缺血性脑卒中患者“一站式多模态”CT检查流程优化的研究  

Study on the optimization of "one-stop multi-modal" CT examination procedure in patients with ischemic stroke

作　　者：汪爱丹 南丽杰 郭道德[1] 王胜奇[2] 卢洁[1,3] WANG Aidan;NAN Ljie;GUO Daode;WANG Shengqi;LU Jie(Radiology Department,Beijing key Lab of MRI and Brain Informatics,Xuanwu Hospital,Capital Medical University,Beijing,100053,China)

机构地区：[1]首都医科大学宣武医院放射科、磁共振成像脑信息学北京市重点实验室,北京100053 [2]首都医科大学宣武医院急诊科,北京100053 [3]首都医科大学宣武医院核医学科,北京100053

出　　处：《中国护理管理》2020年第5期787-791,共5页Chinese Nursing Management

基　　金：北京市自然科学基金资助项目(Z190014);北京市医院管理局“登峰”计划专项经费资助项目(DFL20180802)。

摘　　要：目的:分析“一站式多模态”CT检查流程优化对缩短患者就诊至应用静脉溶栓药时间(DNT)、提升缺血性脑卒中救护质量的效果.方法:选取2015年12月至2018年3月在某三级甲等医院就诊并进入脑卒中溶栓绿色通道患者145例,分为对照组和实验组.实验组进行流程优化,采用“并联模式”并删减耗时环节,比较流程优化前后患者各关键环节用时、DNT、患者预后及护理满意度.结果:流程优化后实验组患者就诊至完成CT检查时间、DNT较对照组明显缩短(P<0.001);护理满意度明显提升(P<0.05);住院时间明显缩短(P<0.001).结论:“一站式多模态”CT检查流程优化提升了缺血性脑卒中患者救护质量,缩短了DNT,提高了患者护理满意度.Objective: To analyze the effect on shortening Door-to-Needle Time(DNT) and improving the quality of ischemic stroke treatment by optimizing the "one-stop multi-modal" CT examination process. Methods: 145 patients admitted to a tertiary grade A hospital from December 2015 to March 2018 were divided into control group and experimental group. The experimental group carried out process optimization, adopted "parallel mode" and cut the time-consuming parts. The time of different steps, DNT, patient prognosis and nursing satisfaction were compared before and after process optimization. Results: After the process optimization, the Door-to-CT time and DNT was significantly shorter in the experimental group than the control group(P<0.001). The nursing satisfaction was significantly improved(P<0.05), and hospital stay was significantly shortened(P<0.001). Conclusion: "One-stop multi-modal" CT examination process optimization improves the quality of ischemic stroke treatment, shortens DNT, and improves patient nursing satisfaction.

关 键 词：缺血性脑卒中 静脉溶栓 流程优化 一站式 

分 类 号：R47[医药卫生—护理学]