护理干预对降低碘对比剂外渗不良事件发生率的效果评价  

Effect evaluation of nursing intervention to reduce the incidence of adverse events of iodine contrast agent extravasation

作　　者：李露芳[1] 王雁新[1] 王慧[1] 

机构地区：[1]中山大学附属第三医院放射科,广州510630

出　　处：《中国实用护理杂志》2011年第30期42-43,共2页Chinese Journal of Practical Nursing

摘　　要：目的通过对碘对比剂发生外渗不良事件的原因进行分析比较，使护理管理者及时制订行之有效的解决方案，采取相应的防范措施，确保患者生命安全。方法选择600例注射碘对比剂进行CT增强扫描检查的患者，将2009年5月至2010年4月收治的300例患者作为对照组，实施常规护理措施；将2010年5月至2011年4月收治的300例患者作为实验组，实施有效的针对对比剂外渗的防范措施。将2组注射碘对比剂后出现护理不良事件的发生率进行比较。结果实验组实施一系列防范措施后，碘对比剂外渗的发生率为2％，显著低于对照组的10％。结论通过实施一系列的防范措施，降低了碘对比剂护理不良事件的发生率，保障了患者的生命安全，明显降低了护理缺陷及护理投诉次数，提高了护理服务质量。Objective Through analyzing the causes of iodine contrast agent extravasation, nursing managers develop effective solutions timely and take appropriate precautionary measures to ensure the safety of patients effectively. Methods 600 patients undergoing CT contrast enhanced scan were selected, 300 patients from May 2009 to April 2010 were set as the control group and were given routine nursing care, 300 patients from May 2010 to April 2011 were set as the study group and they adopted effective preventive measures. The incidence of adverse events after injection of iodine contrast agent between the two groups was compared. Results The incidence of iodine contrast medium extravasation in the study group was significantly reduced to 2% after taking a series of preventive measures,which was lower than 10% of the control group. Conclusions Taking a series of preventive measures can reduce the incidence of adverse events of iodine contrast agent extravasation, ensure the safety of patients,decrease the frequency of nursing complaints and nursing deficiencies,as well as improve the quality of nursing service.

关 键 词：碘对比剂外渗 护理不良事件 发生率 护理安全管理 

分 类 号：R47[医药卫生—护理学]