多学科护理团队模式改善住院患者影像检查体验的成效研究

发布时间：2018-06-19 22:02

本文选题：多学科护理团队 + 影像知识　；参考：《重庆医科大学》2017年硕士论文

【摘要】：目的运用多学科护理团队合作模式改善住院患者影像检查体验。方法 1.由影像科医生、技师、护士组成的培训小组与各临床护理组长(联络员)组成多学科护理团队。2.影像科培训小组定期对联络员进行影像检查相关知识培训,联络员以晨交班、科室业务学习等方式向本科室临床护士宣讲,比较临床护士培训前、后影像知识测试成绩的差异。3.影像科护士与联络员合作对CCTA检查前准备进行护理干预,优化CCTA检查流程,评价干预前、后患者检查前准备完好率,侯检时间,扫描时间,一次成功率以及受辐射剂量(ED)的差异。结果 1.培训后临床护士影像检查相关知识测试成绩(73.49±6.69)高于培训前(67.08±7.57),差异具有统计学意义(P0.05);2.通过多学科护理团队对CCTA检查前准备进行护理干预,患者检查前准备完好率由53.57%提高到82.8%,差异有统计学意义(P0.05);侯检时间由55.10±22.61 min缩短至40.51±21.64 min,扫描时间由9.16±1.84 min缩减至7.37±1.66 min,差异均有统计学意义(P0.05),一次成功率由77.98%提高至87.90%,差异具有统计学意义(P0.05),患者受辐射剂量由8.94±1.73 m Sv减少到6.52±1.51m Sv,差异具有统计学意义(P0.05)。结论通过多学科护理团队合作模式的应用,增进了临床护士对影像检查相关知识的了解,优化了CCTA检查流程,改善了患者的影像检查体验。
[Abstract]:Objective to improve the image examination experience of inpatients by multi-disciplinary nursing team cooperation. Method 1. A multidisciplinary nursing team consisting of imaging doctors, technicians, nurses and clinical nursing team leaders (liaison officers). The imaging training group regularly trained the liaison staff on the knowledge of image examination. The liaison staff preached to the clinical nurses in this department in the form of morning shift and branch business study, and compared the difference of image knowledge test scores before and after the clinical nurse training. 3. The nurses of the imaging department cooperated with the liaison staff to carry out nursing intervention before CCTA examination, optimize the CCTA examination process, evaluate the ready rate, waiting time and scanning time before and after the intervention. The difference of primary success rate and dose of ED2 +. Result 1. The scores of clinical nurses' image examination related knowledge after training were 73.49 卤6.69 and 67.08 卤7.57, respectively. The difference was statistically significant (P 0.05). Nursing intervention was carried out by multidisciplinary nursing team before CCTA examination. The rate of preparation before examination was increased from 53.57% to 82.8%, the difference was statistically significant (P 0.05), the waiting time was shortened from 55.10 卤22.61 min to 40.51 卤21.64 mins, the scanning time was reduced from 9.16 卤1.84 min to 7.37 卤1.66 mins, the difference was statistically significant (P 0.055.The success rate was increased from 77.98% to 87.90 min). The difference was statistically significant (P 0.05), the radiation dose was decreased from 8.94 卤1.73 m Sv to 6.52 卤1.51m Sv, and the difference was statistically significant (P 0.05). Conclusion the application of multi-disciplinary nursing team cooperation model can improve the clinical nurses' understanding of image examination, optimize the CCTA examination process, and improve the patient's image examination experience.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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