多学科合作团队护理策略在预防CT增强碘对比剂外渗中的作用  

The role of multidisciplinary collaborative team nursing strategy in preventing extravasation of iodinated contrast media during CT enhancement

作　　者：潘锡屏[1] 梁俊丽[1] 施黎黎 曾冠珍[1] 窦瑛[1] PAN Xiping;LIANG Junli;SHI Lili;ZENG Guanzhen;DOU Ying(The First Affi liated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院,广西壮族自治区南宁市530021

出　　处：《护理实践与研究》2025年第4期522-526,共5页Nursing Practice and Research

基　　金：广西壮族自治区卫健委医疗卫生适宜技术开发与推广应用项目(编号:S2020033)。

摘　　要：目的探讨循证支持下的多学科合作团队护理策略在预防CT增强碘对比剂外渗中的效果,并研究其在临床实践中的应用前景。方法选取2022年1月—2023年12月在广西医科大学第一附属医院行CT增强检查的患者60例作为观察对象,按组间基线资料具有可比性原则分为观察组和对照组,每组30例。对照组实施常规护理干预,观察组实施循证支持下多学科合作团队护理策略,对两组患者的碘对比剂外渗情况、不良反应发生率、护理满意度进行对比。结果观察组碘对比剂外渗发生率10.00%,对照组碘对比剂外渗发生率36.67%,观察组碘对比剂外渗发生率低于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率6.67%,对照组不良反应发生率33.33%,观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。在护理满意度方面,观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论循证支持下的多学科合作团队护理策略有效降低了CT增强检查过程中碘对比剂外渗和不良反应的发生率,保障了患者的安全并提高了患者对护理的满意度。为临床实践提供了有利的指导和借鉴。Objective To explore the effect of evidence-based multidisciplinary collaborative team nursing strategy in preventing the extravasation of iodinated contrast media during CT enhancement and to study its application prospects in clinical practice.Methods A total of 60 patients who underwent CT enhancement examination at the First Affi liated Hospital of Guangxi Medical University from January 2022 to December 2023 were selected as the study subjects.According to the principle of comparability of baseline data between groups,they were divided into an observation group and a control group,with 30 cases in each group.The control group received routine nursing intervention,while the observation group received evidence-based multidisciplinary collaborative team nursing strategy.The extravasation of iodinated contrast media,the incidence of adverse reactions,and nursing satisfaction were compared between the two groups of patients.Results The incidence of iodinated contrast media extravasation in the observation group was 10.00%,while the incidence in the control group was 36.67%,the incidence of iodinated contrast media extravasation in the observation group was lower than that in the control group,the diff erence was statistically signifi cant(P<0.05).The incidence of adverse reactions in the observation group was 6.67%,while the incidence in the control group was 33.33%,the incidence of adverse reactions in the observation group was lower than that in the control group,the diff erence was statistically signifi cant(P<0.05).The patient's satisfaction with nursing in the observation group was higher than that in the control group,the diff erence was statistically signifi cant(P<0.05).Conclusion Evidence-based multidisciplinary collaborative team nursing strategy can effectively reduce the incidence of iodinated contrast media extravasation and adverse reactions during CT enhancement,ensuring patient safety and improving their satisfaction with nursing.It provides valuable guidance and reference for clinical practice.

关 键 词：循证支持 多学科合作团队 护理策略 碘对比剂外渗 不良反应 护理满意度 

分 类 号：R47[医药卫生—护理学]