摘要
目的:探讨失效模式与效应分析(FMEA)在妇科围术期患者中的应用效果。方法:回顾性分析2022年3月—2024年3月焦作市妇幼保健院行妇科手术治疗的94例患者的临床资料,根据护理方式的不同将其分为对照组(n=47)和观察组(n=47)。对照组采用常规护理,观察组采用FMEA护理,两组患者均持续护理至出院。对比两组患者压疮情况、遵医行为、压力性损伤发生率、舒适状况及护理满意度情况。结果:护理后,观察组患者压疮风险评估量表(Braden)各项评分均优于对照组,差异均有统计学意义(t=11.286、17.010、16.506、17.976、14.536、14.757,P<0.05);观察组患者遵医行为评分均高于对照组,差异均有统计学意义(t=6.293、4.633、4.551、5.789,P<0.05);观察组患者压力性损伤发生率低于对照组,差异有统计学意义(χ^(2)=5.045,P<0.05);观察组患者舒适状况量表(GCQ)评分均高于对照组,差异均有统计学意义(t=11.837、12.066、6.692、9.173,P<0.05);观察组患者满意度评分均高于对照组,差异均有统计学意义(t=7.626、5.410、6.383、5.643、5.123、3.863,P<0.05)。结论:FMEA护理干预模式在妇科围术期患者中应用效果良好,可降低压力性损伤发生风险,有利于改善患者遵医行为、提升患者的舒适度和满意度。
Objective:To investigate the effect of failure mode and effect analysis(FMEA)in gynecological perioperative patients.Methods:A retrospective analysis of 94 case data of patients undergoing gynecological surgery in the hospital from March 2022 to March 2024 were divided into two groups:the control group(47 cases,usual care)and the observation group(47 cases,FMEA care).Both groups were continuously cared until discharge.The pressure ulcer conditions,compliance behaviors,incidence of pressure injuries,comfort status and nursing satisfaction of the two groups were compared.Results:After the nursing care,the scores of each item of the Pressure Ulcer Risk Assessment Scale(Braden)in the observation group were all better than those in the control group,and the difference was statistically significant(t=11.286,17.010,16.506,17.976,14.536,14.757;P<0.05).The compliance behavior scores of patients in the observation group were all higher than those in the control group,and the difference was statistically significant(t=6.293,4.633,4.551,5.789;P<0.05).The incidence of pressure injury in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.045,P<0.05).The scores of the Comfort Status Scale(GCQ)in the observation group were all higher than those in the control group,and the difference was statistically significant(t=11.837,12.066,6.692,9.173;P<0.05).The satisfaction scores of patients in the observation group were all higher than those in the control group,and the difference was statistically significant(t=7.626,5.410,6.383,5.643,5.123,3.863;P<0.05).Conclusion:FMEA nursing mode intervention has good results in gynecological perioperative patients,which can reduce the risk of stress injury,improve patients’compliance behavior,comfort and satisfaction.
作者
李美娜
许莉芳
高梦霏
Li Meina;Xu Lifang;Gao Mengfei(Jiaozuo City Maternal and Child Health Care Hospital,Jiao-zuo,Henan,454100,China)
出处
《黑龙江医学》
2025年第16期2027-2029,共3页
Heilongjiang Medical Journal
基金
2023年度焦作市科技发展计划项目(2023A00145)。
关键词
妇科
失效模式与效应分析
围术期
压力性损伤
遵医行为
Gynecology
Failure mode and effect analysis
Perioperative
Stress injury
Compliance behavior
