FMEA模式护理对老年髋部骨折术后患者感染发生情况的影响  

Effect of FMEA mode nursing on the incidence of infection in elderly patients with hip fracture after operation

作　　者：刘静 LIU Jing(Infection Control Department,Puyang People's Hospital,Puyang 457000,China)

机构地区：[1]濮阳市人民医院感控科,河南濮阳457000

出　　处：《临床医学研究与实践》2025年第4期175-178,共4页Clinical Research and Practice

摘　　要：目的 探讨失效模式与效应分析(FMEA)模式护理对老年髋部骨折术后患者感染发生情况的影响。方法选取2021年10月至2022年10月我院收治的98例老年髋部骨折手术患者为研究对象,依据随机抽签法将其分为对照组和观察组,每组49例。对照组实施常规护理,观察组实施FMEA模式护理。比较两组的术后感染发生情况、康复效果、负性情绪及护理满意度。结果 观察组的术后感染总发生率低于对照组,差异具有统计学意义(P<0.05)。观察组的下床活动时间、进食时间、引流管拔管时间及住院时间均短于对照组,差异具有统计学意义(P<0.05)。干预前,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组的SAS、SDS评分低于对照组,差异具有统计学意义(P<0.05)。观察组的护理满意度高于对照组,差异具有统计学意义(P<0.05)。结论 FMEA模式护理可减轻老年髋部骨折术后患者的负性情绪,降低感染发生率,缩短住院时间,提升护理满意度,值得在临床中推广及应用。Objective To investigate the effect of failure mode and effects analysis(FMEA)mode nursing on the incidence of infection in elderly patients with hip fracture after operation.Methods A total of 98 elderly patients with hip fracture operation admitted in our hospital from October 2021 to October 2022 were selected as the research objects.According to the random lottery method,the patients were divided into control group and observation group,with 49 cases in each group.The control group received routine nursing,and the observation group received FMEA mode nursing.The incidence of postoperative infection,rehabilitation effect,negative emotion and nursing satisfaction were compared between the two groups.Results The total incidence of postoperative infection in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The time of getting out of bed,eating time,drainage tube extubation time and hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)between the two groups(P>0.05);after intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion FMEA mode nursing can mitigate the negative emotions of elderly patients with hip fracture after operation,reduce the incidence of infection,shorten the hospitalization time,and improve nursing satisfaction.It is worthy of promotion and application in clinical practice.

关 键 词：失效模式与效应分析 髋部骨折 术后感染 

分 类 号：R473.6[医药卫生—护理学]