Application of "Unplanned Re-entry" Index Management in Reducing Unplanned Catheterization during Epidural Analgesic Delivery
“非计划重返类”指标管理在降低硬膜外麻醉镇痛分娩非计划脱管中的应用

摘要

目的 探讨“非计划重返类”指标管理在降低椎管内镇痛分娩非计划脱管中的应用价值，降低椎管内镇痛分娩的脱管率。方法 选择2021年10月--2022年2月椎管内镇痛分娩的产妇204例为研究对象。以2021年10月--2021年11月椎管内镇痛的产妇98例为对照组。以2021年12月--2022年2月椎管内镇痛的产妇106例为观察组。对照组采用常规椎管内镇痛的产程护理。观察组采用“非计划重返类”指标管理干预。两组比较非计划脱管率。结果 观察组非计划脱管率显著低于对照组（P＜0.05）。结论 基于“非计划重返类”指标管，可显著降低椎管内镇痛分娩非计划脱管率，是一种非常有效的护理管理理念和方法。

Abstract

Objective To explore the application value of "unscheduled re-entry" index management in reducing unscheduled decannulation in intraspinal analgesia delivery, and reduce the rate of decannulation in intraspinal analgesia delivery.
Methods 204 parturients who delivered with intraspinal analgesia from October 2021 to February 2022 were selected as the study subjects. The control group consisted of 98 parturients who received intraspinal analgesia from October 2021 to November 2021. The observation group consisted of 106 parturients who received intraspinal analgesia from December 2021 to February 2022. The control group was treated with routine intraspinal analgesia during labor. The observation group used "unplanned return" indicators to manage the intervention. The rate of unplanned decannulation was compared between the two groups.
Results The rate of unplanned decannulation in the observation group was significantly lower than that in the control group (P<0.05).
Conclusion   Based on the indicator tube of "unplanned re-entry", the rate of unplanned catheter removal in intraspinal analgesia delivery can be significantly reduced, which is a very effective nursing management concept and method.