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目的:运用品管圈提高增强CT检查中患者口服水化的依从性和规范性,减轻造影剂对肾功能的影响,预防造影剂肾病(CIN)的发生。方法:成立品管圈,确定主题,进行现况调查与计划制定、原因分析,制订对策并实施。结果:品管圈活动后患者口服水化依从性及规范性与品管圈活动前比较显著提高,差异有统计学意义(P<0.05)。结论:品管圈活动可有效提高门诊患者口服水化的依从性及规范性,减少CIN的发生率,提高患者满意度,提升护理服务质量。
OBJECTIVE: To improve the adherence and standardization of oral hydration in patients undergoing enhanced CT examination by using quality control ring, to reduce the influence of contrast medium on renal function and to prevent the occurrence of contrast-induced nephropathy (CIN). Methods: The establishment of quality control circle, determine the theme, conduct status investigation and planning, analysis of causes, formulate countermeasures and implementation. Results: The hydrocephalus compliance and normativeness of patients after QA activity were significantly improved compared with those before QA activity, the difference was statistically significant (P <0.05). CONCLUSION: QA activities can effectively improve compliance and normativeness of oral hydration in outpatients, reduce the incidence of CIN, improve patient satisfaction and improve the quality of nursing services.