医疗失效模式与效应分析模式在降低儿童留置针所致液体渗出及静脉炎的作用  

Role of Healthcare Failure Mode and Effect Analysis in Reducing Fluid Exudation and Phlebitis Caused by Detaining Needle in Children

作　　者：程雪[1] 张晓和[1] 薛婷[1] 周文娟[1] CHENG Xue;ZHANG Xiao-he;XUE Ting;ZHOU Wen-juan(Department of Pediatrics,Ji'an Maternal and Child Health Center,Ji'an 343000,Jiangxi,China)

机构地区：[1]吉安市妇幼保健院儿科,江西吉安343000

出　　处：《医学信息》2023年第21期169-172,共4页Journal of Medical Information

基　　金：江西省科技支撑计划项目[编号:吉市科计字〔2020〕20号(119)]。

摘　　要：目的研究失效模式与效应分析模式在降低儿童留置针所致液体渗出及静脉炎中的作用。方法选取2020年6月-2021年6月我院使用留置针的80例儿童为研究对象,采用随机数字表法分为对照组(n=40)和观察组(n=40)。对照组采用常规护理,观察组在对照组基础上采用医疗失效模式与效应分析模式干预,比较两组液体渗出和静脉炎发生率、患儿舒适度评分、家属护理满意度、留置时间。结果观察组液体渗出和静脉炎发生率分别为5.00%、2.50%,均低于对照组的17.50%、12.50%(P<0.05);观察组干预后患儿舒适度评分低于对照组(P<0.05);观察组家属护理满意度为97.50%,高于对照组的82.50%(P<0.05);观察组平均留置时间长于对照组(P<0.05)。结论医疗失效模式与效应分析模式能有效延长儿童留置针留置时间,降低儿童留置针所致液体渗出及静脉炎发生率,提高患儿舒适度,且患儿家属对护理满意度较高。Objective To study the effect of healthcare failure mode and effect analysis on reducing fluid exudation and phlebitis caused by detaining needle in children.Methods A total of 80 children who used detaining needles in our hospital from June 2020 to June 2021 were selected as the research objects.They were divided into control group(n=40)and observation group(n=40)by random number table method.The control group was treated with routine nursing,and the observation group was treated with medical failure mode and effect analysis mode on the basis of the control group.The incidence of liquid exudation and phlebitis,comfort score of children,nursing satisfaction of family members and retention time were compared between the two groups.Results The incidence of liquid exudation and phlebitis in the observation group were 5.00%and 2.50%,respectively,which were lower than 17.50%and 12.50%in the control group(P<0.05).After intervention,the comfort score of the observation group was lower than that of the control group(P<0.05).The nursing satisfaction of family members in the observation group was 97.50%,which was higher than 82.50%in the control group(P<0.05).The average indwelling time of the observation group was longer than that of the control group(P<0.05).Conclusion The healthcare failure mode and effect analysis can effectively prolong the indwelling time of children's indwelling needle,reduce the incidence of liquid exudation and phlebitis caused by children's indwelling needle,improve the comfort of children,and the family members of children have higher satisfaction with nursing.

关 键 词：失效模式和效应分析模式 儿童留置针 液体渗出 静脉炎 

分 类 号：R473[医药卫生—护理学]