根因分析法对插管患者非计划性拔管发生率影响.docVIP

根因分析法对插管患者非计划性拔管发生率影响 　　[摘要]目的 探讨根因分析法对插管患者非计划性拔管发生率的影响。方法 选择2015年1月～2016年1月在我院接受诊治的手术后插管患者中抽取42例作为对照组。以根因分析法探查其非计划拔管的原因，据此提出相应整改措施；选择2016年2月～2017年2月在我院接受诊治的42例术后插管患者作为观察组，在护理管理期间应用整改措施；对比两组患者的非计划拔管发生率以及家属护理满意度。结果 观察组患者的非计划拔管发生率为4.76%，低于对照组的21.43%；家属护理满意度为97.62%，高于对照组的85.71%，差异有统计学意义（P0.05）。结论 根因分析法的应用有助于降低插管患者非计划性拔管发生率，提升患者家属的护理满意度，值得临床应用及推广。 　　[关键词]根因分析法；插管患者；非计划性拔管；护理满意度 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2017）11（a）-0170-03 　　Influnence of root cause analysis method on the incidence of unplanned extubation in tubation patients 　　WEI Hua-ling 　　Department of Nursing，the First People′s Hospital of Fuzhou City in Jiangxi Province，Fuzhou 344000，China 　　[Abstract]Objective To investigate the influnence of root cause analysis on the incidence of unplanned extraction of intubation patients.Methods 42 postoperative intubation patients to our hospital from January 2015 to January 2016 were were selected selected as control group.Root cause analysis was used to explore the reason of unplanned extubation，and the corresponding rectification measures were put forward.42 postoperative intubation patients from February 2016 to Februray 2017 were selected as observation group，and rectification measures were used during nursing.The unplanned extubation incidence rate and family nursing satisfaction between two groups were compared.Results The incidence of unplanned extraction was 4.76% in the observation group， compared with 21.43% in the control group and 97.62% in family care. Compared with 85.71% of the control group， the difference was statistically significant （P0.05）.Conclusion The using of root cause analysis is help to reduce the unplanned extubation incidence rate and enhance family nursing satisfaction，which is worthy of clinical application and promotion. 　　[Key words]Root cause analysis method；Intubation patients；Unplanned extubation；Nursing satisfaction degree 　　根因分析法属于一种分析手段，同时也是一种质量管理模式，核心是基于系统的、团体的、回顾性的不良事件分析法，要求探查出流程、系统中的缺陷与风险，就错误原因进行反思、经验分享、学习，并