【摘要】 目的 调查分析麻醉重症监护室(AICU)患者护理安全事件的影响因素，为制定护理对策提供参考依据。方法 将2019年6—10月医院AICU收治的680例患者为研究对象，根据是否发生护理安全事件进行分组，其中249例发生护理安全事件设为发生组，431例未发生护理安全事件设为未发生组。通过单因素分析、多因素Logistic回归分析护理安全事件的影响因素，采取有针对性的护理干预措施。结果 单因素分析显示，年龄、BMI、ASA分级、手术类型、血管活性药物使用、APACHEⅡ评分、GCS评分、管道数量是AICU患者发生护理安全事件的影响因素（P<0.05）；多因素Logistic回归分析显示，年龄、GCS评分、管道数量是AICU患者发生护理安全事件的独立危险因素，BMI、行微创手术是保护性因素（P<0.05）。结论 AICU患者的护理安全事件受多种因素综合作用，护理人员应加强相关因素评估，尽早识别护理安全隐患，并给予有效的护理干预，促进护理安全。更多还原

【Abstract】 Objective To investigate and analyze the infl uencing factors of nursing safety incidents of patients in anesthesia intensive care unit(AICU), and to provide reference for formulate nursing countermeasures were set as the subjects. Methods A total of 680 patients admitted to the hospital’s AICU from June to October 2019 were selected as the study objects, and they were divided into groups according to whether nursing safety events occurred. Among them, 249 patients with nursing safety events were set as an occurrence group, and 431 patients without nursing safety events were set as a non-occurring group. The infl uencing factors of nursing safety events were analyzed by univariate analysis and multivariate Logistic regression, and targeted nursing intervention measures were taken. Results Univariate analysis showed that the age, BMI, ASA classifi cation, type of surgery,use of vasoactive drugs, APACHE II score, GCS score, and the number of pipelines were the infl uencing factors of nursing safety events in AICU patients(P <0.05). Multivariate Logistic regression analysis showed that the age, GCS score, and the number of pipelines were the independent risk factors of nursing safety events in AICU patients, and the BMI and minimally invasive surgery were the protective factors(P<0.05). Conclusion The nursing safety events of AICU patients were affected by a variety of factors. Nursing staff should strengthen the evaluation of relevant factors, identify hidden safety hazards as soon as possible, and give ef fective nursing interventions to promote nursing safety.更多还原