基于RCA的预见性护理在后循环缺血性眩晕患者中的应用效果

Application effect of predictive nursing based on RCA in patients with posterior circulation ischemic vertigo

目的探讨基于根本原因分析法(RCA)的预见性护理在后循环缺血性眩晕患者中的应用效果。方法选取2021年1月至2022年12月于我院治疗的150例后循环缺血性眩晕患者作为研究对象,按照随机数字表法将其分为对照组与研究组,每组75例。对照组开展常规护理,研究组开展基于RCA的预见性护理。比较两组的干预效果。结果研究组的干预总有效率为92.00%,明显高于对照组的77.33%,差异具有统计学意义(P<0.05)。护理3、7 d后,两组的眩晕障碍评定量表(DHI)评分明显低于护理前,且研究组明显低于对照组,差异具有统计学意义(P<0.05)。护理7 d后,两组的Barthel指数评分明显高于护理前,且研究组明显高于对照组,差异具有统计学意义(P<0.05)。研究组的不良事件总发生率为5.33%,明显低于对照组的16.00%,差异具有统计学意义(P<0.05)。结论基于RCA的预见性护理在后循环缺血性眩晕患者中的应用效果显著,可有效缓解眩晕症状,同时还能提升患者的生活自理能力,值得应用及推广。

Objective To explore the application effect of predictive nursing based on root cause analysis(RCA)in patients with posterior circulation ischemic vertigo.Methods A total of 150 patients with posterior circulation ischemic vertigo who were treated in our hospital from January 2021 to December 2022 were selected as the research objects.According to the random number table method,and the patients were divided into control group and study group,with 75 cases in each group.The control group carried out routine nursing,and the study group carried out predictive nursing based on RCA.The intervention effects of the two groups were compared.Results The total effective rate of intervention in the study group was 92.00%,which was significantly higher than 77.33%in the control group,and the difference was statistically significant(P<0.05).After 3 and 7 d of nursing,the scores of Dizziness Handicap Inventory(DHI)in the two groups was significantly lower than that before nursing,that in the study group was significantly lower than the control group,and the difference was statistically significant(P<0.05).After 7 d of nursing,the Barthel index score of the two groups was significantly higher than that before nursing,that of the study group was significantly higher than the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse events in the study group was 5.33%,which was significantly lower than 16.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The predictive nursing based on RCA in patients with posterior circulation ischemic vertigo has a significant effect,which can effectively alleviate the symptoms of vertigo and improve the self-care ability of patients.It is worthy of application and promotion.