外科手术护理配合差错的相关因素分析  

Factor relative to nursing copulate errors during surgical operation

作　　者：张倩[1] 史美萍[1] 

机构地区：[1]中国人民解放军海军总医院麻醉科,北京100048

出　　处：《实用医院临床杂志》2015年第1期125-126,共2页Practical Journal of Clinical Medicine

摘　　要：目的分析影响外科手术护理配合差错(nursing copulate error,NCE)相关因素,探讨避免差错事件的方法。方法 2012年7月至2013年9月在我院接受外科手术治疗的患者128例,其中出现差错48例(观察组),未出现差错80例(对照组),分别实施NCE的单因素分析以及多因素回归分析,总结导致差错情况的危险因素。结果观察组因护理人员的情绪不稳定导致者占39.58%(19/48),繁忙和疲劳导致者占58.33%(28/48),缺乏责任感导致者占31.25%(15/48),制度执行欠佳者占29.17%(14/48),注意力未集中者占37.50%(18/48),均显著高于对照组,差异有统计学意义(均P<0.05)。Logistic回归分析发现,情绪不稳定、繁忙和疲劳、缺乏责任感、制度执行欠佳、注意力未集中等均为外科手术NCE的相关因素。结论医疗机构应针对外科手术NCE的相关因素进行总结,严格管理,规避风险,从而提升护理服务质量。Objective To investigate the risk factors relative to nursing copulate error（NCE） during surgical operation and ex-plore the methods to avoid the error events.Methods During the period of July 2012 to September 2013,there were 128 patients re-ceived surgical therapy in our hospital.Of these therapies,there were 48 cases（observation group） with errors while 80（control group） without errors.Regression analysis of single factor and multi factor analysis of NCE were performed to explore the factors leading to er-rors.Results In the observation group,emotional instability,busy and fatigue,lack of accountability,poor implementation of the system and impaired concentration accounted for 39.58%（19 /48）,58.33%（28 /48）,31.25%（15/48）,29.17%（14/48） and 37.50%（18/48） of NCE,respectively.All these factors in the observation group were significantly higher than that in the control group（all P〈0.05）.Furthermore,logistic regression analysis showed that all these factors were relative to surgical NCE.Conclusion Medical insti-tutions should summarize the risk factors relative to surgical NCE,perform the strict management and avoid the risk factors,thereby,en-hance the quality of care services.

关 键 词：外科手术 护理配合 差错情况 危险因素 

分 类 号：R248.2[医药卫生—中医临床基础]