关于对比增强计算机断层扫描准备性禁食的政策和实践:全国性调查
Jianjie Li1, Li Cai1, Li Zhao1
1From the Department of Radiology, Daping Hospital, Army Medical University, Chongqing.
Journal of computer assisted tomography
|March 4, 2024
概括
目前的对比增强计算机断层扫描 (CECT) 禁食协议差异很大,许多医院超过了推的指导方针. 这导致了患者的不适,强调了更新准备性禁食实践的必要性.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 患者护理 患者护理
背景情况:
- 在对比度增强计算机断层扫描 (CECT) 之前准备性禁食的当前做法尚未标准化.
- 现有协议往往偏离较新的指导方针,可能会影响患者的体验和结果.
研究的目的:
- 评估中国医院中CECT前准备性禁食的现有政策和做法.
- 评估放射科主任护士对这些禁食协议的知识和态度.
主要方法:
- 在499家中国医院的放射科主任护士进行了在线调查.
- 该调查收集了有关部门政策,禁食实践以及护士对CECT禁食的知识/态度的数据.
主要成果:
- 实现了高响应率 (89.8%),所有医院都有禁食协议,主要是基于有的对比介质 (ICM) 准则.
- 在46%的病例中报告过度禁食,导致患者像低血糖症 (86.7%) 这样的不适.
- 大多数护士认为腹部上部检查需要禁食,72.1%的护士认为目前的政策需要改进.
结论:
- 在各医院中,CECT的准备性禁食内容和持续时间存在显著差异.
- 护士对禁食要求的看法因检查地点和患者因素而有所不同.
- 建议在CECT之前不禁食的最新指南尚未完全实施,这表明需要基于证据的实践转型.
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