Department of Gastroenterology, Hai'An Hospital Affiliated with Nantong Medical College, Nantong, China.
Department of Geriatrics, Kunshan Geriatric Hospital of Jiangsu Province, Suzhou, China.
Ann Palliat Med. 2021 May;10(5):5738-5745. doi: 10.21037/apm-21-579. Epub 2021 Apr 30.
A root cause analysis (RCA) is a structured method used to address problems. It seeks to identify the root causes of problems, and proposes solutions to achieve an ultimate goal. This study sought to investigate the effects of an RCA in treating elderly patients with acute pancreatitis (AP).
94 patients with AP, who had been admitted to our hospital from January 2019 to January 2020, were enrolled in the study. The patients were divided into two groups using the random number table method. Each group comprised 47 patients. The control group received routine care, while the observation group underwent RCA care. The clinical efficacy, patients' negative emotions before and after the intervention, the incidence of complications, and patients' levels of satisfaction with the nursing they received were compared between the two groups.
The total clinical effective rate of the observation group was higher than that of the control group (P<0.05). The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the observation group were lower than those of the control group after the 2-week intervention (P<0.05). The incidence of total complications in the observation group was lower than that in the control group (P<0.05). The observation group's level of satisfaction with the nursing they received was higher than that of the control group (P<0.05).
The RCA method can improve clinical efficacy, relieve negative emotion, reduce the incidence of complications, and improve the level of satisfaction with nursing of elderly patients with AP. It is worthy of promotion.
Chinese Clinical Trial Registry ChiCTR2100045908.
根本原因分析（RCA）是一种用于解决问题的结构化方法。它旨在确定问题的根本原因，并提出解决方案以实现最终目标。本研究旨在调查 RCA 在治疗老年急性胰腺炎（AP）患者中的效果。
将 2019 年 1 月至 2020 年 1 月我院收治的 94 例 AP 患者纳入本研究，采用随机数字表法将患者分为两组，每组 47 例。对照组给予常规护理，观察组给予 RCA 护理。比较两组患者的临床疗效、干预前后负面情绪、并发症发生率及对护理的满意度。
观察组总有效率高于对照组（P<0.05）。干预 2 周后，观察组汉密尔顿焦虑量表和汉密尔顿抑郁量表评分均低于对照组（P<0.05）。观察组总并发症发生率低于对照组（P<0.05）。观察组对护理的满意度高于对照组（P<0.05）。
RCA 方法可提高老年 AP 患者的临床疗效，缓解负性情绪，降低并发症发生率，提高对护理的满意度，值得推广。
中国临床试验注册中心，ChiCTR2100045908。
