护理干预对64层螺旋CT冠状动脉成像的影响  

作　　者：包世敏[1] 邝碧娟[1] 陈丽玲[1] 赵菲[1] 王湘郴[1] 

机构地区：[1]广东医学院附属深圳市福田人民医院,广东深圳518033

出　　处：《现代临床护理》2009年第5期21-23,35,共4页Modern Clinical Nursing

摘　　要：目的通过护理干预手段优化64层螺旋CT冠状动脉成像的工作流程,缩短检查时间,提高检查成功率。方法2006年10月～2008年6月将1000例CT冠状动脉造影检查者随机分为干预组和对照组各500例。对照组检查前给予一般指导和口服美托洛尔,由扫描技术员按机器提示训练检查者呼吸和屏气;干预组检查前给予检查者系统心理护理干预、捏鼻法训练呼吸及口服美托洛尔。比较两组检查者心率控制速度、呼吸配合训练时间和检查过程心率波动>10bpm的发生率、检查成功率情况。结果干预组检查者心率控制时间及呼吸配合训练时间明显较对照组缩短,检查过程心率波动幅度>10bpm的发生率较对照组低,检查成功率较对照组高,均P<0.001,差异具有统计学意义。结论恰当的护理干预手段能明显降低64层螺旋CT冠状动脉检查者控制心率和呼吸配合训练所消耗时间,降低检查过程心率波动幅度,提高检查成功率,使设备、人力资源得到最大程度的发挥。Objective To optimize the workflow, cut the examination time, and improve the success rate of 64-slice spiral CT coronary angiography by nursing intervention. Methods A total of 1 000 patients who underwent 64-slice spiral CT coronary angiography from Oct 2006 to Jun 2008 were randomly assigned to the intervention group and control group. Patients in the control group received routine guideline and took metoprolol to lower the heart rate. They were trained by a technician to match their respiration to the test equipment. Patients in the intervention group received sufficient psychological nursing with the way of pinching their noses instead of holding breath, controlling their heart rate by metoprolol. The time of heart rate control and respiration training, the incidence of fluctuation of heart rate 〉 10 bpm and the success rate of examination between two groups were compared. Result The intervention group had statistically significant shorter time of respiration training and heart rate control, a lower incidence of heart rate fluctuation 〉 10 bpm and the higher success rate of exam than in control group （P 〈 0.001 ）. Conclusion Proper nursing intervention could reduce the time of heart rate control and respiration match training, lower amplitude of heart rate and improve the success rate in examination so as to optimize the equipment and human resource.

关 键 词：64层螺旋CT 冠状动脉 护理干预 

分 类 号：R473.5[医药卫生—护理学]