根因分析法对神经外科ICU患者非计划性拔管的影响

Effect of root cause analysis on unplanned extubation in neurosurgical ICU patients

目的:探究根因分析法对降低神经外科ICU患者非计划性拔管事件发生的影响。方法:选取2017年7月~2018年12月收治的82例行常规干预的神经外科ICU患者,将其分为对照组;另选取2019年1月~2019年6月基于根因分析法干预的神经外科ICU患者82例,将其分为观察组。比较两组非计划性拔管的发生率、护理舒适度及疼痛度。结果:观察组非计划性拔管发生率低于对照组,差异有统计学意义(P<0.05);观察组护理后社会文化、环境、生理、精神心理及总舒适度评分均高于对照组,差异有统计学意义(P<0.05);观察组疼痛程度轻于对照组,差异有统计学意义(P<0.05)。结论:根因分析法应用于神经外科ICU患者可显著降低非计划性拔管发生率,提高舒适度,减轻疼痛,值得推广。

Objective To investigate the effect of root cause analysis on reducing the incidence of unplanned extubation in neurosurgical ICU patients.Method Eighty-two patients with neurosurgical ICU who underwent routine intervention from July 2017 to December 2018 were selected as the control group.The basis for the treatment from January 2019 to June 2019 was based on root cause analysis.Eighty-two patients with neurosurgical ICU who underwent intervention were enrolled as observation groups.The incidence,care comfort,and pain of the two groups of unplanned extubation were compared.Results The incidence of unplanned extubation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The social,cultural,environmental,physiological,mental and total comfort scores of the observation group were higher than those of the control group.The difference was statistically significant(P<0.05);the pain in the observation group was lighter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of root cause analysis in neurosurgical ICU patients can significantly reduce the incidence of unplanned extubation,improve nursing comfort and reduce pain,which is worth promoting.