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目的:探讨前馈控制在神经内科老年患者非计划性拔除鼻胃管安全管理中的应用效果。方法:对平煤神马医疗集团总医院2015年1月至2016年6月90例留置鼻胃管喂养老年患者实施前馈控制措施,包括成立前馈控制安全管理小组、分层级进行护士培训、依据风险评估项目给予针对性护理措施。结果:非计划性拔除鼻胃管不良事件发生率由2013年6月至2014年12月的27.06%下降到2015年1月至2016年6月的8.89%;成人鼻饲护理质量评分提高,差异具有统计学意义(P<0.05)。结论:前馈控制应用于神经内科老年患者非计划性拔除鼻胃管安全管理中,能够降低不良事件发生率,提高护理质量,保障患者安全。
Objective: To investigate the application of feedforward control in the safety management of nasal gastric tube in unplanned unplugged elderly patients in neurology department. Methods: The feed-forward control measures were applied to 90 elderly patients with nasogastric tube feeding from January 2015 to June 2016 in Pingdingshan Shenma Medical Group General Hospital, including setting up a feedforward control safety management team and nurse training at different levels , According to the risk assessment project to give targeted care measures. Results: The incidence of unplanned removal of nasogastric tube adverse events decreased from 27.06% from June 2013 to December 2014 to 8.89% from January 2015 to June 2016. The quality of adult nasal nursing care improved with the difference Statistical significance (P <0.05). Conclusion: The application of feedforward control in the non-planned safety management of nasogastric tube in senile patients with neurology can reduce the incidence of adverse events, improve the nursing quality and ensure the safety of patients.