健康宣教在优化CT检查流程实施中的运用.docVIP

PAGE PAGE 2 健康宣教在优化CT检查流程实施中的运用 卢蓉，李雪，刘俊伶，赵丽 摘要 目的：探讨预约登记及CT扫描前健康教育在实施优化CT检查流程中作用。方法：在预约登记及CT扫描前病人候诊时期，根据不同扫描部位或是否增强扫描实行个体化主动健康宣教。选择头、胸、腹部单一脏器扫描入组，2012年5月CT检查者为传统流程组（A组），6月份为调整期，7月份为优化流程组（B组）。比较了实行优化流程前后病人等待时间、满意率及重扫扫描率，并进行统计学分析。结果：A组CT检查5135例，其中平扫2875例，增强CT2260例；A组CT检查中头颅扫描1284例，胸部1797例，腹部2054例。B组CT检查4523例，其中平扫2714例，增强1809例；B组CT检查中头颅扫描1131例，胸部1582例，腹部1820例。与A组比较，B组病人等待时间显著缩短，满意率明显升高，重复扫描率显著降低，均有统计学意义（P＜0.01）结论：优化流程的健康教育，由被动服务转化为主动服务，提缩短了检查时间，病人满意率明显增加，同时CT成像成功率明显升高。 关键词：CT扫描；流程优化；健康教育；个体化； Importance of health education in the process of optimized CT scanning flow. Lu Rong, Li Xue, Liu Junling, Zhao Li. Deptartment of RadiologyDaping Hospital and Research Institute of Surgery，Third Military Medical University，Chongqing 400042, China Abstract Objective To explore the value of health propaganda during preregistration and before CT scan on the optimized CT examinating flow. Methods Health education was performed actively and individulally based on the CT scanning location and whether underging contrast enhancement. Including criteria was a patient undergoing only one of the head, chest and abdomen CT scan. Patients who underwent CT examination in May and June, 2012 were formed into traditional flow group (group A) and optimized flow (group B), respectively. June was transitional period. The queuing duration, satisfactory rate, and repetitive CT scanning rate were compared between group A and group B. Results There were 5135 cases in group A and 4523 in group B. Plain and contrast-enhanced CT scan was performed in 2875, 2260 patients in group A and in 2714, 1809 patients in group B. 1284, 1797, and 2054 cases in group A and 1131，1582，1820 cases in group B underwent head, chest, and abdomen CT scan, respectively. Queuing duration shortened, satisfactory rate increased and repetitive CT scan decreased significantly in group B in comparison with in group A (P0.01). Conclusions Health education during preregistration and before CT scan in the optimized CT examining f