摘要
目的探讨失效模式与效应分析对控制脑血管造影术后患者并发症的临床效果。方法选取117例脑血管造影术后患者,随机分为常规护理组58例与观察组59例。观察组进行多种失效模式与效应分析管理,以降低DSA术后并发症发生率为目标,对每个环节分析描述,根据RPN值对失效模式进行纠正、预防措施的制定。对术后并发症情况进行记录,并评估患者焦虑自评量表、疼痛情况以及舒适度。结果研究组失效模式RPN值低于对照组。常规护理组并发症发生率(37.93%)高于研究组(6.78%),差异有统计学意义(P<0.05);研究组护理后SAS值、NAS值均低于对照组,CQC值高于对照组,差异有统计学意义(P<0.05)。研究组对护理满意度为97.67%,高于对照组满意度(89.25%),差异有统计学意义(P<0.05)。结论全程护理对脑血管造影术后患者进行干预护理,可以有效控制患者并发症的发生,提高患者生活质量及护理满意度,具有临床推广应用价值。
Objective To investigate the clinical effect of failure mode and effect analysis on controlling complications after cerebral angiography.Methods 117 patients after cerebral angiography were randomly divided into routine nursing group(58 cases)and observation group(59 cases).The observation group analyzed and managed various failure modes and effects,aimed at reducing the incidence of complications after DSA,analyzed and described each link,and formulated corrective and preventive measures for failure modes according to RPN value.The postoperative complications were recorded.Results The RPN value of failure mode in the study group was lower than that in the control group.The incidence of complications in the routine nursing group(37.93%)was significantly higher than that in the study group(6.78%)(P<0.05);The satisfaction of the study group was 97.67%,and that of the control group(89.25%)was significantly higher than that of the routine nursing group(88.37%).The difference between the two groups was statistically significant(P<0.05).Conclusion The whole process nursing intervention for patients after cerebral angiography can effectively control the occurrence of complications,improve patients’quality of life and nursing satisfaction,and has the value of clinical popularization and application.
作者
李伟
贾娟
李海燕
胡凤香
LI Wei;JIA Juan;LI Haiyan;HU Fengxiang(Department of Neurology,Xuzhou Central Hospital,Xuzhou,Jiangsu 221000)
出处
《智慧健康》
2022年第25期30-34,共5页
Smart Healthcare
关键词
全程护理
脑血管造影术
并发症
Whole process nursing
Cerebral angiography
Complication
作者简介
通信作者:胡凤香(1981-),女,江苏徐州,本科,副主任护师,研究方向:康复护理,老年护理。
