护理干预预防眼底荧光血管造影不良反应的观察

Effect observation of nursing intervention to prevent the adverse reaction of fundus fluorescein angiography

目的:探讨全程护理干预预防眼底荧光血管造影(FFA)不良反应发生的效果。方法:将266例FFA检查患者分成干预组141例和对照组125例,对照组给予常规护理;干预组在对照组护理的基础上,在FFA检查过程中针对造影可能出现的胃肠道、神经系统和过敏等不良反应采用全程心理护理、幻灯片宣教和现场观看的方式,进行护理干预。观察2组不良反应的发生情况和患者对护理干预的满意度。结果:干预组胃肠道反应、神经系统反应的发生率均低于对照组(P<0.01和P<0.05),2组均未发生过敏反应,干预组的患者满意度97.2%明显高于对照组的84.8%(P<0.01)。结论:在FFA检查治疗中采用心理护理、多媒体宣教以及现场观看模式的护理干预,可大大降低患者的紧张和恐惧心理,有助于预防和减少不良反应的发生,提高患者的满意度,使检查获得最佳效果。

Objective：To explore the effects of whole course nursing intervention in the prevention of adverse reactions caused by fundus fluorescein angiography（FFA）. Methods：Two hundred and sixty-six patients undergone FFA were divided into the intervention group（ 141 cases） and control group（ 125 cases）. The control group were nursed with conventional nursing. The intervention group were nursed with whole course nursing intervention including the psychological nursig of adverse reactions of gastrointestinal tract, nervous system and allergy, slide education and seeing on the spot based on the conventional nursing. The adverse reactions and patient satisfaction of nursing intervention of two groups were observed. Results： The incidence of gastrointestinal tract and nervous system reactions of the intervention group were lower than those in the control group（ P 〈 0.01 and P 〈 0.05 ）. The patient satisfaction of the intervention group（ 97.2% ） was significantly higher than that of the control group （ 84.8% ） （ P 〈 0.01 ）. Conclusions ： During the course of FFA examination and treatment, the psychological nursing, multimedia education and seeing on the spot can greatly reduce the tension and fear of patients, prevent and reduce the occurrence of adverse reactions and improve patient satisfaction, which can obstain the most best examination effects.