失效模式和效应分析预防乳腺癌PICC导管感染的效果观察  

Efficacy of FMEA in the control of PICC-related infection in breast cancer

作　　者：孙宇[1] 胡明新[2] 袁滨[3] 王冲 张苗 

机构地区：[1]辽宁省沈阳市第五人民医院放疗科,沈阳110023 [2]辽宁省沈阳市第五人民医院护理部,沈阳110023 [3]辽宁省沈阳市第五人民医院肿瘤内科,沈阳110023

出　　处：《中国肿瘤临床与康复》2017年第11期1399-1401,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨失效模式和效应分析(FMEA)预防乳腺癌PICC置管性导管感染的效果。方法选取2015年3月至2016年12月间沈阳市第五人民医院收治的100例PICC置管并采用蒽环类药物化疗的乳腺癌患者,采用随机抽样分组法分为观察组与对照组,每组50例。观察组患者采用FMEA模式对PICC置管性导管感染进行风险管理,分析感染发生的原因,计算失效模式中的优先风险指数(RPN),选取最高风险进行优先处理,制定改善对策及护理措施;对照组患者采用常规导管护理措施。比较两组患者风险指数(RPN)值和PICC置管性导管感染发生率。结果观察组患者失效模式RPN指数低于对照组,PICC置管性导管感染发生率低于对照组,两组比较,差异均有统计学意义(均P<0.05)。结论 FMEA应用于乳腺癌PICC置管性导管感染风险管理,可有效降低感染发生率,值得临床推广。Objective To investigate the effect of failure mode and effect analysis（ FMEA） on the prevention of peripheral inserted central catheter（ PICC） related infection in breast cancer. Methods From March 2015 to December 2016,100 patients with breast cancer who underwent PICC surgery and received anthracycline chemotherapy were selected at Shenyang Fifth People＇s Hospital. Using random sampling methods,patients were divided into an observation group and a control group with 50 patients in each group. FMEA was applied in the observation group to administrate the risk of PICC-related infection,analyze the reason that caused infection,calculate risk priority number（ RPN） in the failure mode,make the highest risk priority and create strategies for improvement and nursing. The control group was only given routine nursing. The RPN value and the incidence of PICC-related infection were compared between the two groups. Results RPN index in the failure mode was lower in the observation group than in the control group and the incidence of PICC-related infection was lower in the observation group than in the control group（ P〈0. 05）. Conclusion FMEA model can effectively reduce the incidence of infection in the management of PICC-related infection in breast cancer.

关 键 词：FMEA模式 PICC 置管性导管感染 预防 

分 类 号：R473.73[医药卫生—护理学]