含碘对比剂静脉外渗护理管理实践指南的循证实践研究  

Evidence-based practice of the Practice Guideline for the Management of Iodinated Contrast Media Extravasation

作　　者：操帅 张小红 何红 殷倩 夏红霞 Cao Shuai;Zhang Xiaohong;He Hong;Yin Qian;Xia Hongxia(Nursing Department of Xiangyang Central Hospital,Xiangyang 441000,China)

机构地区：[1]湖北文理学院附属医院,襄阳市中心医院护理部,湖北襄阳441000 [2]湖北文理学院附属医院,襄阳市中心医院手术室,湖北襄阳441000 [3]湖北文理学院附属医院,襄阳市中心医院胆胰外科,湖北襄阳441000

出　　处：《护理学杂志》2024年第9期56-60,共5页Journal of Nursing Science

摘　　要：目的基于《含碘对比剂静脉外渗护理管理实践指南》实施临床循证实践,确保指南科学有效应用于临床,降低碘对比剂外渗率。方法成立循证实践团队,对指南推荐意见进行临床适用性评价后构建审查指标,分析指南临床实施的障碍因素,制定并实施循证实践方案。比较循证实践前后碘对比剂外渗发生率、护士对审查条目的执行率及碘对比剂外渗护理管理相关知识。结果循证实践后碘对比剂外渗发生率为0.16%,显著低于循证实践前的0.51%(P<0.05);循证实践后护士对审查条目的执行率及相关知识评分显著高于实践前(均P<0.05)。结论将基于指南的碘对比剂外渗预防及管理综合策略运用于临床实践,可提高护士对碘对比剂外渗相关知识的认知水平及执行依从性,降低碘对比剂静脉外渗发生率。Objective Based on the"Practice Guideline for the Management of Iodinated Contrast Media Extravasation",this study aims to ensure the recommendations in the guideline can be effectively implemented in clinical practice,and to reduce the incidence of iodinated contrast media extravasation.Methods An evidence-based practice team was established to evaluate clinical applicability of the recommendations of the guideline,formulate the audit indicators,analyze barriers in clinical practice,develop and implement countermeasures.The incidence of iodinated contrast media extravasation,the execution rate of audit indicators by nurses,and the knowledge related to management of iodinated contrast media extravasation were compared before and after the evidence-based practice.Results The incidence of iodinated contrast media extravasation was 0.51%and 0.16%before and after the evidence-based practice,with significant difference(P<0.05).The execution rate of audit indicators by nurses and the knowledge of iodinated contrast media extravasation were significantly higher after the practice than the baseline values(both P<0.05).Conclusion Application of guideline-based strategies for the prevention and management of iodinated contrast media extravasation in clinical practice,can effectively improve nurses′knowledge and adherence,resulting in reducing iodinated contrast media extravasation.

关 键 词：碘对比剂 静脉外渗 临床实践指南 循证实践 静脉治疗 循证护理 护理管理 放射护理 

分 类 号：R471[医药卫生—护理学]