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目的探讨前馈控制在眼科日间全身麻醉手术患者安全护理中的实施成效。方法采用回顾性收集资料的方法,将眼科日间手术中心2015年1月—12月收治的623例采用常规眼科日间全身麻醉手术护理模式的患者作为对照组,将2016年1月—12月收治的1 210例患者在常规护理基础上增加前馈控制护理安全管理的手术患者作为观察组。对比两组不良事件及护理安全隐患发生率及满意度。结果观察组共发生不良事件及护理安全隐患事件10例(0.83%),对照组共发生21例(3.37%),两组不良事件及护理安全隐患发生率差异有统计学意义(P<0.001)。观察组患者满意率为98.76%,对照组患者满意率为97.11%,两组患者满意率差异有统计学意义(χ2=6.330,P=0.012)。结论将前馈控制应用于眼科日间全身麻醉手术患者的安全护理中,可有效降低不良事件及安全隐患事件的发生率,确保患者的医疗护理安全。
Objective To investigate the effectiveness of feedforward control in the safety of patients during ophthalmic general anesthesia. Methods A retrospective data collection method was used to treat 623 patients who underwent routine ophthalmic general anesthesia during the Ophthalmic Day Surgery Center from January to December 2015 as control group and January 2016 to December The 1,210 patients admitted to the observation group were treated with feed-forward controlled nursing safety management based on routine care. The incidence and satisfaction of adverse events and nursing safety risks were compared between the two groups. Results There were 10 cases (0.83%) of adverse events and nursing safety risks in the observation group and 21 cases (3.37%) in the control group. There was significant difference in the incidence of adverse events and nursing safety risks between the two groups (P <0.001) . The satisfaction rate of patients in observation group was 98.76%, while the satisfaction rate of patients in control group was 97.11%. There was significant difference in satisfaction rate between two groups (χ2 = 6.330, P = 0.012). Conclusion The application of feedforward control in the safety nursing of ophthalmic patients during general anesthesia surgery can effectively reduce the incidence of adverse events and potential safety incidents and ensure the safety of patients' medical care.