群组管理护理模式在冠心病患者冠状动脉CT血管成像中的应用  

Application of group-view nursing mode in coronary CT angiography for patients with coronary heart diseases

作　　者：赵新雁[1] 潘爱珍[1] 洪居陆[1] 陈秀玲[1] 周嫦英[1] ZHAO Xin-yan;PAN Ai-zhen;HONG Ju-lu;CHEN Xiu-ling;ZHOU Chang-ying(CT Room of Department of Medical Imaging,the First People's Hospital of Foshan,Foshan 528000,China)

机构地区：[1]广东省佛山市第一人民医院医学影像科CT室,广东佛山528000

出　　处：《广东医科大学学报》2020年第2期240-242,共3页Journal of Guangdong Medical University

基　　金：佛山市医学类科技攻关项目(No.2017AB002041)。

摘　　要：目的将基于群组管理(GV)的护理模式用于256层螺旋CT冠状动脉造影中,对其应用效果进行观察。方法选取冠状动脉CT血管成像(CTA)的1 690例患者分为研究组(n=845)和对照组(n=845),对照组行常规护理,研究组行GV护理模式,对两组干预结果进行比较。结果检查后研究组患者的血压、心率水平与检查前比较差异不明显,对照组则明显高于检查前(P<0.05);研究组的依从率、检查成功率、图像优良率均高于对照组(P<0.01),候检时间短于对照组,检查人次数多于对照组(P<0.01)。结论群组管理护理模式在冠脉CTA中应用价值较高,可避免患者血压、心率波动的幅度过大,还可提高检查依从性及一次性检查成功率,提高图像质量,缩短候检时间,值得应用及推广。Objective To explore the application of group-view nursing mode in 256-slice spiral coronary CT angiography for patients with coronary heart diseases. Methods 1 690 cases receiving coronary CT angiography(CTA) were randomly divided into the Study Group(n=845) and the Control Group(n=845). The Control Group received routine nursing while the Study Group received GV nursing mode. The intervention results of two groups were compared. Results After the examination, the blood pressure and heart rate in the Study Group were not statistically significant compared with those before the examination. However, the blood pressure and heart rate in the Control Group were statistically significant compared with those before the examination(P<0.05). The rates of the compliance rate, successful examination and excellent images in the Study Group were higher than those in the Control Group(P<0.01). The pending time in the Study Group was shorter than that in the Control Group, and the number of patients examined in the Study Group was more than that in the Control Group(P<0.01). Conclusion There is a high application value of group-view nursing mode in CTA, which can avoid the excessive fluctuation of blood pressure and heart rate of patients, improve the compliance and the success rate of one-time examination, improve the image quality, shorten the pending time. It is worth clinical application and promotion.

关 键 词：群组管理护理 冠心病 冠状动脉CT血管成像 

分 类 号：R473[医药卫生—护理学]