A study on predictive nursing guided by root cause analysis in the perioperative period of elderly orthopedic surgery
根因分析指导的预见性护理在老年骨科围手术期中的研究

摘要

目的 根因分析指导的预见性护理在老年骨科围手术期中的研究。方法 我院2024年1月至2025年1月期间收治老年骨科患者，共计人数90例，以电脑随机分组方式作为标准，将参与者均分为两组，即对照组（常规护理），观察组（根因分析指导的预见性护理干预），对实施过程中两组患者相关指标数据作整理记录，结合统计学系统进行对比观察，分析根因分析指导的预见性护理干预应用价值。结果 观察组患者焦虑、抑郁评分、并发症发生率评分及疼痛程度评分均低于对照组，生活质量数据相比对照组呈现出较高优势性，组间对比P值﹤0.05，可见统计学意义。结论 老年骨科患者实施根因分析指导的预见性护理干预可明显缓解其不良情绪，降低并发症发生率，降低疼痛程度，维护生活质量，整体效果确切，适合推广。

Abstract

Objective To study the predictive nursing guided by root cause analysis in the perioperative period of elderly orthopedic surgery.
Methods A total of 90 elderly orthopedic patients were admitted to our hospital from January 2024 to January 2025. The participants were randomly divided into two groups using computer randomization as the standard, namely the control group (conventional nursing) and the observation group (predictive nursing intervention guided by root cause analysis). The relevant indicator data of the two groups of patients during the implementation process were sorted and recorded, and compared and observed using a statistical system to analyze the application value of predictive nursing intervention guided by root cause analysis.
Results The anxiety, depression scores, complication rate scores, and pain severity scores of the observation group were lower than those of the control group. The quality of life data showed a higher advantage compared to the control group, with a P-value<0.05 for inter group comparison, indicating statistical significance.
Conclusion   Implementing predictive nursing interventions guided by root cause analysis in elderly orthopedic patients can significantly alleviate their negative emotions, reduce the incidence of complications, lower pain levels, maintain quality of life, and have a definite overall effect, making it suitable for promotion.