To Explore the Effects of Predictive Risk Nursing Model Based on Root Cause Analysis on Psychological Stress and Nursing Risk Events in Patients Undergoing Orthopedic Surgery

ZHOU Hongjun

doi:10.3969/j.issn.1672-7185.2025.11.004

Abstract：Objective To explore the effect of predictive risk nursing model based on root cause analysis on psychological stress and nursing risk events in patients undergoing orthopedic surgery.Methods In this study,110 orthopedic surgery patients who received surgical treatment and routine nursing in the operating room in Rudong County People's Hospital from October 2024 to December 2024 were selected as the control group,and 110 orthopedic surgery patients who received surgical treatment and predictive risk nursing based on root cause analysis in the hospital during the same period were selected as the observation group.A comparative analysis was conducted on the psychological stress[(self-rating anxiety scale,SAS)、(self-rating depression scale,SDS)、(stanford acute stress reaction questionnaire,SASRQ)],incidence of nursing risk events,nursing quality and nursing satisfaction of the two groups.Results There were no significant differences in SAS,SDS,and SASRQ scores between the two groups before intervention(P>0.05).After intervention,the SAS,SDS,and SASRQ scores of the two groups were significantly improved(P<0.05),and the SAS,SDS,and SASRQ scores of the observation group were significantly lower than those of the control group(P<0.05).The incidence of nursing risk events in the observation group was significantly lower than that in the control group(P<0.05),and the quality of nursing and nursing satisfaction were significantly higher than those in the control group(P<0.05).Conclusion The application of predictive risk nursing model based on root cause analysis in the operating room nursing for patients with orthopedic surgery can significantly reduce the psychological stress of patients,and effectively prevent the occurrence of nursing risk events,which meets the nursing needs of operating room and is worthy of promotion.