨多成分干预在提高3~9岁儿童对颅脑磁共振成像（Magnetic Resonance Imaging，MRI）检查配合度中的效果。方法选取2024年3月—10月于湖南省儿童医院放射科接受首次非镇静性颅脑MRI检查的3~9岁患儿作为研究对象，根据家长对本研究的参与意愿情况，将患儿分入对照组和试验组。对照组接受常规护理，试验组根据患儿年龄（3~6岁/>6~9岁）接受差异化的多成分干预，包含环境适应训练、认知行为重塑、沉浸式游戏互动及视听分散等，比较两组的检查一次性成功率、检查时长及镇静使用率。结果试验组与对照组均包含3~6岁、>6~9岁患儿各50例。试验组3~6岁患儿检查一次性成功率、检查时长及镇静使用率均优于对照组3~6岁患儿（均P<0.05）。试验组>6~9岁患儿检查时长短于对照组>6~9岁患儿（P<0.001），但两组>6~9岁患儿检查一次性成功率及镇静使用率比较，差异无统计学意义（P>0.05）。结论多成分干预对于3~9岁接受首次非镇静性颅脑MRI检查的患儿可提升其对检查的配合度，并能减少3~6岁者对镇静的需求，具有一定的推广价值。

关键词: 儿童, 颅脑磁共振成像, 检查配合, 非镇静性, 多成分干预

Abstract:

Objective To explore the effect of multi-component intervention in improving children’s compliance with cranial Magnetic Resonance Imaging（MRI） examination. Methods From March to October 2024，children aged 3-9 years old who underwent their first non-sedative cranial MRI examination in the Radiology Department of Hunan Children’s Hospital were selected as the participants. Children were divided into a control group and an experimental group according to their willingness. The control group received routine nursing care，while the experimental group received differentiated multi-component intervention（including environmental adaptation training，cognitive-behavioral remodeling，immersive interactive games，and audio-visual distraction） based on the children’s age（3-6 years/>6-9 years）. The one-time success rate of the examination，examination duration，and sedation usage rate were compared between the two groups. Results Both the experimental group and the control group included 50 children aged 3-6 years old and 50 children aged >6-9 years old，respectively. For children aged 3-6 years old，the one-time success rate of the examination，examination duration，and sedation usage rate in the experimental group were all better than those in the control group（P<0.05）. For children aged >6-9 years old，the examination duration in the experimental group was shorter than that in the control group（P<0.001）. However，there was no statistically significant difference in the one-time success rate of the examination and sedation usage rate between the two groups（P>0.05）. Conclusion Multi-component intervention can improve the compliance of children aged 3-9 years old undergoing their first non-sedative cranial MRI examination and reduce the need for sedation in children aged 3-6 years old，which holds certain promotion value.

Key words: Children, Cranial MRI, Compliance with examinations, Non-sedation, Multi-component intervention

李艳, 李璐, 李理, 谢龙龙, 金科. 多成分干预在提高儿童对颅脑磁共振成像检查配合度中的应用研究[J]. 中华护理教育, 2025, 22(9): 1127-1132.

LI Yan, LI Lu, LI Li, XIE Longlong, JIN Ke. Application of multi-component intervention in improving children’s compliance with cranial MRI examination[J]. Chinese Journal of Nursing Education, 2025, 22(9): 1127-1132.

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