《临床护理路径CNP在腹部CT增强扫描检查中的应用研究》-理学论文，医学论文范文-论文范文参考-科学狗论文网

标题

临床护理路径CNP在腹部CT增强扫描检查中的应用研究

范文

张梅芳袁强杨建娣

[摘要] 目的探究临床护理路径在行腹部CT增强扫描检查患者中的应用效果。方法收集本院2017年7月～2018年6月收治的120例行腹部CT增强扫描检查患者的临床资料，依据不同的干预方法归纳为对照组和实验组，各60例。前者采取常规护理方法，后者采取临床护理路径。对照并分析两组患者的检查配合度、不良反应发生率、护理满意度及护理差错数。结果实验组患者的检查配合度为93.3%，明显优于对照组的73.3%（P<0.05）;实验组患者的不良反应发生率为5.0%，明显低于对照组的18.3%（P<0.05）;实验组患者的满意度评分为（4.37±0.40）分，明显优于对照组患者的（3.26±0.73）分（P<0.05）;实验组护理差错共1次，明显少于对照组的8次（P<0.05）。结论临床护理路径在腹部CT增强扫描检查中应用效果较好，能够明显提升患者的依从性，进而更好地配合检查，提高患者的满意度，具有较高的临床实用性。

[关键词] 腹部CT;CT增强扫描;临床护理路径;治疗依从性;护理差错

[中图分类号] R473 ? ? ? ? ?[文献标识码] B ? ? ? ? ?[文章编号] 1673-9701（2020）24-0166-03

[Abstract] Objective To explore the application effect of clinical nursing path in patients receiving abdominal CT enhanced scan. Methods The clinical data of 120 patients who received abdominal CT enhanced scan in our hospital from July 2017 to June 2018 were collected and divided into the control group and the experimental group according to different intervention methods， with 60 patients in each group. The control group were treated with conventional nursing method， and the experimental group were treated with clinical nursing path. The examination cooperation， incidence of adverse reactions， nursing satisfaction and the number of nursing errors were compared and analyzed between the two groups. Results The examination cooperation of the experimental group was significantly higher than that of the control group， which was 93.3% and 73.3%， respectively（P<0.05）. The incidence of adverse reactions of the experimental group was significantly lower than of the control group， which was 5.0% and 18.3%， respectively（P<0.05）. The satisfaction score of the experimental group was significantly higher than that of the control group， which was（4.37±0.40） points and （3.26±0.73） points， respectively（P<0.05）. The number of nursing errors of the experimental groups was significantly lower than that of the control group， which was 1 and 8， respectively（P<0.05）. Conclusion The clinical nursing path has a good application effect in patients receiving abdominal CT enhanced scan. It can significantly improve the treatment compliance， examination cooperation， and patient satisfaction， showing a high clinical practicality.

[Keywords] Abdominal CT; Enhanced CT scan; Clinical nursing path; Treatment compliance; Nursing errors

隨着影像学的发展，多层CT增强扫描越来越广泛应用于临床，该技术需注射造影剂，提高疾病的检出率[1]。在CT增强扫描的过程中，由于步骤较多，同时患者对CT增强扫描缺乏认识，易产生紧张、焦虑的心理，不能很好地配合检查，部分患者还会因心理问题出现恶心、呕吐等情况，影响检查正常进行。腹部增强CT扫描由于其独特的结构，患者在检查前的准备以及检查过程中的配合直接影响检查能否顺利进行及检查结果是否准确[2]。临床护理路径（Clinical nursing pathway，CNP）是一种新型临床护理流程，能够通过良好的设计和计划护理工作流程，优化护理服务。本研究旨在制定有效可行的临床护理路径，降低患者的负面情绪，提高其配合度，避免造影剂渗漏的发生，使扫描能安全、顺利完成，提高检查结果的可信度。本文旨在讨论腹部CT增强扫描中采取临床护理路径干预的效果，现报道如下。

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