失效模式和效应分析护理管理模式在急性脑梗死鼻饲患者中的应用  

Application of FMEA nursing management model in patients with acute cerebral infarction undergoing nasogastric feeding

作　　者：计慧宁 范超林 孙东丽 翟会民 JI Hui-ning;FAN Chao-lin;SUN Dong-li;ZHAI Hui-min(Neurological Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院神经重症监护病房,河南郑州450000

出　　处：《海南医学》2025年第7期1050-1054,共5页Hainan Medical Journal

基　　金：2023年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20230193)。

摘　　要：目的探究失效模式和效应分析(FMEA)护理管理模式在急性脑梗死(ACI)鼻饲患者中的应用效果。方法选取2023年5月至2024年2月就诊于郑州大学第一附属医院的124例ACI鼻饲患者作为研究对象,按随机数表法分为观察组和对照组各62例。对照组患者给予常规干预,观察组患者给予FMEA护理管理模式,连续干预至患者出院。比较两组患者干预前后营养指标[白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)]、美国国立卫生院卒中量表(NIHSS)、Barthel指数(BI)评分变化,同时比较两组患者的并发症发生率和护理满意度。结果干预后,观察组患者血清ALB、PA、TRF水平分别为(48.97±3.63)g/L、(0.33±0.05)g/L、(3.88±0.57)g/L,明显高于对照组的(45.30±4.02)g/L、(0.29±0.04)g/L、(2.64±0.52)g/L,差异均有统计学意义(P<0.05);干预后,观察组患者NIHSS评分为(11.21±1.52)分,明显低于对照组的(13.72±2.26)分,BI评分为(50.53±6.10)分,明显高于对照组的(42.29±5.06)分,差异均有统计学意义(P<0.05);观察组相关并发症发生率明显低于对照组,差异均有统计学意义(P<0.05);观察组患者护理满意度为95.16%,明显高于对照组的72.58%,差异有统计学意义(P<0.05)。结论FMEA护理管理模式可降低ACI鼻饲患者并发症发生风险,改善机体营养状态,促进功能恢复,护理满意度高。Objective To explore the application effect of the Failure Mode and Effect Analysis(FMEA)nursing management model in patients with acute cerebral infarction(ACI)undergoing nasogastric feeding.Methods A total of 124 ACI patients receiving nasogastric feeding who were treated at the First Affiliated Hospital of Zhengzhou University from May 2023 to February 2024 were selected as the study subjects.They were randomly divided into an observation group and a control group,with 62 patients in each group.Patients in the control group received routine interventions,while those in the observation group were given the FMEA nursing management model.Continuous interventions were provided until the patients were discharged.The changes in nutritional indicators(albumin[ALB],prealbumin[PA],transferrin[TRF]),National Institutes of Health Stroke Scale(NIHSS),and Barthel Index(BI)scores were compared between the two groups before and after the intervention.Additionally,the the two groups'complication incidence and nursing satisfaction rates were compared.Results After the intervention,the serum levels of ALB,PA,and TRF in the observation group were(48.97±3.63)g/L,(0.33±0.05)g/L,and(3.88±0.57)g/L,respectively,which were significantly higher than corresponding(45.30±4.02)g/L,(0.29±0.04)g/L,and(2.64±0.52)g/L in the control group,with statistically significant differences(P<0.05).After-intervention,the NIHSS score of the observation group was(11.21±1.52)points,significantly lower than(13.72±2.26)points of the control group,while the BI score was(50.53±6.10)points,significantly higher than(42.29±5.06)points of the control group,both with statistically significant differences(P<0.05).The incidence of related complications was significantly lower in the observation group than in the control group(P<0.05).The nursing satisfaction rate in the observation group was 95.16%,significantly higher than 72.58%in the control group,with a statistically significant difference(P<0.05).Conclusion The FMEA nursing management model can reduce

关 键 词：急性脑梗死 失效模式和效应分析 鼻饲 并发症 预防 

分 类 号：R743.33[医药卫生—神经病学与精神病学]