Application of prospective nursing based on root cause analysis in the maintenance of chest wall infusion ports in cancer patients
基于根因分析法的前瞻性护理在肿瘤患者胸壁输液港维护中的应用研究

摘要

目的 探究根因分析法的前瞻性护理在肿瘤患者胸壁静脉输液港维护中的应用研究。方法 选取我院收治的应用胸壁静脉输液港化疗的肿瘤患者100例，按随机数表法分为对照组和观察组，每组50例。对照组接受常规护理，观察组在此基础上行根因分析法的前瞻性护理干预。观察两组并发症及满意度，并对比两组干预前后肿瘤患者自我行为管理及生活质量。结果 两组并发症及满意度比较，干预后的并发症低于干预前（P<0.05）干预后的满意度高于干预前（P<0.05），干预后肿瘤患者自我行为管理及生活质量高于干预前（P均<0.05）。结论 在肿瘤患者胸壁静脉输液港维护中应用根因分析法的前瞻性护理干预可以改善护理人员惯性思维造成的专科培训不足；输液港维护管理不到位；未选择适宜操作空间造成的操作及观察不到位一系列问题，减少输液港的并发症及提高了患者的满意度，提高了患者的自我行为管理能力及生活质量。

Abstract

Objective To explore the prospective application of root cause analysis in the maintenance of chest wall intravenous infusion ports for cancer patients.
Methods 100 cancer patients who received chest wall intravenous infusion port chemotherapy in our hospital were selected and randomly divided into a control group and an observation group, with 50 patients in each group, using a random number table. The control group received routine care, while the observation group received prospective nursing interventions based on root cause analysis. Observe the complications and satisfaction of two groups, and compare the self behavioral management and quality of life of tumor patients before and after intervention.
Results The comparison of complications and satisfaction between the two groups showed that the incidence of complications after intervention was lower than before intervention (P<0.05), and the satisfaction after intervention was higher than before intervention (P<0.05). The self-management and quality of life of tumor patients after intervention were higher than before intervention (both P<0.05).
Conclusion   The prospective nursing intervention using root cause analysis in the maintenance of chest wall intravenous infusion ports for cancer patients can improve the insufficient specialized training caused by nursing staff's habitual thinking; Inadequate maintenance and management of infusion ports; A series of problems caused by inadequate operation and observation due to the lack of suitable operating space have reduced complications in the infusion port and improved patient satisfaction, as well as enhanced patients' self-management ability and quality of life.