医护一体化管理模式在超声造影检查中的应用研究
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1.陆军军医大学第一附属医院超声科;2.陆军军医大学第一附属医院护理部

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] 国家自然科学基金(8217071363);重庆市技术创新与应用发展专项重点项目(CSTB2022TIAD-KPX0153);重庆英才·创新创业领军人才项目(创新领军人才类别 教育领域)项目编号(425Z2K1)


Research on the application of integrated medical and nursing management model in intravenous injection of sulfur hexafluoride microbubble ultrasound contrast examination
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    摘要:

    目的 探讨医护一体化管理模式在超声造影(contrast enhanced ultrasound,CEUS)检查中的应用效果及意义。方法 通过医院影像归档和通信系统收集2019年1月至2023年12月在我院接受经静脉注射六氟化硫微泡行CEUS检查患者临床资料进行回顾性分析,按是否施行医护一体化管理将患者分为研究组(2022年1月至2023年12月)与对照组(2019年1月至2020年12月),比较两组患者候诊时长、不良反应发生率及患者满意度。结果? 共纳入研究患者20674例、对照组患者18942例,两组患者年龄及门诊与住院患者比例相似。在相同时间段及人员与诊室增加情况下,研究组较对照组工作效率提高了9.1%。与对照组比较,研究组患者候诊时长显著缩短(p<0.001)、患者满意度显著提高(p<0.001)、不良反应发生率显著降低(0.069% vs 0.024%,p=0.038)。所有发生不良有反应患者均经积极救治转危为安,痊愈出院。结论 在CEUS检查中实施医护一体化管理,能有效增加工作效率、缩短患者候诊时长、降低不良反应发生,提高患者满意度。

    Abstract:

    ABSTRACT Objective The purpose of this study is to explore the application effect and significance of the integrated medical and nursing management model in contrast-enhanced ultrasound (CEUS) examination. Method Clinical data of patients who underwent intravenous injection of sulfur hexafluoride microbubbles for CEUS examination in our hospital from January 2019 to December 2023 were collected through hospital image archiving and communication systems for retrospective analysis. Patients were divided into a study group (January 2022 to December 2023) and a control group (January 2019 to December 2020) based on whether integrated medical and nursing management was implemented. The waiting time, incidence of adverse reactions, and patient satisfaction of the two groups were compared.Results The results included a total of 20674 study patients and 18942 control group patients, with similar age and proportion of outpatient and inpatient patients in both groups. During the same time period and with an increase in personnel and consultation rooms, the research group achieved a 9.1% improvement in work efficiency compared to the control group. Compared with the control group, the waiting time of patients in the study group was significantly shortened (p<0.001), patient satisfaction was significantly improved (p<0.001), and the incidence of adverse reactions was significantly reduced (0.069% vs 0.024%, p=0.038). . All patients who experienced adverse reactions were actively treated and recovered, and were discharged from the hospital. Conclusion Implementing integrated medical and nursing management in CEUS examinations can effectively increase work efficiency, shorten patient waiting time, reduce adverse reactions, and improve patient satisfaction.

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div style=谭琳,郭燕丽,李欣,张君,曾渱越,冯江,胡绍毅.医护一体化管理模式在超声造影检查中的应用研究[J].临床超声医学杂志,2025,27(1):18-22

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  • 收稿日期:2024-05-24
  • 最后修改日期:2024-12-03
  • 录用日期:2024-07-01
  • 在线发布日期: 2025-02-07
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