优质护理对冠状动脉心脏CT扫描成功率及图像质量的影响

Effect of Quality Nursing on Coronary CTA Scan Success Rate and Image Quality

目的探讨优质护理对冠状动脉心脏CT(CTA)扫描成功率及图像质量的影响。方法选取江门市新会人民医院2017年3—11月间收治的106例因临床诊断需求而行冠状动脉CTA检查的住院患者,采用随机数字法将其分为对照组与观察组,每组各53例。对照组给予常规护理后送CT室检查,观察组在对照组基础上给予优质护理干预后再送CT室检查,比较两组患者护理后CTA扫描的成功率及对图像质量的影响。结果护理后,观察组与对照组的患者在心率控制、屏气方法掌握、心理调节及知识掌控4个方面均有改善,其中观察组干预后较干预前相比,影响因素的改善更加明显,图像质量也明显高于对照组(P<0.05);且观察组的成功率为94.34%,明显高于对照组的79.25%,差异有统计学意义(P<0.05)。结论系统的护理干预对提高住院患者冠状动脉CTA检查的成功率有显著的效果,且增强了扫描图像的质量,值得临床推广使用。

Objective To investigate the effect of quality nursing on the success rate and image quality of coronary CTA. Methods A total of 106 inpatients undergoing coronary CTA examination for clinical diagnosis enrolled in the hospital from March to November, 2017 were selected. They were divided into control group(n=53)and observation group(n=53)by random number method. The control group were given routine care and sent to the CT room. The observation group were sent to the CT room throngh quality nursing on the basis of the control group. The success rate of CTA scan after care and the effect on image quality were compared between the two groups. Results After nursing,the patients in the observation group and the control group improved in four aspects, including heart rate control,breath holding,psychological adjustment and knowledge control. In the observation group,the improvement of the influencing factors was more obvious than that before the intervention,and the image quality was also significantly higher than that of the control group(P<0.05). Moreover,the success rate of the observation group(94.34%)was significantly higher than that of the control group(79.25%,P<0.05). Conclusion The systematic nursing intervention has significant effect on improving the success rate of coronary CTA examination in hospitalized patients,and enhances the quality of scanned images. So it is worthy of clinical application.