首页|基于前馈控制理念的风险预警干预护理对膝关节置换术患者术中风险事件发生率及应激反应的影响

基于前馈控制理念的风险预警干预护理对膝关节置换术患者术中风险事件发生率及应激反应的影响

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目的 探讨基于前馈控制理念的风险预警干预护理对膝关节置换术患者术中风险事件发生率及应激反应的影响。方法 选取2019年1月至2022年7月收治的86例行膝关节置换术患者为研究对象,根据手术先后顺序将其分为对照组和观察组,每组43例。对照组给予常规手术室护理,观察组在对照组基础上加基于前馈控制理念的风险预警干预护理。比较两组的术中风险事件发生情况、应激反应指标及护理人员的风险管理评分。结果 观察组的术中风险事件总发生率为4。65%,低于对照组的20。93%,差异具有统计学意义(P<0。05)。干预前,两组的肾上腺素(E)、去甲肾上腺素(NE)及皮质醇(Cor)水平比较,差异无统计学意义(P>0。05);干预后,两组的E、NE及Cor水平均升高,但观察组低于对照组,差异具有统计学意义(P<0。05)。观察组的风险管理意识、风险管理态度、风险意识及风险管理行为评分均高于对照组,差异具有统计学意义(P<0。05)。结论 基于前馈控制理念的风险预警干预护理相较于常规手术室护理干预,不仅能够降低膝关节置换术患者的术中风险事件发生率及减轻应激反应,还能提升护理人员的风险管理能力,值得推广。
Influences of risk early warning intervention nursing based on feedforward control concept on the incidence of intraoperative risk events and stress response in patients with knee arthroplasty
Objective To investigate the influences of risk early warning intervention nursing based on feedforward control concept on the incidence of intraoperative risk events and stress response in patients with knee arthroplasty.Methods A total of 86 patients undergoing knee arthroplasty from January 2019 to July 2022 were selected as the research objects.According to the order of operation,the patients were divided into control group and observation group,with 43 cases in each group.The control group was given routine operating room nursing,and the observation group was given risk early warning intervention nursing based on feedforward control concept on the basis of the control group.The incidence of intraoperative risk events,stress response indexes and risk management scores of nursing staff were compared between the two groups.Results The total incidence of intraoperative risk events in the observation group was 4.65%,which was lower than 20.93%in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in the levels of epinephrine(E),norepinephrine(NE)and cortisol(Cor)between the two groups(P>0.05);after intervention,the levels of E,NE and Cor in the two groups increased,but those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).The scores of risk management awareness,risk management attitude,risk awareness and risk management behavior in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with routine operating room nursing intervention,risk early warning intervention nursing based on feedforward control concept can not only reduce the incidence of intraoperative risk events and reduce stress response in patients with knee arthroplasty,but also improve the risk management ability of nursing staff,which is worthy of promotion.

feedforward control conceptrisk early warning interventionknee arthroplastyintraoperative risk eventstress response

宋晓焕、贺娇娇、陈伯亮

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西安凤城医院,陕西西安,710016

宝鸡市中医医院,陕西宝鸡,721000

前馈控制理念 风险预警干预 膝关节置换术 术中风险事件 应激反应

宝鸡市卫生健康委科研立项项目(2019)

2019-25

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(12)
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