根本原因分析法在减少老年慢性胃炎伴高血压患者坠床/跌倒中的应用效果

Application effect of the root cause analysis method in reducing falling bed/fall down in the elderly patients with chronic gastritis and hypertension

目的探讨在老年慢性胃炎伴高血压患者中应用根本原因分析法降低其坠床/跌倒发生率的效果。方法将我院200例老年慢性胃炎伴高血压住院患者分为参考组(100例,实施常规护理)和分析组(100例,在常规护理基础上采用根本原因分析法)。比较两组患者实施前、后坠床和跌倒的预防意识评分、坠床和跌倒发生率和护理安全性满意度。结果实施后,两组患者的坠床/跌倒预防意识评分均升高,且分析组均高于参考组(P<0.05)。分析组患者的坠床、跌倒发生率均低于参考组,护理安全性满意度高于参考组(P<0.05)。结论在老年慢性胃炎伴高血压住院患者中应用根本原因分析法能够增强其坠床/跌倒的预防意识,降低坠床/跌倒发生率,提升患者的护理安全满意度。

Objective To explore the effect of the root cause analysis method in reducing falling bed/fall down in the elderly patients with chronic gastritis and hypertension. Methods A total of 200 elderly inpatients with chronic gastritis and hypertension were divided into reference group（100 cases, given the routine nursing） and analysis group（100 cases, given the root cause analysis method based on the routine nursing）. The prevention consciousness scores of falling bed/fall down, the incidences of falling bed/fall down and the satisfaction of nursing safety before and after implementation were compared between the two groups. Results After implementation, the prevention consciousness scores of falling bed/falling down increased in the two groups, which in the analysis group were higher than the reference group（P〈0.05）. The incidences of falling bed and falling down in the analysis group were lower than those in the reference group, and the satisfaction of nursing safety in the analysis group was higher than that in the reference group（P〈0.05）. Conclusion The application of root cause analysis method in the elderly patients with chronic gastritis and hypertension can enhance the prevention consciousness of the falling bed/falling down, decrease the incidence of the falling bed/falling down and improve the satisfaction of nursing safety.