循证护理在大量造影剂外渗患者中的应用

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1、循证护理在大量造影剂外渗患者中的应用(首都医科大学附属北京世纪坛医院CT室，100038)R473A1008-0408(2015)2-0076-03目的：探讨循证护理在大量造影剂外渗患者中的应用。方法：选取2014年1月到2015年1月期间于我院1200例行CT增强大血管扫描的患者，随机分为对照组与观察组，每组600例。对照组600例患者给予常规的护理干预,观察组600例患者在常规护理的基础上给予循证护理。比较两组患者的造影剂外渗情况以及病人及家属对护理的满意情况。结果：对照组患者的造影剂外渗率为2.3%,观察组的患者外渗率为0.7%,观察组的外渗率低

2、于对照组，两组比较差异只有统计学差异(P<0.05);观察组病人或家属对护理的满意率为95.0%,高于对照组病人或家属对护理的75.0%满意率，两组比较差异其有统计学效果(P<0.05)。结论：实施循证护理可有效减少发生大量造影剂外渗症状，值得在临床上推广使用。关键词循证护理；造影剂；外渗FollowsEvidener-basednursinginthemassivecontrastmediumexosmosispatient'sapplicationdiscussionYangYong-geWangYan-wenFengJian-qiuK

3、anLi-naWangRen-gui(CapitalmedicalcollegeattachedBeijingCenturyWorldHospita)AbstractObjective:Thediscussionfollowscardnursinginthemassivecontrastmediumexosmosispatient’sapplication.Method:SelectsinJanuary,2014toJanuary,2015theperiodinmycourtyard1200routineCTenhancementtrunkscanni

4、ngpatient,dividesintothecontrolgroupandtheobservationgroupstochastically,eachgroupof600examples.Thecontrolgroup600examplepatientsgiveconventionalthenursingintervention,theobservationgroup600examplepatientsgiveintheconventionalnursingfoundationfollowcardnursing.Comparedwithtwogro

5、upofpatientscontrastmediumexosmosissituationsaswellaspatientandfamilymembertonursingsatisfactorysituation.Results:Thecontrolgrouppatientscontrastmediumexosmosisrateis2.3%,observationgroup'spatientexosmosisrateis0.7%,observationgroup'sexosmosisrateislowerthanthecontrolgroup,twogr

6、oupofcomparisondifferenceshavestatisticsdifference(P<0.05);Theobservationgrouppatientsorthefamilymembertothenursingsatisfactionrateare95.0%,ishigherthanthecontrolgrouppatientsorthefamilymembertothenursing75.0%satisfactionrates,twogroupofcomparisondifferenceshavestatisticseffe

7、ct(P<0.05).Conclusion:Theimplementationfollowscardnursingtobepossibletoreduceeffectivelyhasthemassivecontrastmediumexosmosissymptom,isworthinonpromotingtheuseclinically.KeywordsFollowscardnursing;Contrastmedium;Exosmosis循证护理是护理人员在计划护理活动过程中，将科研结论与临床经验、患者愿望相结合，获取证据，作为临床护理决策依据的过

8、程。也是循证医学和循证保健必不可少的环节。循证护理是临床上新型的护理模式，是指准确、慎重、明智