Liu Fenggang,Wang Juanjuan,Liu Xiaoping,Huang Yanjin,Deng Qidan,Ou Yulan,Liao Li.Study on the effect of optimizing nursing process in emergency PCI on the reduction of radiation received by interventional nurses[J].Chinese Journal of Radiological Medicine and Protection,2018,38(8):617-620
Study on the effect of optimizing nursing process in emergency PCI on the reduction of radiation received by interventional nurses
Received:December 03, 2017  
DOI:10.3760/cma.j.issn.0254-5098.2018.08.011
KeyWords:Chest pain center  Nursing process  Radiation exposure  Coronary stent  Interventional nurse
FundProject:中央军委科技委国防科技创新特区项目(17-163-15-XJ-002-002-04)
Author NameAffiliationE-mail
Liu Fenggang School of Nursing, University of South China, Hengyang 421001, China  
Wang Juanjuan Occupational Disease Center, Hengyang Traditional Chinese Medicine Hospital, Hengyang 421001, China  
Liu Xiaoping Interventional Cardiovascular Center, The First Affiliated Hospital of University of South China, Hengyang 421001, China  
Huang Yanjin School of Nursing, University of South China, Hengyang 421001, China  
Deng Qidan School of Nursing, University of South China, Hengyang 421001, China  
Ou Yulan Interventional Cardiovascular Center, The First Affiliated Hospital of University of South China, Hengyang 421001, China  
Liao Li School of Nursing, University of South China, Hengyang 421001, China 254251558@qq.com 
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Abstract::
      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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