摘要
目的分析根因分析法在预防颅脑损伤手术患者足部急性压疮中的应用效果。方法随机择取2017年7月-2019年6月于该院收治的240例颅脑损伤术后患者作为研究对象,了解运用根因分析法前后的足部急性压疮率与护理满意度。结果产生压疮事件的主要原因是缺乏精细化的制度、护理人员的培训不到位、护理人员的重视度不足、患者足部皮肤状况差、末梢循环状况不佳、未具备足部保暖工具与预防压疮护理用具。应用根因分析法后,术中足部急性压疮率(2.08%)明显低于应用前(10.83%),差异有统计学意义(P<0.05),护理满意度(98.75%)明显高于应用前(86.67%),差异有统计学意义(P<0.05)。结论根因分析法具有十分重要的作用,它能帮助人们分析颅脑损伤手术患者产生足部急性压疮的原因,形成积极的预防改进策略,最终,产生足部急性压疮的概率大幅度降低,护理质量迈上崭新的台阶。
Objective To analyze the effect of root cause analysis in preventing acute foot pressure ulcers in patients with craniocerebral injury. Methods A total of 240 patients with craniocerebral injury admitted to our hospital from July 2017 to June 2019 were randomly selected as research objects to understand the rate of acute pressure ulcers in feet and nursing satisfaction before and after root cause analysis. Results The main causes of pressure ulcers are lack of fine system,inadequate training of nursing staff, insufficient attention of nursing staff, poor condition of patients’ foot skin, poor peripheral circulation, and lack of foot heat preservation tools and pressure ulcers prevention nursing tools.After the application of root cause analysis, the rate of acute pressure ulcers in the intraoperative foot(2.08%) was significantly lower than that before the application(10.83%), the difference was statistically significant(P <0.05), nursing satisfaction(98.75%) was significantly higher than that before the application(86.67%), the difference was statistically significant(P<0.05). Conclusion Root cause analysis has a very important role, it can help people to analyze the craniocerebral injury surgery patients with acute pressure sores in the foot, the formation of active prevention and improvement strategies,and ultimately, the incidence of acute pressure sores in the foot greatly reduced, the quality of care to a new level.
作者
张国华
ZHANG Guohua(Rizhao Hospital of TCM,Rizhao Shandong,276800,China)
出处
《双足与保健》
2019年第23期11-12,15,共3页
Biped and Health
关键词
根因分析法
颅脑损伤手术患者
足部急性压疮
Root cause analysis
Surgical patients with craniocerebral injury
Acute pressure ulcers on the foot
