Study on the preventive effect of root cause analysis on reducing complications in respiratory sleep apnea syndrome
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摘要: 目的 探究根本原因分析法在呼吸睡眠综合征(sleep apnea syndrome,SAS)护理过程中对于减少并发症的预防效果。 方法 回顾性分析2018年3月—2019年3月期间前来湖州市中心医院进行治疗的SAS患者50例作为观察组,该50例患者均采取我院新引入的根本原因分析法,再回顾性分析湖州市中心医院2017年1月—2018年1月期间前来进行治疗的SAS患者50例作为对照组,对比2组患者护理后的效果以及并发症发生率。 结果 2组患者在治疗之后的熟睡状态下血氧饱和度、呼吸暂停次数、呼吸暂停时间以及心律均发生了明显改善,差异具有统计意义(均P<0.05),在清醒状态下,观察组患者清醒状态下的血氧饱和度和心律差异有统计学意义,而对照组差异无统计学意义(均P>0.05)。治疗后组间比较发现,观察组患者清醒状态下的血氧饱和度和心律,以及熟睡状态下的血氧饱和度、呼吸暂停次数、呼吸暂停时间以及心律均明显更佳,且差异具有统计意义(均P<0.05);经过治疗之后,对照组患者并发症发生率为26.0%(13/50),观察组为6.0%(3/50),2组患者并发症发生率差异有统计学意义(P<0.05);实施根本原因分析法后护理不良事件发生率由2.5%下降至0.5%,同时感染事件发生率也由21.2%下降至5.8%。 结论 采取根本原因分析法有利于促进患者恢复进度,并有效降低并发症发生率。Abstract: Objective To explore the preventive effect of root cause analysis on reducing complications in the nursing process of sleep apnea syndrome(SAS). Methods A retrospective analysis of 50 SAS patients who came to Huzhou central Hospital for treatment from March 2018 to March 2019 as the observation group, the 50 patients were all taken the new root cause analysis method introduced by our hospital, and then a retrospective analysis of 50 SAS patients who came to Huzhou central Hospital for treatment from January 2017 to January 2018 as the control group, to compare the effect of the two groups after care and the incidence of complications. Results The blood oxygen saturation, times of apnea, time of apnea and heart rhythm of the two groups were significantly improved after the treatment, and the difference was statistically significant(all P<0.05). After treatment, we found that the blood oxygen saturation and heart rhythm of the patients in the observation group were significantly better than those in the sleeping state(all P<0.05). After treatment, the incidence of complications in the control group was 26.0%(13/50), and in the observation group it was 6.0%(3/50). The incidence of nursing adverse events decreased from 2.5% to 0.5%, and the incidence of infection events decreased from 21.2% to 5.8%. Conclusion Taking root cause analysis is beneficial to promote the recovery of patients and effectively reduce the incidence of complications.
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Key words:
- Root cause analysis /
- Respiratory sleep syndrome /
- Nursing /
- Complications /
- Effect
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