根因分析法在缓解手术室急诊腹外伤患者负面情绪中的效果观察

Observation of clinical effect of root causes analysis in relieving negative emotions of emergency patients with open abdominal trauma in operation room

目的探讨根因分析法在缓解手术室急诊腹外伤患者负面情绪中的临床疗效。方法选择重庆市第三人民医院2009年4月～2012年6月收治的114例接受急诊手术的开放性腹部外伤患者的临床资料,将2010年12月前未开展根因分析法时收治的57例患者作为对照组,2010年12月～2012年6月间开展根因分析法后收治的57例患者作为实验组。患者出院半年后采用SCL-90与SF-36量表评估其症状及生活质量。结果 SCL-90量表中,实验组抑郁[(1.63±0.26)分]、焦虑[(1.78±0.38)分]及恐怖[(1.62±0.24)分]评分优于对照组[(2.01±0.44)、(2.15±0.47)、(1.93±0.37)分],差异有统计学意义(t=5.614、4.622、5.307,P<0.05)。实验组精神健康[(67.52±14.18)分]、社会功能[(50.14±16.24)分]及情感角色[(49.74±13.82)分]评分均优于对照组[(59.14±15.26)、(42.38±23.04)、(41.82±14.48)分],差异有统计学意义(t=3.037、2.078、2.987,P<0.05)。结论在手术室急诊患者护理中应用根因分析法能够有效缓解患者的负面情绪,改善其预后,值得推广。

Objective To study the clinical effect of root causes analysis in relieving negative emotions of emergency patients with open abdominal trauma in operation room. Methods The clinical data of 114 patients with open abdomihal trauma and receiving emergency operation from April 2009 to June 2012 in the Third People＇s Hospital of Chongqing City were selected. 57 patients came to hospital before December 2010 without root causes analysis were chosen as control group; 57 patients came to hospital from December 2010 to June 2012 were divided into the experimental group. SCL-90 and SF-36 scale were used to evaluate the symptom and quality of life of the two groups 6 months after the patients discharged the hospital. Results The scores of depression, anxiety and fear in SCL-90 scale in experimental group were [（1.63±0.26）, （1.78±0.38）, （1.62±0.24） scores], they all better than those in control group [（2.01±0.44）, （2.15±0.47）, （1.93±0.37） scores], the differences were statistically significant （t = 5.614, 4.622, 5.307, P 〈 0.05）. The score of mental health, social function and emotional role in experimental group were [（67.52±14.18）,（50.14±16.24）, （49.74±13.82） scores], they all better than those in control group [（59.14±15.26）, （42.38±23.04）, （41.82±14.48） scores], the differences were statistically significant （t = 3.037, 2.078, 2,987, P 〈 0.05）. Conclusion Application of root cause analysis can effectively improve the negative emotions of emergency patients in operation room, which can also improve the prognosis of the patients. So it is worthy of promoting.