标准化护理流程下99Tcm-MIBI与99Tcm-TF药物负荷心肌灌注显像患者体验及护理质控的回顾性研究

Retrospective study of patient experience and nursing quality control in drug-stress myocardial perfusion imaging with 99Tcm-MIBI versus 99Tcm-TF under a standardized nursing protocol

    摘要
  • 摘要:
    目的 探讨标准化护理流程下，99Tcm-甲氧基异丁基异腈（MIBI）与99Tcm -替曲膦（TF）药物负荷心肌灌注显像（MPI）患者体验及护理质控的差异。
    方法 采用回顾性队列研究，纳入2026年1至5月于复旦大学附属中山医院行药物负荷MPI（99Tcm-MIBI或99Tcm-TF）的42例患者，将其分为MIBI组［n=21，男性11例、女性10例，年龄（59.8±12.3）岁］与TF组［n=21，男性17例、女性4例，年龄（58.4±8.9）岁］。比较2组患者注射后候检时间，各维度检查满意度、焦虑状态及护理质控评分。不符合正态分布的计量资料的组间比较采用Mann-Whitney U检验。
    结果 ２组患者均顺利完成MPI。TF组注射后候检时间短于MIBI组（Z=−5.551，P<0.001）； TF组检查前准备便捷性、注射后等待时间合理性、检查环境舒适度、检查后健康指导清晰度、整体流程便捷性、整体服务满意度评分均高于MIBI组（Z=2.265~4.457，均P<0.05）； TF组各维度焦虑评分均低于MIBI组（Z=−2.721~−1.993，均P<0.05）；TF组健康宣教、患者评估与准备、辐射防护、健康指导评分均高于MIBI组（Z=2.096~4.288，均P<0.05）。
    结论  与MIBI组相比， TF组能缩短患者候诊时间，减轻焦虑情绪并改善就医体验，同时有利于优化护理流程、提升护理质控水平，具有较好的临床推广价值。

     

    Abstract:
    Objective To investigate the differences in patient experience and nursing quality control between patients undergoing drug-stress myocardial perfusion imaging (MPI) with 99Tcm-methoxyisobutylisonitrile (MIBI) and 99Tcm-tetrofosmin (TF) under a standardized nursing protocol.
    Methods This retrospective cohort study included 42 patients who underwent drug-stress MPI with 99Tcm-MIBI or 99Tcm-TF at Zhongshan Hospital, Fudan University, from January to May 2026. The patients were divided into an MIBI group (n=21, 11 males and 10 females, age (59.8±12.3) years) and a TF group (n=21, 17 males and 4 females, age (58.4±8.9) years). The post-injection waiting time, satisfaction scores across different dimensions, anxiety status, and nursing quality control scores of the two groups were compared. The Mann-Whitney U test was used for between-group comparisons of measurement data that did not conform to a normal distribution.
    Results All patients successfully completed MPI. The post-injection waiting time in the TF group was shorter than that in the MIBI group (Z=−5.551, P<0.001). The TF group′s had higher scores than the MIBI group for convenience of pre-examination preparation, appropriateness of post-injection waiting time, comfort of the examination environment, clarity of post-examination health guidance, convenience of the overall examination process, and overall service satisfaction (Z=2.265–4.457, all P<0.05). The scores for all anxiety-related dimensions in the TF group were lower than those in the MIBI group (Z=−2.721 to −1.993, all P<0.05). The TF group's scores for health education, patient assessment and preparation, radiation protection, and health guidance were also higher than those of the MIBI group (Z=2.096–4.288, all P<0.05).
    Conclusion Compared with the MIBI group, the TF group had shorter waiting time, reduced anxiety, and improved patient experience while facilitating the optimization of the nursing workflow and improvement of nursing quality control, which shows good value for clinical promotion.

     

    • HTML全文
    • 参考文献(19)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回