FMEA模式在乳腺癌患者癌性伤口和术后恢复中的应用  

Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer

作　　者：周玉[1] 童宗培 王莉 周均凤 李青[2] ZHOU Yu;TONG Zongpei;WANG Li;ZHOU Junfeng;LI Qing(Department of General Surgery,Chuzhou Combined Hospital of Traditional Chinese and Western Medicine,Chuzhou,Anhui 239000,China;不详)

机构地区：[1]滁州市中西医结合医院普外一科,安徽滁州239000 [2]滁州市中西医结合医院普外二科

出　　处：《中华全科医学》2024年第2期340-343,共4页Chinese Journal of General Practice

基　　金：安徽省卫生健康科研项目(AHWJ2022c052)。

摘　　要：目的探究失效模式和效果分析(FMEA)模式在乳腺癌患者中的应用效果,及对患者癌性伤口和术后恢复的影响。方法选取2021年1月—2023年8月滁州市中西医结合医院收治的乳腺癌患者86例纳入研究,按照随机数字表将患者分为对照组(43例,采用常规护理干预)及FMEA组(43例,采用FMEA预防性护理干预)。比较2组干预前后癌性伤口恢复情况、疼痛、患肢功能恢复、焦虑状况及护理满意度。结果干预后,FMEA组渗液颜色正常例数显著多于对照组(χ^(2)=4.674,P=0.031),渗液气味显著低于对照组[(2.14±0.67)级vs.(2.58±0.74)级,t=2.890,P=0.005],渗液量差异无统计学意义(P>0.05)。干预第1、3、7天,2组VAS评分均逐渐降低(P<0.05),且FMEA组各时间点评分均显著低于对照组(P<0.05);干预后,2组患肢活动角度均显著提高(P<0.05),且FMEA组显著高于对照组(P<0.05);干预后,2组状态焦虑量表(SAI)评分、特质焦虑量表(TAI)评分均显著降低(P<0.05),且FMEA组显著低于对照组(P<0.05)。FMEA组护理满意度显著高于对照组[93.02%(40/43)vs.76.74%(33/43),χ^(2)=4.440,P=0.035]。结论FMEA模式预防可有效促进乳腺癌患者术后癌性伤口与上肢功能恢复,缓解疼痛及焦虑。Objective To explore the preventive effect of failure mode and effect analysis(FMEA)model in breast cancer patients,and its impact on cancerous wounds and postoperative recovery.Methods A total of 86 patients with breast cancer treated at Chuzhou Integrated Traditional and Western Medicine Hospital from January 2021 to August 2023 were selected and included as study subjects.According to the random number table method,the patients were simply randomly divided into control group(n=43,routine care intervention)and FMEA group(n=43,FMEA model preventive care intervention).The two groups were compared before and after the intervention in terms of cancer wound healing,pain status,functional recovery of the affected limb,anxiety status and nursing satisfaction.Results After intervention,the colour normality of exudate in the FMEA group was significantly higher than that in the control group(χ^(2)=4.674,P=0.031),while the odour of exudate was significantly lower than that in the control group[(2.14±0.67)grade vs.(2.58±0.74)grade,t=2.890,P=0.005],but the exudate volume had no significant difference(P>0.05).On the 1st,3rd,7th day after intervention,the VAS scores in both groups were gradually decreased(P<0.05),and the above scores in the FMEA group at different time points were significantly lower than those in the control group(P<0.05).After intervention,the angle of movement of the affected limb was significantly increased in both groups(P<0.05),and the above indicators were significantly higher in the FMEA group(P<0.05).The state anxiety inventory(SAI)score and trait anxiety inventory(TAI)score in both groups were declined significantly after intervention(P<0.05),and the two scores were significantly lower in the FMEA group compared to control group(P<0.05).Nursing satisfaction in the FMEA group was significantly higher than in the control group[93.02%(40/43)vs.76.74%(33/43),χ^(2)=4.440,P=0.035].Conclusion FMEA model prevention can effectively promote the recovery of post operative cancer wound and upper limb functi

关 键 词：乳腺癌 失效模式和效果分析 癌性伤口 术后恢复 

分 类 号：R737.9[医药卫生—肿瘤]