基于FMEA模式下呼唤式护理干预在重度颅脑损伤昏迷患者中的护理效果  

Nursing Effect of Calling Nursing Intervention Based on FMEA Mode in Severe Craniocerebral Injury Coma Patients

作　　者：齐媛媛 魏秀梅 QI Yuanyuan;WEI Xiumei(The First Affiliated Hospital of Nanchang University,Nanchang 330000,China;不详)

机构地区：[1]南昌大学第一附属医院,江西南昌330000

出　　处：《中国医学创新》2023年第5期89-92,共4页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(2021B026)。

摘　　要：目的:探讨基于以失效模式和效应分析(FMEA)模式下呼唤式护理干预在重度颅脑损伤昏迷患者中的护理效果。方法:选取2020年1月-2022年1月南昌大学第一附属医院收治的117例重度颅脑损伤昏迷患者,以随机数字表法将患者分成A组(n=58)和B组(n=59)。B组采用常规护理,A组采用基于FMEA模式下呼唤式护理干预。比较两组并发症、清醒情况和格拉斯哥昏迷指数(GCS)评分。结果:B组并发症总发生率为16.95%,高于A组的3.45%(P<0.05)。A组1个月内苏醒人数多于B组,且苏醒时间短于B组(P<0.05)。两组干预前GCS评分比较,差异无统计学意义(P>0.05);干预1、2个月后,A组GCS评分均高于B组(P<0.05)。结论:采用基于FMEA模式下呼唤式护理能够增加苏醒人数,缩短苏醒时间,在患者与家属之间产生良好合作效应,可以进一步研究其发展方向。Objective:To explore the nursing effect of calling nursing intervention based on failure mode and effect analysis(FMEA)mode in severe craniocerebral injury coma patients.Method:A total of 117 coma patients with severe craniocerebral injury admitted to the First Affiliated Hospital of Nanchang University from January 2020to January 2022 were selected,they were divided into group A(n=58)and group B(n=59)by random number table method.Group B used conventional nursing,group A used calling nursing intervention based on based on FMEA mode.Complications,wakefulness and Glasgow coma scale(GCS)scores were compared between the two groups.Result:The total incidence of complications in group B was 16.95%,which was higher than 3.45%in group A(P<0.05).The number of awakening patients in group A was higher than that in group B within 1 month,and the awakening time was shorter than that in group B(P<0.05).There was no significant difference in GCS scores between the two groups before intervention(P>0.05);after 1 month and 2 months of intervention,GCS scores in group A were higher than those in group B(P<0.05).Conclusion:Calling nursing based on FMEA mode can increase the number of awakening,shorten the awakening time,produce good cooperation effect between patients and their families,can further study its development direction.

关 键 词：失效模式和效应分析 呼唤式护理 重度颅脑损伤 

分 类 号：R473.6[医药卫生—护理学]