基于失效模式与效应分析的闭环管理在住院患者结肠镜检查肠道准备中的应用  

Application of closed-loop management based on failure mode and effect analysis in intestinal preparation for colonoscopy in inpatients

作　　者：申明 张铭光 任宏飞[1] 刘素珍[1] SHEN Ming;ZHANG Mingguang;REN Hongfei;LIU Suzhen(West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Sichuan Province,Chengdu 610041,China)

机构地区：[1]四川大学华西医院/四川大学华西护理学院,四川成都610041

出　　处：《中国医药导报》2024年第17期103-105,112,共4页China Medical Herald

基　　金：四川省卫生健康委员会科研课题(20PJ017)。

摘　　要：目的 探究基于失效模式与效应分析(FMEA)的闭环管理对行结肠镜检查的住院患者的影响。方法 选取四川大学华西医院2022年7月至2023年8月收治的行结肠镜检查的住院患者156例,根据随机数字表法将其分为观察组和对照组,每组78例。对照组实施常规管理,观察组实施基于FMEA的闭环管理。比较两组肠道准备合格率、结肠镜检查时间、镜检舒适度(疼痛状态、镇静效果评分)。比较两组入院时及检查前结肠镜检查认知水平评分和不良反应总发生率。结果 观察组肠道准备合格率高于对照组,差异有统计学意义(P<0.05)。观察组结肠镜进镜时间、整体检查时间短于对照组,差异有统计学意义(P<0.05)。观察组疼痛状态、镇静效果评分低于对照组,差异有统计学意义(P<0.05)。入院时,两组肠镜检查认知水平评分比较,差异无统计学意义(P>0.05);检查前,两组结肠镜检查认知水平评分高于入院时,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论 基于FMEA的闭环管理能显著提高住院患者肠道准备合格率,且能够缩短检查时间,提高患者舒适度。Objective To explore the influence of closed-loop management based on failure mode and effect analysis(FMEA)on inpatients with colonoscopy.Methods A total of 156 hospitalized patients undergoing colonoscopy in West China Hospital,Sichuan University from July 2022 to August 2023 were selected and they were divided into observation group and control group according to random number table method,with 78 cases in each group.The control group implemented routine management,and the observation group implemented closed-loop management based on FMEA.The qualified rate of bowel preparation,colonoscopy time,and endoscopic comfort(pain status and sedation effect score)were compared between the two groups.The cognitive scores of colonoscopy at admission and before examination and the total incidence of adverse reactions were compared between the two groups.Results The qualified rate of intestinal preparation in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The colonoscopy entry time ann overall examination time of the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The pain status and sedation effect scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At admission,there was no significant difference in colonoscopy cognitive scores between the two groups(P>0.05).Before examination,the cognitive score of colonoscopy in the two groups was higher than that at admission,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The total incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Closed-loop management based on FMEA can significantly enhance the qualified rate of intestinal preparation in inpatients,and it can also shorten the examinati

关 键 词：结肠镜检查 肠道准备 失效模式与效应分析 闭环管理 肠道准备合格率 

分 类 号：R473[医药卫生—护理学]