护理干预对静脉肾盂造影中碘对比剂不良反应发生的影响

目的探讨护理干预在静脉肾盂造影中减少碘对比剂不良反应的效果。方法将258例行静脉肾盂造影的患者,随机分为干预组（130例）和对照组（128例）,对照组采用常规护理,干预组在此基础上采用认知、心理、行为干预。结果干预组轻度不良反应57例（43.8%）,中度不良反应1例（0.8）,重度不良反应为0;对照组轻度不良反应86例（67.1%）,中度不良反应3例（2.3%）,重度不良反应为2（1.6%）。含碘对比剂不良反应发生率干预组明显低于对照组,差异有显著意义（P〈0.05）。结论适当的护理干预能有效地避免和降低碘对比剂不良反应的发生率,使病人能更为顺利地完成静脉肾盂造影检查。

Effect of Nursing Intervention on the Adverse Reactions Caused by Iodine Contrast Agent in the Intravenous Pyelography

[Objective]To study the effect of nursing intervention on reducing the adverse reactions caused by iodine contrast agent in the intravenous pyelography（IVP）.[Methods]258 patients with IVP were randomly divided into the intervention group（130 cases） and the control group（128 cases）.The control group received the conventional care,and the intervention group was given cognitive intervention,psychological intervention and behavior intervention on the basis of conventional care.[Results]In the intervention group,there were 57 patients with mild adverse reactions（43.8%） and one patient with moderated adverse reactions（0.8%）,and the incidence of severe adverse reaction was 0.In the control group,there were 86 patients with mild adverse reactions（67.1%）,3 patients with moderated adverse reactions（2.3%） and 2 patients with severe adverse reaction（1.6%）.The incidence of adverse reaction caused by iodine contrast agent in the intervention group was lower than that in the control group significantly（P0.05）.[Conclusion]The appropriate nursing interventions can effectively prevent and reduce the incidence of adverse reaction caused by iodine contrast agent,and make the IVP more successful.