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目的:分析肛肠科医源性疾病种类及发生原因,采取针对性措施整改管理方式以减少医源性疾病发生率。方法:于2014年7月起在作者所在医院肛肠科实施医源性疾病防范管理整改,期间参与的患者共150例,另将整改前随机抽取的158例患者归为一组;比较整改前后医护人员操作技能及理论知识掌握水平;分析医源性疾病发生原因;统计医源性疾病难个发生率。结果肛肠科医源性疾病发生的主要原因包括语言文字不当、检查粗暴、用药不当、仪器治疗不当、手术操作不当、护理失误等,其中手术操作不当及护理失误分别占19.05%、35.71%;整改后,医护人员操作技能和理论知识分值均明显提高(P<0.05);整改后医源性疾病发生率明显低于整改前(P<0.05)。结论:操作不当是引起肛肠科医源性疾病的主要因素,加强医护人员培训,提高操作技能和责任心,从而减少医源性疾病。
OBJECTIVE: To analyze the types and causes of iatrogenic iatrogenic diseases and to take targeted measures to rectify the management methods so as to reduce the incidence of iatrogenic diseases. Methods: From July 2014 onwards, we conducted an iatrogenic disease prevention and management reform in the anorectal department of the author’s hospital. A total of 150 patients were enrolled during the period. A total of 158 patients randomly selected before the rectification were grouped together. Before and after the rectification, Personnel operational skills and theoretical knowledge of the level of control; analysis of iatrogenic disease causes; statistical incidence of iatrogenic disease is difficult. Results The main causes of iatrogenic iatrogenic diseases included improper language, rough examination, improper medication, improper equipment, improper operation and nursing mistakes, among which 19.05% and 35.71% were related to improper operation and nursing errors respectively. (P <0.05). The incidence of iatrogenic diseases after rectification was significantly lower than that before rectification (P <0.05). Conclusion: Improper operation is the main factor that causes anorectal disease, strengthen the training of medical staff, improve operating skills and responsibility, so as to reduce iatrogenic disease.