基于根因分析法建立乳腺癌术后患者早期肢体康复方案

Root cause analysis for an early limb rehabilitation program in postmastectomy patients

目的探讨基于根因分析法建立乳腺癌术后患者早期肢体康复方案的应用效果, 以提升乳腺癌术后患者早期康复意愿, 提高护士肢体康复认知, 降低乳腺癌术后对身体功能造成的伤害。方法运用根因分析法找出影响乳腺癌术后患者早期肢体康复的相关原因并分析, 成立多元创新团队, 制定乳腺癌术后患者早期肢体康复的接力流程, 借助线上教育资源, 设计饱含趣味性的康复运动训练, 如游戏、九宫格等运动方案。结果乳腺癌术后患者早期肢体康复干预率由16%提升至100%, 患者满意度由68%提升至98%, 护士肢体康复认知正确性由72.4%提升至100%, 差异均有统计学意义(P<0.05)。结论基于根因分析法建立乳腺癌术后患者入院早期肢体康复方案, 患者和护士参与早期康复的主动性及患者对肢体康复满意度均得到提升, 提高护士对早期肢体康复的认知, 对患者预后有重要意义。

Objective To explore the application effect of early limb rehabilitation program based on root cause analysis for breast cancer patients,so as to improve the willingness of early rehabilitation of breast cancer patients after surgery,improve the cognition of limb rehabilitation of nurses and reduce the injury to body function caused by breast cancer surgery.Methods The root cause analysis was used to identify and analyze the relevant causes affecting the early limb rehabilitation of patients after breast cancer surgery.A multi-innovation team was established to develop the relay process for the early limb rehabilitation of patients after breast cancer surgery.With the help of online education resources,interesting rehabilitation exercise training programs,such as games and nine-in-one grid,were designed.Results The rate of early limb rehabilitation intervention in breast cancer patients after surgery increased from 16%to 100%,patients'satisfaction increased from 68%to 98%,and the cognitive accuracy of nurses'limb rehabilitation increased from 72.4%to 100%,and the differences were statistically significant(P<0.05).Conclusions Based on the root cause analysis,the early limb rehabilitation program for postoperative breast cancer patients was established.The initiative of patients and nurses to participate in early limb rehabilitation and the satisfaction of patients with limb rehabilitation were improved.It is of great significance for the prognosis of patients to improve nurses'cognition of early limb rehabilitation.