失效模式和效应分析模式对全麻复苏期并发症的影响  

Effect of failure mode and effect analysis mode on the recovery complications of general anesthesia

作　　者：袁方萍 黎笑微 YUAN Fang-ping;LI Xiao-wei(Department of anesthesiology,the 73rd Army Hospital of the Chinese People′s Liberation Army,Fujian Province,Xiamen361000,China)

机构地区：[1]中国人民解放军陆军第七十三集团军医院麻醉科,福建厦门361000

出　　处：《中国当代医药》2021年第10期148-150,共3页China Modern Medicine

摘　　要：目的探讨失效模式和效应分析(FMEA)模式对全麻复苏期的并发症的影响。方法选取2019年6~12月于中国人民解放军陆军第七十三集团军医院麻醉科麻醉复苏室进行复苏观察的200例全身麻醉患者作为研究对象,采用随机数字表法将其分为观察组和对照组各100例。对照组患者采取常规护理,观察组患者采取FMEA护理模式,比较两组患者护理后血压异常、管道脱落、烦躁、苏醒延迟、心率异常发生情况、并发症发生情况以及患者满意度。结果观察组患者血压异常、管道脱落、烦躁、苏醒延迟、心率异常及并发症总发生率均低于对照组,差异有统计学意义(P<0.05);观察组患者入室评估、复苏监护、出室评估以及转运交接满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论FMEA护理模式可有效降低全麻复苏患者并发症发生率,减少风险事件的发生,提高患者满意率,值得在临床中推广应用。Objective To explore the influence of failure mode and effect analysis(FMEA)mode on the complications of general anesthesia during resuscitation.Methods A total of 200 patients with general anesthesia who were observed in the anesthesia resuscitation room of the Anesthesiology Department of the 73rd Army Hospital of the Chinese People′s Liberation Army from June to December in 2019 were selected as the research objects.According to the random number table method,they were divided into observation group and control group with 100 cases in each group.The patients in the control group were treated with routine nursing,while the patients in the observation group were treated with FMEA nursing mode.The incidence of abnormal blood pressure,pipeline shedding,irritability,delayed recovery,abnormal heart rate,complications and patient satisfaction were compared between the two groups after nursing.Results The total incidence of abnormal blood pressure,tube shedding,irritability,delayed recovery,abnormal heart rate and total complications rate in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the entrance assessment,resuscitation monitoring,exit assessment,and transfer and handover satisfaction ratings of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The FMEA nursing model can effectively reduce the incidence of complications in patients undergoing general anesthesia resuscitation,reduce the occurrence of risk events,and improve the satisfaction rate of patients,which is worthy of clinical application.

关 键 词：失效模式和效应分析 全身麻醉 复苏 并发症 护理 风险事件 

分 类 号：R614.2[医药卫生—麻醉学]