根因分析法对插管患者非计划性拔管发生率的影响

Influnence of root cause analysis method on the incidence of unplanned extubation in tubation patients

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(P<0.05)。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。

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 extuba- tion,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 （P〈0.05）. 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.