To investigate the efficacy of a multidimensional intervention approach in enhancing the success rate of initial gadoxetic acid disodium-enhanced magnetic resonance imaging (MRI) scans and to offer evidence for improving image quality and streamlining the examination process.

A total of 100 patients who underwent their first gadoxetic acid disodium-enhanced MRI scan at Nanfang hospital between June 2024 and June 2025 were selected using convenience sampling. A non-concurrent controlled study was conducted: 50 patients scanned from June to December 2024 comprised the control group, receiving standard examination education; the remaining 50 patients, examined from January to June 2025, constituted the observation group, which received education through a blend of science popularization videos, nursing guidance, and process optimization. The two groups were compared for differences in examination success rate, patient compliance, nursing satisfaction, image quality, and examination duration.

There were no statistically significant differences in gender or age between the two groups (P>0.05). The one-time success rate of the observation group was 90%, significantly higher than the 62% of the control group (χ²=10.750, P<0.05). Median compliance score in the observation group was 10.00 (interquartile range, IQR 10.00, 10.00), which was significantly higher than that in the control group [8.00 (IQR 6.75, 9.00)] (Z=-7.00, P<0.05). Median nursing satisfaction score in the observation group was 10.00 (IQR 10.00, 10.00), significantly higher than the control group's score [10.00 (IQR 9.00, 10.00)] (Z=-4.61, P<0.05). Median image quality score in the observation group was 10.00 (IQR 10.00, 10.00), significantly higher than the control group's [9.00 (IQR 9.00, 10.00)] (Z=-2.95, P<0.05). Median examination duration in the observation group was 22.00 (IQR 21.00, 23.25) minutes, significantly shorter than the control group's 24.00 (IQR 22.00, 27.00) minutes (Z=-3.21, P<0.05).

This study demonstrates that the combination of science popularization videos, nursing guidance, and process optimization in the first gadoxetic acid disodium-enhanced MRI examination effectively improves the one-time success rate, patient compliance, nursing satisfaction, and image quality, while reducing examination duration. This multidimensional intervention mode is therefore worthy of clinical promotion to enhance the efficiency and quality of MRI examinations.