HFMEA风险管理模式在年龄>60岁腹股沟疝(IH)患者中的应用效果研究  

Application Effect of HFMEA Risk Management Model in Patients with inguinal Hernia(IH)aged>60-year-old

作　　者：柳光霞[1] 柳光春 LIU Guangxia;LIU Guangchun(Department of General Surgery,the First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院普通外科三病区,河南南阳473000

出　　处：《临床研究》2022年第1期191-194,共4页Clinical Research

摘　　要：目的探究医疗失效模式和效应分析(HFMEA)风险管理模式在年龄>60岁腹股沟疝(IH)患者中的应用效果。方法前瞻性选取南阳医学高等专科学校第一附属医院104例年龄>60岁IH患者(2017年1月至2020年12月),按随机数字表法分成观察组(n=52)、对照组(n=52)。对照组接受常规护理干预,观察组于对照组基础上予以HFMEA风险管理模式干预。比较两组术后康复指标、术前、术后1 d、3 d视觉模拟评分法(VAS)评分、术后并发症发生率、焦虑、抑郁情绪、生活质量、护理满意度。结果观察组术后排便时间、肛门排气时间、下床活动时间、住院时间较对照组短,差异有统计学意义(P<0.05);术后1 d、3 d观察组VAS评分较对照组低,差异有统计学意义(P<0.05);观察组并发症发生率3.85%(2/52)较对照组19.23%(10/52)低,差异有统计学意义(P<0.05);术后观察组HAMA、HAMD评分较对照组低,GQOL-74评分较对照组高,差异有统计学意义(P<0.05);观察组护理满意度为96.15%,明显高于对照组82.69%,差异有统计学意义(P<0.05)。结论HFMEA风险管理模式应用于年龄>60岁IH患者可优化术后恢复指标,缓解术后疼痛感,降低并发症发生风险,还可缓解患者负性情绪,提高生活质量及护理满意度。Objective To explore the application effect of medical failure mode and effects analysis(HFMEA)risk management model in patients with inguinal hernia(IH)aged>60-year-old.Methods A total of 104 IH patients aged>60-year-old in the First Affiliated Hospital of Nanyang Medical College were prospectively selected(from January 2017 to December 2020),and they were divided into observation group(n=52)and control group(n=52)according to the random number table method.The control group received routine nursing intervention,and the observation group received HFMEA risk management model intervention on the basis of the control group.The postoperative rehabilitation indicators,visual analogue scale(VAS)scores before surgery,1d and 3d after surgery,postoperative complication rates,anxiety,depression,quality of life,and nursing satisfaction were compared between the two groups.Results The postoperative defecation time,anal exhaust time,ambulation time,and hospital stay in the observation group were shorter than those in the control group(P<0.05);The VAS score of the observation group was lower than that of the control group on the 1st and 3rd day after operation(P<0.05);The total incidence of complications in the observation group was 3.85%(2/52),which was lower than that in the control group(19.23%(10/52)(P<0.05);After operation,the HAMA and HAMD scores of the observation group were lower than those of the control group,and the GQOL-74 score was higher than that of the control group(P<0.05).Conclusion The application of HFMEA risk management model to IH patients aged>60-year-old can optimize postoperative recovery indicators,relieve postoperative pain,reduce the risk of complications,relieve patients'negative emotions,and improve quality of life and nursing satisfaction.

关 键 词：医疗失效模式和效应分析风险管理模式 腹股沟疝 术后康复 

分 类 号：R473[医药卫生—护理学]