首页|根本原因分析法对糖尿病肾病血液透析患者不良事件、负性情绪及满意度的影响

根本原因分析法对糖尿病肾病血液透析患者不良事件、负性情绪及满意度的影响

Effect of Root Cause Analysis on Adverse Events,Negative Emotions and Satisfaction in Diabetic Nephropathy Hemodialysis Patients

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目的 观察根本原因分析法对糖尿病肾病血液透析患者不良事件、负性情绪及满意度的影响.方法 回顾性选取2021年1月—2023年7月于山东国欣颐养集团枣庄中心医院进行血液透析治疗的76例糖尿病肾病患者的临床资料,按照护理方式的不同分为观察组和对照组,各38例.对照组实施常规护理,观察组在对照组的基础上实施根本原因分析法.比较两组不良事件发生率、负性情绪评分(焦虑自评量表、抑郁自评量表)及护理满意度.结果 干预后,观察组不良事件发生率为2.63%(1/38),低于对照组的18.42%(7/38),差异有统计学意义(x2=4.537,P<0.05).干预后,观察组抑郁、焦虑评分均低于对照组,差异有统计学意义(P均<0.05).观察组满意度高于对照组,差异有统计学意义(P<0.05).结论 根本原因分析法干预可降低不良事件发生率,改善患者不良情绪,提高其护理满意度.
Objective To observe the effect of root cause analysis on adverse events,negative emotions and satisfac-tion of hemodialysis patients with diabetic nephropathy.Methods The clinical data of 76 patients with diabetic ne-phropathy who underwent hemodialysis in Shandong Guoxin Yiyang Group Zaozhuang Central Hospital from January 2021 to July 2023 were retrospectively selected.According to the different nursing methods,they were divided into ob-servation group and control group,38 cases in each group.The control group was given routine nursing,and the obser-vation group was given root cause analysis on the basis of the control group.The incidence of adverse events,negative emotion scores(Self-rating Anxiety Scale,Self-rating Depression Scale)and nursing satisfaction were compared be-tween the two groups.Results After intervention,the incidence of adverse events in the observation group was 2.63%(1/38),which was lower than 18.42%(7/38)in the control group,and the difference was statistically significant(x2=4.537,P<0.05).After intervention,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the ob-servation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The satisfaction of the observation group was higher than that of the control group,and the difference was statis-tically significant(P<0.05).Conclusion Root cause analysis intervention can reduce the incidence of adverse events,improve patients'bad mood,and improve their'nursing satisfaction.

Root cause analysisDiabetic nephropathyHemodialysisNegative emotionsSatisfaction

王予、辛勤、黄永翡

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山东国欣颐养集团枣庄中心医院肾内科,山东 枣庄 277800

山东国欣颐养集团枣庄中心医院急诊科,山东 枣庄 277800

根本原因分析法 糖尿病肾病 血液透析 负性情绪 满意度

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(13)
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