失效模式与效果分析对脑血管造影患者术后并发症的影响

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目的:探究失效模式与效果分析(FMEA)对脑血管造影患者术后并发症的影响。方法:采用便利抽样法,选取2016年3月—2019年1月山西省人民医院收治的167例脑血管造影术患者为研究对象,按照实施FMEA前后分为两组,观察组(FMEA实施后)采用FMEA方法计算出失效模式优先风险指数确定护理计划进行临床护理,对照组(FMEA实施前)采用常规护理,比较两组患者术后优先风险指数、并发症发生情况及护理满意度。结果:观察组各失效模式优先风险指数均低于对照组。观察组总并发症发生率低于对照组,差异有统计学意义(n P<0.01)。观察组健康宣教、护理行为专业程度、护理要求满足程度、护理态度、护理技能方面的护理满意度得分均高于对照组,差异均有统计学意义(n P<0.01)。n 结论:FMEA方法通过分析脑血管造影术并发症发生的原因,并根据原因制订针对性护理方案,使操作流程更规范与科学,能够有效降低患者术后并发症,提高护理满意度。“,”Objective:To explore the effect of failure mode and effects analysis (FMEA) on the postoperative complications in patients with cerebral angiography.Methods:Using the convenient sampling method, a total of 167 patients with cerebral angiography who were admitted to Shanxi Provincial People's Hospital from March 2016 to January 2019 were selected as research objects and they were divided into two groups according to the implementation of FMEA. The observation group (after the implementation of FMEA) used FMEA method to calculate of priority risk number (RPN) in failure mode to determine the nursing plan for clinical nursing, while the control group (before the implementation of FMEA) was given routine nursing. The postoperative RPN, complications and nursing satisfaction were compared between the two groups.Results:RPN of each failure mode in the observation group was significantly lower than that in the control group. The total incidence of complications in the observation group were lower than those in the control group, and the differences were statistically significant (n P<0.01) . The scores of nursing satisfaction in health education, professional degree of nursing behaviors, nursing requirement satisfaction degree, nursing attitude and nursing skills of the observation group were significantly higher than those of the control group, and the differences were statistically significant (n P<0.01) .n Conclusions:FMEA method analyzes the causes of complications of cerebral angiography and formulates targeted nursing plans according to the causes, so as to make the operation process more standardized and scientific, effectively reduce postoperative complications of patients and improve nursing satisfaction.
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