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放射技师处理碘造影剂过敏反应的信心。

Radiographers' confidence in handling iodine based contrast media hypersensitivity reactions.

机构信息

Department of Radiology in Norrköping, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Gjuterigatan 5, SE-553 18, Jönköping, Sweden.

出版信息

Radiography (Lond). 2024 Jan;30(1):21-27. doi: 10.1016/j.radi.2023.10.007. Epub 2023 Oct 19.

Abstract

INTRODUCTION

Adverse reactions to iodinated contrast media, which is used during computed tomography (CT) examinations, are rare. As a result, radiographers have limited experience handling those situations and may feel uncertainty and a lack of confidence. The aim of this study was to investigate radiographers' confidence in handling hypersensitivity reactions to contrast media during CT examinations.

METHODS

A survey in the form of a questionnaire was conducted to gather both quantitative and qualitative data. There were 31 clinics that participated in this study, of which four were university hospitals, 17 were medium-sized hospitals and 10 were small hospitals. In total, the questionnaires were distributed to 700 radiographers. The questionnaire contained 12 questions and was distributed via email with a link to the questionnaire.

RESULTS

Two hundred-ninety radiographers participated in the survey. 72% of the respondents answered in the middle of the four-point scale (2-3) in response to the statement "I feel confident in handling hypersensitivity reactions". 65% answered that they did not have routines for training regularly regarding hypersensitivity reactions. Qualitative data showed that many of the respondents wished to receive education and training regularly.

CONCLUSIONS

The confidence of radiographers regarding the management of hypersensitivity reactions was deficient and most of the respondents wished they felt more confident.

IMPLICATION FOR PRACTICE

To increase radiographers' confidence in handling hypersensitivity reactions, it is recommended that the radiology clinics review their routines and the possibility to implement regular training.

摘要

简介

在计算机断层扫描(CT)检查中使用的碘造影剂的不良反应很少见。因此,放射技师在处理这些情况方面经验有限,可能会感到不确定和缺乏信心。本研究旨在调查放射技师在 CT 检查中处理造影剂过敏反应的信心。

方法

采用问卷调查的形式收集定量和定性数据。共有 31 家诊所参与了这项研究,其中 4 家是大学医院,17 家是中型医院,10 家是小医院。总共向 700 名放射技师分发了问卷。问卷包含 12 个问题,并通过电子邮件分发给链接到问卷的受访者。

结果

290 名放射技师参与了调查。72%的受访者在回答“我对处理过敏反应有信心”的陈述时,在四点量表(2-3)的中间位置回答。65%的人回答他们没有定期进行过敏反应培训的常规。定性数据显示,许多受访者希望定期接受教育和培训。

结论

放射技师对过敏反应管理的信心不足,大多数受访者希望自己更有信心。

实践意义

为了提高放射技师处理过敏反应的信心,建议放射科诊所审查其常规,并考虑实施定期培训。

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