基于医疗失效模式与效应分析的卒中急救流程在基层医院中的应用效果  

Effects of stroke first aid process based on healthcare failure mode and effect analysis in primary hospitals

作　　者：相松飞[1] 陈秀芳[1] Xiang Songfei;Chen Xiufang(Second Department of Neurology,Shaoxing People's Hospital,Shaoxing 312000,China)

机构地区：[1]绍兴市人民医院神经内科二,312000

出　　处：《中华现代护理杂志》2021年第2期250-255,共6页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目(2020KY985)。

摘　　要：目的探讨基于医疗失效模式与效应分析的卒中急救流程在基层医院中的应用效果。方法采用便利抽样法,随机选取绍兴市人民医院2017年8月—2018年7月收治的88例急性缺血性脑卒中患者作为对照组,随机选取绍兴市人民医院2018年10月—2019年9月收治的96例急性缺血性脑卒中患者作为观察组。对照组患者应用常规卒中急救流程进行护理干预,观察组在对照组的基础上给予医疗失效模式与效应分析的卒中急救护理流程。比较两组患者急救流程各环节所需时间、临床结局指标及护理总满意度。结果观察组患者的急救流程各环节所需时间均少于对照组,差异有统计学意义(P<0.05);观察组患者的血管再通率高于对照组,且观察组患者的术后并发症发生率低于对照组,差异均有统计学意义(P<0.05);观察组患者的护理总满意度为95.8%(92/96),高于对照组的86.4%(72/88),差异有统计学意义(P<0.05)。结论基于医疗失效模式与效应分析的卒中急救流程在基层医院中的应用效果较好,可有效缩短急性缺血性脑卒中患者的急救时间,降低患者并发症发生率,提高护理满意度,值得临床应用。Objective To explore the effect of the stroke first aid process based on healthcare failure mode and effect analysis in primary hospitals.Methods Using convenience sampling,88 patients with acute ischemic stroke(AIS)admitted to Shaoxing People's Hospital from August 2017 to July 2018 were randomly selected in control group,and 96 patients with AIS admitted to Shaoxing People's Hospital from October 2018 to September 2019 were randomly selected in observation group.Patients in control group were treated with routine stroke first aid process for nursing intervention.On the basis of control group,observation group was provided with stroke first aid process based on healthcare failure mode and effect analysis.We compared the time required for each link of the first aid process,clinical outcome indicators and total nursing satisfaction of patients between two groups.Results The time required for each link of the first aid process of observation group was less than that of control group,and the difference was statistically significant(P<0.05).The vascular recanalization rate of observation group was higher than that of control group,and the postoperative complication rate of observation group was lower than that of control group,the difference was statistically significant(P<0.05).The total nursing satisfaction of patients in observation group was 95.8%(92/96),which was higher than 86.4%(72/88)of control group,and the difference was statistically significant(P<0.05).Conclusions The stroke first aid process based on healthcare failure mode and effect analysis has a good application effect in primary hospitals,which can effectively shorten the first aid time of patients with AIS,reduce the incidence of patient complications,and improve nursing satisfaction.It is worthy of clinical application.

关 键 词：卒中 医疗失效模式 效应分析 急救流程 基层医院 

分 类 号：R473.74[医药卫生—护理学]