Abstract:

Objective　To explore the application value of foresight nursing combined with 4R crisis integrated care in patients examined by CT enhancement. Methods　A total of 120 patients who underwent contrast-enhanced CT in Yantai Mountain Hospital between March 2020 and April 2022 were prospectively selected for this study, and all of them were divided into two groups with 60 patients in each group by computerized random number table method. The control group had 25 males and 35 females with an age of (55.90±5.10) years old, who underwent routine nursing intervention. The study group had 21 males and 39 females, with an age of (57.47±4.59) years old, who underwent foresight nursing combined with 4R crisis integrated care based on routine nursing intervention. The occurrence of contrast agent extravasation, psychological status, and adverse reactions were compared between the two groups. The statistical methods used were independent sample t test, paired t test, and χ² test. Results　The overall incidence of contrast agent extravasation in the study group was lower than that in the control group [5.00% (3/60) vs. 20.00% (12/60), χ²=4.876, P=0.027]. After intervention, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) of the study group were lower than those of the control group [(39.10±2.75) points vs. (41.77±3.48) points, (38.13±2.74) points vs. (40.77±5.00) points], with statistically significant differences (t=4.660 and 3.578, both P<0.001). The total incidence of adverse reactions in the study group was lower than that in the control group [6.67% (4/60) vs. 23.34% (14/60), χ²=5.294, P=0.021]. Conclusion　Application of foresight nursing combined with 4R crisis integrated nursing in CT-enhanced examination patients can effectively reduce the incidences of contrast agent extravasation and adverse reactions, and improve their psychological state.

Key words:

Contrast agent extravasation, Contrast-enhanced CT, Foresight nursing, 4R crisis integrated nursing

摘要：

目的　探究预见性护理联合4R（缩减、预备、反应、恢复）危机综合护理在CT增强检查患者中的应用价值。方法　前瞻性选取2020年3月至2022年4月期间在烟台市烟台山医院行CT增强检查的120例患者作为本次研究对象，采用电脑随机数字表法将其均分为两组，每组60例。对照组男25例，女35例，年龄（55.90±5.10）岁，行常规护理干预；研究组男21例，女39例，年龄（57.47±4.59）岁，在常规干预基础上增加预见性护理联合4R危机综合护理干预。对两组患者对比剂外渗发生情况、心理状态及不良反应进行比较分析。统计学方法采用独立样本t检验、配对t检验、χ²检验。结果　研究组患者对比剂外渗总发生率低于对照组［5.00%（3/60）比20.00%（12/60），χ²=4.876，P=0.027］。干预后，研究组的焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均低于对照组［（39.10±2.75）分比（41.77±3.48）分、（38.13±2.74）分比（40.77±5.00）分］，差异均有统计学意义（t=4.660、3.578，均P<0.001）。研究组不良反应总发生率低于对照组［6.67%（4/60）比23.34%（14/60），χ²=5.294，P=0.021］。结论　预见性护理联合4R危机综合护理应用于CT增强检查患者中，能有效降低对比剂外渗发生率及不良反应，改善患者心理状态。

关键词:

对比剂外渗, CT增强检查, 预见性护理, 4R危机综合护理