基于FMEA模式护理在严重创伤患者急救中的应用效果  

Application effect of nursing based on FMEA model in emergency cane of patients with severe trauma

作　　者：宋欣 何乾峰 张毳毳 吴奕萱 焦大脉 高艳玲 SONG Xin;HE Qianfeng;ZHANG Cuicui;WU Yixuan;JIAO Damai;GAO Yanling(Department of Emergency,Second Affiliated Hospital of Air Force Military Medical University,Shaanxi Province,Xi’an710038,China)

机构地区：[1]空军军医大学第二附属医院急诊科,陕西西安710038

出　　处：《中国医药导报》2021年第27期170-173,共4页China Medical Herald

摘　　要：目的探讨基于失效模式和效应分析(FMEA)模式护理在严重创伤患者急救中的应用效果。方法选取空军军医大学第二附属医院于2017年10月至2020年10月收治的122例严重创伤患者作为研究对象。根据随机数字表法将其分为观察组和对照组,各61例。对照组采用常规护理方案进行护理,观察组采用基于FMEA模式设计的护理方案进行护理。观察两组急救反应时间、抢救成功率、并发症发生情况,以评价不同急救护理模式的应用效果。结果观察组急诊室停留时间、救治前检查时间、术前等待时间和入院至抢救间隔时间均短于对照组,差异有统计学意义(P<0.05)。观察组抢救成功率高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于FMEA模式设计的急救护理方案对于严重创伤患者具有良好的临床应用价值,其能够有效提升医院的急救反应速度、提高抢救成功率,同时能有效控制急救相关并发症的发生,值得在护理实践中推广应用。Objective To explore the application effect of failure mode and effect analysis(FMEA)model nursing in emergency care of severe trauma patients.Methods A total of 122 severe trauma patients admitted to Second Affiliated Hospital of Air Force Military Medical University between October 2017 and October 2020 were selected as the research objects.The patients were divided into observation group and control group by random number table method,with 61 cases in each group.Patients in the observation group were treated with a nursing plan based on the FMEA model,and patients in the control group were treated with a conventional nursing plan.The emergency response time,rescue success rate,complications of the two groups to evaluate the application effects of different emergency care models were observed and studied.Results The emergency room stay time,pre-treatment inspection time,pre-operative waiting time,and the interval between admission and rescue in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The rescue success rate of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05);the incidence of complications in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The emergency nursing scheme based on FMEA model has good clinical application value for patients with severe trauma.It can effectively improve the emergency response speed of the hospital,improve the success rate of rescue,and effectively control the occurrence of emergency related complications,which is worthy of popularization and application in nursing practice.

关 键 词：严重创伤 失效模式与效果分析 急救护理 护理干预 护理效果 

分 类 号：R473[医药卫生—护理学]