FMEA模式下风险管控对结直肠癌造口患者术后压疮发生率的影响  

Effect of Risk Management and Control Under FMEA Mode on Incidence of Postoperative Pressure Ulcer in Colorectal Cancer Patients with Colostomy

作　　者：郎杉 崔华 LANG Shan;CUI Hua(Department of Colorectal and Anal Surgery,First Affiliated Hospital of Zhengzhou University,Zheng-zhou,Henan 450000)

机构地区：[1]郑州大学第一附属医院结直肠肛门外科,河南郑州450000

出　　处：《中国肛肠病杂志》2024年第4期27-30,共4页Chinese Journal of Coloproctology

摘　　要：目的:分析失效模式与效应分析(FMEA)模式下风险管控对结直肠癌造口患者术后压疮发生率的影响。方法:将我院2022年3月至2023年3月收治的结直肠癌造口患者160例随机分为对照组和观察组,每组80例。对照组患者给予常规护理,观察组患者在对照组基础上给予FMEA模式下风险管控护理,2组患者均护理2周,比较2组患者术后压疮发生率、压疮发生风险系数值(RPN)、压疮相关知识认知度和护理依从性。结果:观察组患者术后压疮发生率低于对照组(P<0.05);护理2周后,观察组患者的压疮RPN值低于对照组(P<0.05);观察组压疮相关知识认知度高于对照组(P<0.05);观察组患者护理依从率高于对照组(P<0.05)。结论:FMEA模式下风险管控能够有效减少结直肠癌造口患者术后压疮的发生,降低压疮发生风险系数值,提高患者压疮认知度和护理依从性。Objective To analyze the effect of risk management and control under failure mode and effect analysis(FMEA)mode on the incidence of postoperative pressure ulcer in colorectal cancer patients with colostomy.Methods Total 160patients with colostomy in our hospital from March 2022to March 2023 were randomly divided into control group and observation group,with 80cases in each group.Patients in the control group were given routine nursing,and patients in the observation group were given risk man-agement and control nursing under FMEA mode on the basis of the control group.Patients in both groups were nursed for 2 weeks.The incidence of postoperative pressure ulcer,risk priority number(RPN)of pressure ulcer occurrence,knowledge awareness of pressure ulcer and nursing compliance of patients in the two groups were compared.Results The incidence of postoperative pressure ulcer in the observation group was lower than that in the control group(P<0.05).After 2weeks of nursing,the RPN value of pressure ulcer in the observation group was lower than that in the control group(P<0.05).The knowl-edge awareness of pressure ulcer in the observation group was higher than that in the control group(P<0.05).The nursing compliance rate of the observation group was higher than that of the control group(P<0.05).Conclusion Risk management and control under FMEA mode can effectively lower the occur-rence of pressure ulcers in patients with colorectal cancer after colostomy,reduce the RPN value of pres-sure ulcers,and improve the awareness and nursing compliance of patients with pressure ulcers.

关 键 词：结直肠癌 造口 失效模式与效应分析模式 风险管控 压疮 

分 类 号：R473.73[医药卫生—护理学]