失效模式与效应分析法对俯卧位手术并发症的预防作用  

Preventive effect of failure mode and effect analysis on complications of prone position surgery

作　　者：黄海香[1] 张晓春[1] 肖珍玲[1] 

机构地区：[1]广东医学院附属医院手术室,广东湛江524001

出　　处：《广东医学院学报》2015年第3期280-282,共3页Journal of Guangdong Medical College

摘　　要：目的观察失效模式与效应分析法能否降低俯卧位手术并发症。方法选择2011年6月至2012年5月取俯卧位行颈椎、腰椎手术的38例患者作为对照组,采取常规护理措施;2012年6月至2013年5月的40例患者为观察组,在常规护理基础上应用失效模式与效应分析法提出的并发症防范措施。比较两组压疮发生率和外周神经损伤情况。结果两2组均未发生III、IV度压疮,观察组、对照组I、II度压疮发生率分别为17.5%、78.9%,两组比较差异有统计学意义(χ=29.509<0.01)30%92.1%=31.3862,P;观察组、对照组外周神经损伤发生率分别为、,两组比较差异有统计学意义(χ,P<0.01)。结论应用失效模式与效应分析法可降低俯卧位手术I、II度压疮及外周神经损伤发生率。Objective To observe whether failure mode and effect analysis（FMEA） can reduce the complications of prone position surgery. Methods Thirty-eight patients underwent cervical and lumbar surgery in prone position from June 2011 to May 2012 received the routine nursing（control group）, while 40 cases from June 2012 to May 2013 accepted the routine nursing and preventive measures for complications based on FMEA（observation group）. The incidence of pressure ulcers and peripheral nerve injury were compared between 2 groups. Results No cases of grade Ⅲ/Ⅳ pressure sore occurred in 2 groups. Incidences of grade Ⅰ/Ⅱ pressure ulcer and peripheral nerve injury were significantly lower in observation group than those in control group（17.5% vs 78.9%, P〈0.01; 30.0% vs 92.1%, P〈0.01）. Conclusion Application of FMEA can reduce the incidence of grade Ⅰ/Ⅱ pressure ulcer and peripheral nerve injury in prone position surgery.

关 键 词：失效模式与效应分析法 俯卧位 压疮 外周神经损伤 

分 类 号：R473.6[医药卫生—护理学]