医护一体化管理模式在超声造影检查中的应用研究  

Application of the doctor-nurse integrated management model in contrast-enhanced ultrasound examination

作　　者：谭琳 郭燕丽 李欣 张君 曾渱越 冯江 胡绍毅 TAN Lin;GUO Yanli;LI Xin;ZHANG Jun;ZENG Hongyue;FENG Jiang;HU Shaoyi(Department of Ultrasound,the First Affiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学第一附属医院超声科,重庆400038

出　　处：《临床超声医学杂志》2025年第1期18-22,共5页Journal of Clinical Ultrasound in Medicine

基　　金：国家自然科学基金项目(8217071363);重庆市技术创新与应用发展专项重点项目(CSTB2022TIAD-KPX0153);重庆英才创新创业领军人才项目(425Z2K1)。

摘　　要：目的探讨医护一体化管理模式在经静脉注射六氟化硫微泡超声造影(CEUS)检查中的应用效果及意义。方法选取2019年1月至2023年12月于我院超声科接受CEUS检查的患者39616例,根据是否实施医护一体化管理模式将患者分为对照组(2019年1月至2020年12月采用常规管理模式,18942例)和研究组(2022年1月至2023年12月采用医护一体化管理模式,20674例)。比较两组CEUS检查时工作效率、患者候诊时间、不良反应发生率及患者满意度。结果在相同时间段及医护人员、诊室未增加情况下,研究组患者较对照组增加了9.1%。与对照组比较,研究组候诊时间明显缩短、满意度明显提高、不良反应发生率降低,差异均有统计学意义(均P<0.05)。所有发生不良反应的患者均经积极救治转危为安,痊愈出院。结论在CEUS检查中实施医护一体化管理模式,能有效提高工作效率、缩短患者候诊时间、降低不良反应发生率、提高患者满意度,有一定的临床意义。Objective To explore the application effect and significance of the doctor-nurse integrated management model in contrast-enhanced ultrasound(CEUS)examination with intravenous injection of sulfur hexafluoride microbubbles.Methods A total of 39616 patients who received CEUS in the Department of Ultrasound of our hospital from January 2019 to December 2023 were collected.The patients were divided into the control group(18942 cases underwent conventional management model from January 2019 to December 2020)and the study group(20674 cases underwent doctor-nurse integrated management model from January 2022 to December 2023)according to whether the doctor-nurse integrated management model was implemented.The work efficiency,waiting time,incidence of adverse reactions and patient satisfaction were compared between the two groups.Results During the same period,the number of patients of the study group increased by 9.1%compared to the control group without increasing the number of medical staff and consultation rooms.Compared with the control group,the waiting time of the study group was significantly shortened,the patient satisfaction of the study group was significantly improved,and the incidence of adverse reactions of the study group was reduced,with statistically significant differences(all P<0.05).All patients who experienced adverse reactions received active treatment,transformed danger into safety,and recovered and were discharged.Conclusion Implementing the doctor-nurse integrated management model in CEUS can effectively increase work efficiency,shorten patient waiting time,reduce the incidence of adverse reactions,and improve patient satisfaction,which has a certain clinical significance.

关 键 词：超声造影 医护一体化管理 候诊时间 药物不良反应 满意度 

分 类 号：R445.1[医药卫生—影像医学与核医学]