| 刘凤刚,王娟娟,刘小平,黄延锦,邓祺丹,欧玉兰,廖力.优化护理流程对减少急诊冠状动脉支架术中介入护士辐射的效果[J].中华放射医学与防护杂志,2018,38(8):617-620 |
| 优化护理流程对减少急诊冠状动脉支架术中介入护士辐射的效果 |
| Study on the effect of optimizing nursing process in emergency PCI on the reduction of radiation received by interventional nurses |
| 投稿时间：2017-12-03 |
| DOI：10.3760/cma.j.issn.0254-5098.2018.08.011 |
| 中文关键词: 胸痛中心 护理流程 辐射暴露 冠状动脉支架 介入护士 |
| 英文关键词:Chest pain center Nursing process Radiation exposure Coronary stent Interventional nurse |
| 基金项目:中央军委科技委国防科技创新特区项目（17-163-15-XJ-002-002-04） |
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| 中文摘要: |
| 目的 探讨优化护理流程对降低急诊冠状动脉支架术（percutaneous coronary intervention，PCI）中介入护士辐射的影响。方法 连续选取南华大学附属第一医院胸痛中心收治的100例行急诊PCI术急性心肌梗死患者为研究对象，前50例设为对照组，采用常规护理流程，后50例设为优化组，采用优化的护理流程；分别同时采用2种辐射监测方法，对2组护士受到的辐射强度和剂量进行测量比较。结果 2组护士所受的辐射强度在冠状动脉内药物配置、非冠状动脉内药物配置、静脉注射、患者安抚护理、材料紧急开包、造影剂更换等单项操作中差异有统计学意义（Z=-5.171、-3.774、-7.208、-2.454、-4.516、-3.819，P<0.05），在药物皮下注射、患者呕吐护理等单项操作中差异无统计学意义（P>0.05）；手术全程2组护士所受的辐射剂量差异有统计学意义（Z=-6.105，P<0.05）。结论 优化的护理流程有助于减少急诊PCI术中介入护士所受的辐射。 |
| 英文摘要: |
| Objective To investigate the effect of optimizing nursing process in emergency PCI on the reduction of radiation received by interventional nurses.Methods A total of 100 cases of acute myocardial infarction patients who need emergency PCI in First Affiliated Hospital of University of South China were selected for the study, with the first 50 cases as the control group using conventional nursing process and the other 50 cases as the optimization group using the optimal nursing process in the test. Two radiation monitoring methods were used at the same time to measure, record and analyze the radiation dose to the intervention nurses in the two groups.Results The differences in radiation doses to nurses between the two groups were statistically significant in the single operation of intracoronary drug configuration, non-intracoronary drug configuration, intravenous injection, patient care, emergency material unpacking, and contrast agent replacement (Z=-5.171, -3.774, -7.208, -2.454, -4.516, -3.819, P<0.05). There was no significant difference in radiation dose to nurses between the two groups in the subcutaneous injection of drugs and vomiting care of patients (P>0.05). The difference in radiation doses to nurses between the two groups during the entire operation was statistically significant (Z=-6.105, P<0.05).Conclusions The optimized nursing process helps to reduce the radiation received by interventional nurses in emergency PCI. |
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