失效模式与效应分析在乳腺癌化疗患者中的应用研究  

The effects of failure mode and effect analysis used in breast cancer patients with PORT chemotherapy

作　　者：柴宇霞[1] 屈清荣[1] 闫保君[1] CHAI Yu-xia QU Qing-rong YAN Bao-jun(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450052,Chin)

机构地区：[1]郑州大学第一附属医院,郑州市450052

出　　处：《中华护理教育》2017年第10期728-732,共5页Chinese Journal of Nursing Education

摘　　要：目的探讨失效模式与效应分析在使用完全植入式静脉输液港进行化疗的乳腺癌患者中的应用效果。方法组建研究小组,绘制流程图进行流程危险分析,确定失效模式,对潜在危险因素进行改进。结果患者住院期间及居家期间并发症(置管周围血栓、感染、维护延期)的发生率明显下降(P<0.05);而患者住院期间皮下血肿的发生率无明显改善(P>0.05)。结论应用失效模式与效应分析方法对使用完全植入式静脉输液港化疗的患者进行管理,能够有效降低输液港相关护理并发症的发生,改进输液港维护流程。Objective To examine the effects of failure mode and effect analysis（FMEA） used in breast cancer patients with PORT chemotherapy. Methods The FMEA group was builded up. The process risk was analyzed by drawing flow chart. The failure mode was identified. The potential risk factors were improved. Results After the implementation of FMEA,the incidences of complications （catheter thrombus,infeetion,delayed catheter maintenance） of PORT in patients during hospitalization and home were decreased（P〈0.05）,but the incidence of subcutaneous hematoma in patients during hospitalization was not improved. Conclusion FMEA used in breast cancer patients with PORT can reduce the incidence of complications and improve the PORT operation process.

关 键 词：静脉 乳腺肿瘤 失效模式与效应分析 

分 类 号：R473.73[医药卫生—护理学]