Abstract:

Objective　To explore the value of chain care for preventing extravasation of contrast in enhanced CT. Methods　One hundred patients treated at Yantai Yantaishan Hospital from March 2019 to March 2022 were selected as the research objects, and were divided into a control group and an observation group by the random number table method, with 50 cases in each group. There were 26 males and 24 females in the control group; they were (58.21±5.18) years old. There were 27 males and 23 females in the observation group; they were (58.01±5.04) years old. The control group adopted routine nursing process management, and the observation group applied chain nursing countermeasures. The contrast extravasation rates and extravasation grades during the CT-enhanced scan and the satisfaction scores were compared between these two groups. t and χ² tests were applied. Results　After the intervention, the contrast extravasation rate in the control group was higher than that in the observation group [60.00% (30/50) vs. 34.00% (17/50)], with a statistical difference (P<0.05). The extravasation grade in the observation group was lower than that in the control group, with a statistical difference (P<0.05). The satisfaction scores of service attitude, appearance, responsibility, and health education in the control group were lower than those in the observation group [(77.36±1.01) vs. (78.03±1.36), (76.64±1.30) vs. (77.45±1.53), (77.41±1.31) vs. (78.00±1.52), and (79.01±2.06) vs. (80.26±2.61)], with statistical differences (all P<0.05). Conclusion　Chain care for patients taking clinical CT enhanced scanning diagnosis can effectively prevent contrast extravasation and improve their extravasation grade and satisfaction with nursing service, so it is worthy of reference and adoption by all departments.

Key words:

Chain care, Enhanced CT scanning, Contrast extravasation, Application value

摘要：

目的　探究链式护理对预防CT增强扫描造影剂外渗的应用价值。方法　选取烟台市烟台山医院2019年3月至2022年3月收治的100例进行CT增强扫描诊断患者作为研究对象，按照随机数字法分成对照组与观察组，各50例。对照组中男26例，女24例，年龄（58.21±5.18）岁，采用常规的护理流程管理；观察组中男27例，女23例，年龄（58.01±5.04）岁，采用链式护理对策。对比两组患者进行CT增强扫描时造影剂外渗率、外渗分级以及患者对护理服务的满意度评分。采用t、χ²检验进行统计分析。结果　干预后，对照组造影剂外渗率［60.00%（30/50）］高于观察组［34.00%（17/50）］，差异有统计学意义（P<0.05）；观察组外渗分级低于对照组，差异有统计学意义（P<0.05）。对照组患者服务态度、仪容仪表、工作责任与健康教育的满意度评分分别为（77.36±1.01）分、（76.64±1.30）分、（77.41±1.31）分、（79.01±2.06）分，均低于观察组［（78.03±1.36）分、（77.45±1.53）分、（78.00±1.52）分、（80.26±2.61）分］，差异均有统计学意义（均P<0.05）。结论　针对临床进行CT增强扫描诊断患者采用链式护理，可有效预防患者出现造影剂外渗现象，同时改善患者外渗分级，提升护理服务满意度，值得各个科室借鉴采纳。

关键词:

链式护理, CT增强扫描, 造影剂外渗, 应用价值