持续质量改进管理在CT增强扫描患者中应用效果.docVIP

持续质量改进管理在CT增强扫描患者中应用效果 　　[摘要]目的 探讨持续质量改进（CQI）管理在CT增强扫描患者中的应用效果。方法 选取2015年4月～2016年4月我院收治的未实施CQI管理的86例CT增强扫描患者作为对照组，选取2016年9月～2017年9月实施CQI管理的86例CT增强扫描患者作为观察组。比较两组的外渗发生率及护士护理技能提升效果。结果 观察组的外渗发生率明显低于对照组，差异有统计学意义（P0.05）。观察组护士的护理知识掌握率、穿刺成功率、增强扫描注意事项知晓率、患者满意度均明显高于对照组，差异有统计学意义（P0.05）。结论 持续质量改进的方法可有效预防CT增强外渗，提升护理技能和患者满意度，值得临床应用和进一步推广。 　　[关键词]CT增强外渗；持续质量改进；预防作用 　　[中图分类号] R197.323 [文献标识码] A [文章编号] 1674-4721（2018）4（b）-0168-03 　　Application effect of continuous quality improvement management in patients given CT enhanced scan 　　CHEN Rong-ping LUO Fang 　　Department of Medical Imaging，the First People′s Hospital of Shaoguan City，Guangdong Province，Shaoguan 512000，China 　　[Abstract]Objective To investigate the application effect of continuous quality improvement （CQI） management in patients given CT enhanced scan.Methods From April 2015 to April 2016，86 patients given CT enhanced scan having no CQI management treated in our hospital were selected as the control group，while 86 patients patients given CT enhanced scan having CQI management treated in our hospital from September 2016 to September 2017 were selected as the observation group.The incidence of extravasation and the improvement effect of nurses′ nursing skills were compared between the two groups.Results The incidence of extravasation in the observation group was significantly lower than that in the control group，with significant difference between the two groups （P0.05）.The mastery rate of nursing knowledge，success rate of puncture，awareness rate of notices for enhanced scan and satisfaction degree of patients in the observation group were significantly higher than those in the control group，and there was a statistical difference （P0.05）.Conclusion The method of CQI can effectively prevent the CT enhanced extravasation and improve nursing skills and satisfaction degree of patients.It deserves clinical application and further promotion. 　　[Key words]CT enhanced extravasation；Continuous quality improvement；Preventiv