基于FMEA模式的护理干预对宫颈癌PICC化疗患者的护理效果及并发症的影响  

Effect of nursing intervention based on FMEA model on nursing effect and complications of patients with cervical cancer undergoing PICC chemotherapy

作　　者：王静萍 贠雯洁 侯水亮 WANG Jing-ping;LU Wen-jie;HOU Shui-liang(Department of Obstetrics and Gynecology,Xi'an Ninth Hospital,Xi'an 710000,Shaanxi,CHINA)

机构地区：[1]西安市第九医院妇产科,陕西西安710000

出　　处：《海南医学》2021年第16期2170-2173,共4页Hainan Medical Journal

摘　　要：目的探讨基于失效模式-效应分析(FMEA)模式的护理干预对宫颈癌经外周静脉穿刺中心静脉置管(PICC)化疗患者的护理效果及并发症的影响。方法回顾性分析2019年1月至2020年10月于西安市第九医院妇产科接受PICC化疗的50例宫颈癌患者的临床资料,按照护理方式不同将患者分为观察组和对照组各25例。对照组患者PICC化疗期间采用常规护理,观察组患者则采用基于FMEA模式的护理干预,比较两组患者的置管情况,护理前、护理3个月后生活质量综合评定问卷(GQOLI-74)评分、并发症发生率及护理满意度。结果观察组患者的置管操作时间为(24.84±3.06)min,明显短于对照组的(28.15±2.33)min,一次性穿刺成功率、一次性置管成功率分别为92.00%、96.00%,明显高于对照组的68.00%和76.00%,差异均有统计学意义(P<0.05);护理后,观察组患者GQOLI-74中,躯体功能、心理功能、社会功能评分分别为(18.96±2.33)分、(16.43±2.05)分、(16.52±2.10)分,明显高于对照组的(14.87±2.50)分、(12.96±1.89)分、(13.26±1.93)分,差异均有统计学意义(P<0.05);观察组患者的并发症总发生率为12.00%,明显低于对照组的36.00%,差异有统计学意义(P<0.05);观察组患者对护理的总满意率为96.00%,明显高于对照组的72.00%,差异有统计学意义(P<0.05)。结论基于FMEA模式的护理干预在宫颈癌PICC化疗患者中的应用效果明显,其可有效提高置管效果,减少并发症发生,值得推广应用。Objective To study the effect of nursing intervention based on failure mode effect analysis(FMEA)model on nursing effect and complications of patients with cervical cancer undergoing peripherally inserted central catheter(PICC)chemotherapy.Methods The clinical data of 50 patients with cervical cancer who received PICC chemotherapy in Department of Obstetrics and Gynecology,Xi’an Ninth Hospital from January 2019 to October 2020 were retrospectively analyzed.According to different nursing methods,the patients were divided into observation group and control group,with 25 patients in each group.Patients in the control group were given routine nursing during PICC chemotherapy,while those in the observation group were given nursing intervention based on FMEA mode.The catheterization and the changes of the quality of life questionnaire(GQOLI-74)score before and after 3 months of nursing,and the incidence of complications and nursing satisfaction of the two groups were compared.Results The operation time of catheterization in the observation group was(24.84±3.06)min,which was significantly shorter than(28.15±2.33)min in the control group;the success rate of one-time puncture and one-time catheterization were 92.00%and 96.00%,respectively,which were significantly higher than 68.00%and 76.00%in the control group(P<0.05);after nursing,the physical function,psychological function and social function scores of the GQOLI-74 scores in the observation group were(18.96±2.33)points,(16.43±2.05)points,(16.52±2.10)points,which were significantly higher than(14.87±2.50)points,(12.96±1.89)points,(13.26±1.93)points of the control group(P<0.05);the total incidence of complications in the observation group was 12.00%,which was significantly lower than 36.00%in the control group(P<0.05);the total satisfaction rate of nursing in the observation group was 96.00%,which was significantly higher than 72.00%in the control group(P<0.05).Conclusion The application effect of nursing intervention based on FMEA model in patients with cervi

关 键 词：宫颈癌 经外周静脉穿刺中心静脉置管 化疗 失效模式-效应分析 护理 并发症 

分 类 号：R473.73[医药卫生—护理学]