臨床護理路徑CNP在腹部CT增強掃描檢查中的應用研究

張梅芳 袁強 楊建娣

[摘要] 目的 探究臨床護理路徑在行腹部CT增強掃描檢查患者中的應用效果。 方法 收集本院2017年7月～2018年6月收治的120例行腹部CT增強掃描檢查患者的臨床資料，依據不同的干預方法歸納為對照組和實驗組，各60例。前者采取常規護理方法，后者采取臨床護理路徑。對照并分析兩組患者的檢查配合度、不良反應發生率、護理滿意度及護理差錯數。 結果 實驗組患者的檢查配合度為93.3%，明顯優于對照組的73.3%（P<0.05）;實驗組患者的不良反應發生率為5.0%，明顯低于對照組的18.3%（P<0.05）;實驗組患者的滿意度評分為（4.37±0.40）分，明顯優于對照組患者的（3.26±0.73）分（P<0.05）;實驗組護理差錯共1次，明顯少于對照組的8次（P<0.05）。 結論 臨床護理路徑在腹部CT增強掃描檢查中應用效果較好，能夠明顯提升患者的依從性，進而更好地配合檢查，提高患者的滿意度，具有較高的臨床實用性。

[關鍵詞] 腹部CT;CT增強掃描;臨床護理路徑;治療依從性;護理差錯

[中圖分類號] R473 ? ? ? ? ?[文獻標識碼] B ? ? ? ? ?[文章編號] 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

隨著影像學的發展，多層CT增強掃描越來越廣泛應用于臨床，該技術需注射造影劑，提高疾病的檢出率[1]。在CT增強掃描的過程中，由于步驟較多，同時患者對CT增強掃描缺乏認識，易產生緊張、焦慮的心理，不能很好地配合檢查，部分患者還會因心理問題出現惡心、嘔吐等情況，影響檢查正常進行。腹部增強CT掃描由于其獨特的結構，患者在檢查前的準備以及檢查過程中的配合直接影響檢查能否順利進行及檢查結果是否準確[2]。臨床護理路徑（Clinical nursing pathway，CNP）是一種新型臨床護理流程，能夠通過良好的設計和計劃護理工作流程，優化護理服務。本研究旨在制定有效可行的臨床護理路徑，降低患者的負面情緒，提高其配合度，避免造影劑滲漏的發生，使掃描能安全、順利完成，提高檢查結果的可信度。本文旨在討論腹部CT增強掃描中采取臨床護理路徑干預的效果，現報道如下。