基于FMEA模型的护理干预对垂体瘤患者手术相关指标及术中差错发生的影响  

The influence of FMEA model basednursing intervention on operative indicators and intraoperative errors in patients with pituitary tumor

作　　者：张晓莉 何璐[1] 吴燕 罗慧[1] 林新秀 Zhang Xiaoli;He Lu;Wu Yan;Luo Hui;Lin Xinxiu(Operation room,Jiangxi provincial tumor hospital,Nanchang,Jiangxi,330000,China;The first affiliated hospital of nanchang university,Nanchang,Jiangxi,330000,China)

机构地区：[1]江西省肿瘤医院手术室,江西南昌330000 [2]南昌大第一附属医院

出　　处：《齐齐哈尔医学院学报》2023年第5期487-491,共5页Journal of Qiqihar Medical University

摘　　要：目的探讨垂体瘤手术患者采用基于失效模式与效应分析(FMEA)模型的护理干预效果,旨在改善垂体瘤患者手术相关指标,降低术中差错发生率。方法选择2020年5月—2022年6月本院收治的80例垂体瘤患者作为研究对象,按随机数表法分为观察组和对照组两组,每组各40例。所有患者均接受鼻内镜下垂体瘤切除术治疗,对照组采用常规护理,观察组采用基于FMEA模型护理干预。统计两组患者手术相关指标,对两组患者失效模式的风险优先指数(RPN)进行比较,统计两组患者术中差错情况及术后并发症发生情况。结果观察组患者的手术时间、交接时间、住院时间及住院费用少于对照组,差异均具有统计学意义(P<0.05);观察组患者应对策略、团队协作、设备使用、交接隐患、风险意识及手术感染预防的RPN评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者术中总差错发生率低于对照组,差异具有统计学意义(P<0.05);观察组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论垂体瘤手术患者采用FMEA模型的护理干预可减少术中差错,降低并发症风险,促进患者恢复。Objective To explore the effect of nursing intervention based on failure mode and effect analysis(FMEA)model for patients received pituitary tumor surgery,in order to improve the surgical indicators of patients with pituitary tumor and reduce the incidence of intraoperative errors.Methods Eighty patients with pituitary tumor those were admitted to the hospital from May2020 to June 2022 were enrolled as study subjects,and they were divided into observation group and control groupaccording to random number table method,40 patients in each group.All patients received nasal endoscopic pituitary tumor resection treatment.Patients in the control group received conventional nursing,while the observation group received nursing intervention based on FMEA model.Statistical operation related indicators of the two groups were counted.The risk priority index(RPN)of failure modes in the two groups were compared,and the incidence of intraoperative errors and postoperative complications in the two groups were counted.Results The hospitalization cost of the observation group was less than that of the control group,and the operation time,direct handover time and hospitalization time were shorter than that of the control group,with statistical differences(P<0.05).The RPN scores of the observation group were lower than those of the control group in coping strategy,teamwork,equipment use,handover hidden danger,risk awareness and surgical infection prevention(P<0.05).The incidence of total intraoperative error in the observation group was lower than that in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Apply FMEA model in nursing intervention of patients with pituitary tumor operation could reduce intraoperative errors,reduce the risk of complications and promote the recovery of patients.

关 键 词：垂体瘤 手术 失效模式与效应分析 术中差错 并发症 

分 类 号：R471[医药卫生—护理学]