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沙特阿拉伯放射科护士对患者MRI诱导性眩晕的认知及其对检查后护理的看法:一项横断面研究。

Radiology nurses' awareness of MRI-induced vertigo in patients and their perspectives on post-examination care in Saudi Arabia: a cross-sectional study.

作者信息

Shubayr Nasser, Dailah Hamad

机构信息

Diagnostic Radiography Technology, College of Nursing and Health Sciences, Jazan University, Al-Maariah Rd, Jazan, 45142, Saudi Arabia.

Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.

出版信息

BMC Nurs. 2025 Jun 4;24(1):638. doi: 10.1186/s12912-025-03276-6.

DOI:10.1186/s12912-025-03276-6
PMID:40468253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12139049/
Abstract

BACKGROUND

Magnetic resonance imaging (MRI) is a valuable diagnostic tool, but patients may experience post-examination vertigo-a phenomenon largely studied among radiographers but not radiology nurses. Nurses play a critical role in patient safety and post-examination care, making their awareness and perspectives crucial for optimizing patient outcomes. This study aimed to assess radiology nurses' awareness of MRI-induced vertigo and their perspectives on post-examination care in Saudi Arabia.

METHODS

A cross-sectional study was conducted across 27 hospitals in southern Saudi Arabia from October to December 2024. Data were collected from 142 radiology nurses using a validated questionnaire adapted from previous studies. Awareness was assessed using nine items, while perspectives on post-examination care were evaluated using six items. Descriptive statistics were used to summarize participant characteristics and response patterns, while multiple linear regression analysis was performed to identify factors associated with higher awareness and more favorable care perspectives.

RESULTS

A 58.4% of nurses reported receiving MRI safety training, highlighting a substantial training gap. Furthermore, 15.5% of nurses reported frequently observing MRI-induced vertigo among patients. Moderate awareness of MRI-induced vertigo was observed, with an overall agreement rate of 48.4%. Awareness was higher for general concepts (e.g., MRI can induce vertigo- 65.5%) but lower for technical factors (e.g., head movement impact - 35.9%). Awareness was significantly predicted by MRI safety training (p = 0.001), type of MRI scanners in department (p = 0.025), and frequency of vertigo encounters (p = 0.003). Nurses' perspectives on post-examination care were highly favorable, with an agreement rate of 74.2%, and strong support for patient-centered practices such as symptom inquiry (86.6%) and patient assistance (75.4%). More favorable perspectives were predicted by higher education (p = 0.001), greater experience (p = 0.005), and more frequent vertigo encounters (p = 0.034).

CONCLUSIONS

Nurses demonstrated moderate awareness but a strong commitment to post-examination care. Targeted MRI safety training is needed to enhance preparedness. Interdisciplinary collaboration between nurses and radiographers should be strengthened to ensure comprehensive patient safety in MRI environments.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

磁共振成像(MRI)是一种有价值的诊断工具,但患者在检查后可能会出现眩晕——这一现象在放射技师中得到了广泛研究,但在放射科护士中研究较少。护士在患者安全和检查后护理中起着关键作用,因此他们的认识和观点对于优化患者治疗结果至关重要。本研究旨在评估沙特阿拉伯放射科护士对MRI引起的眩晕的认识以及他们对检查后护理的看法。

方法

2024年10月至12月,在沙特阿拉伯南部的27家医院进行了一项横断面研究。使用从先前研究改编而来的经过验证的问卷,从142名放射科护士收集数据。使用九个项目评估认识程度,同时使用六个项目评估对检查后护理的看法。描述性统计用于总结参与者特征和回答模式,而多元线性回归分析用于确定与更高认识程度和更有利的护理看法相关的因素。

结果

58.4%的护士报告接受过MRI安全培训,这凸显了较大的培训差距。此外,15.5%的护士报告经常观察到患者出现MRI引起的眩晕。观察到护士对MRI引起的眩晕的认识程度中等,总体认同率为48.4%。对一般概念(如MRI可引起眩晕——65.5%)的认识较高,但对技术因素(如头部运动影响——35.9%)的认识较低。MRI安全培训(p = 0.001)、科室中MRI扫描仪的类型(p = 0.025)以及眩晕发生频率(p = 0.003)对认识程度有显著预测作用。护士对检查后护理的看法非常积极,认同率为74.2%,并且大力支持以患者为中心的做法,如症状询问(86.6%)和患者协助(75.4%)。更高的教育程度(p = 0.001)、更丰富的经验(p = 0.005)以及更频繁的眩晕发生经历(p = 0.034)对更积极的看法有预测作用。

结论

护士表现出中等程度的认识,但对检查后护理有坚定的承诺。需要有针对性的MRI安全培训来提高准备程度。应加强护士与放射技师之间的跨学科合作,以确保MRI环境中患者的全面安全。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc8/12139049/05dc74a9264a/12912_2025_3276_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc8/12139049/05dc74a9264a/12912_2025_3276_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fc8/12139049/05dc74a9264a/12912_2025_3276_Fig1_HTML.jpg

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本文引用的文献

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J Med Radiat Sci. 2025 Jun;72(2):255-263. doi: 10.1002/jmrs.858. Epub 2025 Jan 15.
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Relationship Between Clinical Nursing Competence and Work Environment by Career Stage for Nurses with 1-10 Years of Clinical Experience.临床经验1至10年护士的临床护理能力与职业阶段工作环境之间的关系
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Radiographers' experience of preventing patient safety incidents in the context of radiological examinations.
放射技师在放射检查背景下预防患者安全事件的经验。
Scand J Caring Sci. 2023 Jun;37(2):414-423. doi: 10.1111/scs.13124. Epub 2022 Oct 26.
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