多元化沟通健康教育结合精细化护理对行CT增强扫描患者对比剂外渗风险的影响OA
Effect of diversified communication-based health education combined with refined nursing on the risk of contrast medium extravasation in patients undergoing contrast-enhanced CT scan
目的 探究多元化沟通健康教育结合精细化护理模式对行 CT 增强扫描患者对比剂外渗风险的影响.方法 选取 2023 年 1 月至 2025 年 1 月于中山大学附属第一医院行 CT 增强扫描患者,按照随机数字表法分为对照组和研究组,各 100 例.对照组采用常规护理,研究组采用多元化沟通健康教育模式结合精细化护理,共干预 90 min.比较 2 组患者检查时碘对比剂外渗发生率、生理应激反应水平、护理前后的心理状况[焦虑自评量表(SAS)、心理痛苦温度计评分]及不良反应的发生情况.结果 干预后,研究组的碘对比剂外渗发生率低于对照组(P<0.05).研究组的心率变化值、收缩压变化值、舒张压水平变化值均低于对照组(P 均<0.05);健康指导后,2 组患者的 SAS 评分、心理痛苦温度计评分均降低,且研究组低于对照组(P 均<0.05);研究组不良反应发生率低于对照组(P<0.05).结论 本研究证实了多元化沟通健康教育结合精细化护理模式具有较高的临床实践价值,可有效改善行 CT 增强扫描患者检查时的碘对比剂外渗发生率和生理应激反应,并显著改善其心理状况,减少不良反应的发生.
Objective To explore the effect of diversified communication-based health education combined with refined nursing on the risk of contrast medium extravasation in patients undergoing contrast-enhanced CT scan.Methods A total of 100 patients who underwent contrast-enhanced CT scan at the First Affiliated Hospital,Sun Yat-sen University from January 2023 to January 2025 were selected and randomly assigned to a control group and a study group using the random number table method,with 100 patients in each group.The control group received routine nursing,while the study group received a diversified communication-based health education model combined with refined nursing,with an intervention duration of 90 minutes.The incidence of iodinated contrast medium extravasation during examination,physiological stress response levels,psychological status before and after nursing(Self-rating Anxiety Scale[SAS]and psychological pain thermometer scores),and the occurrence of adverse reactions were compared between the two groups.Results After the intervention,the incidence of iodinated contrast medium extravasation in the study group was lower than that in the control group(P<0.05).Changes in heart rate,systolic blood pressure,and diastolic blood pressure were lower in the study group than in the control group(P<0.05).After the health education,the SAS scores and psychological pain thermometer scores of both groups decreased,and the scores in the study group were lower than those in the control group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P<0.05).Conclusion This study confirms that diversified communication-based health education combined with refined nursing has high clinical value,effectively reducing the incidence of iodinated contrast medium extravasation and physiological stress responses in patients undergoing contrast-enhanced CT scan,significantly improving their psychological status,and decreasing the occurrence of adverse reactions.
周春燕;周成利
中山大学附属第一医院,广东 广州,510080中山大学附属第一医院,广东 广州,510080
医药卫生
CT增强扫描多元化沟通健康教育模式精细化护理碘对比剂外渗心理状况
contrast-enhanced CT scandiversified communication-based health education modelrefined nursingiodine contrast medium extravasationpsychological condition
《中西医结合护理（中英文）》 2026 (5)
135-138,4
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