臨床護(hù)理路徑CNP在腹部CT增強(qiáng)掃描檢查中的應(yīng)用研究

張梅芳 袁強(qiáng) 楊建娣

[摘要] 目的 探究臨床護(hù)理路徑在行腹部CT增強(qiáng)掃描檢查患者中的應(yīng)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增強(qiáng)掃描檢查患者的臨床資料，依據(jù)不同的干預(yù)方法歸納為對(duì)照組和實(shí)驗(yàn)組，各60例。前者采取常規(guī)護(hù)理方法，后者采取臨床護(hù)理路徑。對(duì)照并分析兩組患者的檢查配合度、不良反應(yīng)發(fā)生率、護(hù)理滿意度及護(hù)理差錯(cuò)數(shù)。 結(jié)果 實(shí)驗(yàn)組患者的檢查配合度為93.3%，明顯優(yōu)于對(duì)照組的73.3%（P<0.05）;實(shí)驗(yàn)組患者的不良反應(yīng)發(fā)生率為5.0%，明顯低于對(duì)照組的18.3%（P<0.05）;實(shí)驗(yàn)組患者的滿意度評(píng)分為（4.37±0.40）分，明顯優(yōu)于對(duì)照組患者的（3.26±0.73）分（P<0.05）;實(shí)驗(yàn)組護(hù)理差錯(cuò)共1次，明顯少于對(duì)照組的8次（P<0.05）。 結(jié)論 臨床護(hù)理路徑在腹部CT增強(qiáng)掃描檢查中應(yīng)用效果較好，能夠明顯提升患者的依從性，進(jìn)而更好地配合檢查，提高患者的滿意度，具有較高的臨床實(shí)用性。

[關(guān)鍵詞] 腹部CT;CT增強(qiáng)掃描;臨床護(hù)理路徑;治療依從性;護(hù)理差錯(cuò)

[中圖分類號(hào)] R473 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] B ? ? ? ? ?[文章編號(hào)] 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

隨著影像學(xué)的發(fā)展，多層CT增強(qiáng)掃描越來越廣泛應(yīng)用于臨床，該技術(shù)需注射造影劑，提高疾病的檢出率[1]。在CT增強(qiáng)掃描的過程中，由于步驟較多，同時(shí)患者對(duì)CT增強(qiáng)掃描缺乏認(rèn)識(shí)，易產(chǎn)生緊張、焦慮的心理，不能很好地配合檢查，部分患者還會(huì)因心理問題出現(xiàn)惡心、嘔吐等情況，影響檢查正常進(jìn)行。腹部增強(qiáng)CT掃描由于其獨(dú)特的結(jié)構(gòu)，患者在檢查前的準(zhǔn)備以及檢查過程中的配合直接影響檢查能否順利進(jìn)行及檢查結(jié)果是否準(zhǔn)確[2]。臨床護(hù)理路徑（Clinical nursing pathway，CNP）是一種新型臨床護(hù)理流程，能夠通過良好的設(shè)計(jì)和計(jì)劃護(hù)理工作流程，優(yōu)化護(hù)理服務(wù)。本研究旨在制定有效可行的臨床護(hù)理路徑，降低患者的負(fù)面情緒，提高其配合度，避免造影劑滲漏的發(fā)生，使掃描能安全、順利完成，提高檢查結(jié)果的可信度。本文旨在討論腹部CT增強(qiáng)掃描中采取臨床護(hù)理路徑干預(yù)的效果，現(xiàn)報(bào)道如下。