FMEA理论协同护理在股骨粗隆间骨折中的应用价值  

Application value of FMEA theory in collaborative nursing in femoral trochanteric fracture

作　　者：周敏捷 凌乐洁 李玉洁 骆国钢 ZHOU Minjie;LING Lejie;LI Yujie;LUO Guogang(Department of Traumatology,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州市中西医结合医院创伤骨科,浙江温州325000

出　　处：《中华全科医学》2025年第5期895-898,共4页Chinese Journal of General Practice

基　　金：浙江省中医药科技计划项目(2021ZB275);温州市基础性公益科研项目(Y2023482)。

摘　　要：目的 股骨粗隆间骨折是临床常见病症之一,其发生率和罹患率不断上升,早期予以手术治疗是主要手段,而术后科学的管理方法是促进骨折功能恢复及降低并发症风险的关键措施,为进一步优化股骨粗隆间骨折围手术期管理措施,本研究探讨基于失效模式与效应分析(FMEA)理论的协同护理对股骨粗隆间骨折功能恢复及并发症的影响。方法 选取温州市中西医结合医院2022年1月—2023年6月收治的80例股骨粗隆间骨折患者,按照随机数字表法分为对照组和观察组,均40例。将予以常规康复护理干预的患者作为对照组,在对照组基础上予以基于FMEA理论的协同护理为观察组。比较2组康复锻炼依从性,采用Harris评分系统(HHS)评价髋关节功能及并发症(压疮、感染、下肢静脉血栓)情况。结果 观察组干预后康复锻炼依从性高于对照组(P<0.05);观察组干预后HHS评分系统中的疼痛、功能、关节活动度、畸形各维度评分均高于对照组(P<0.05);观察组并发症发生率为2.50%(1/40),显著低于对照组的20.00%(8/40,χ^(2)=4.507,P=0.034)。结论 FMEA理论协同护理的实施可促使股骨粗隆间骨折患者关节功能快速恢复,提高康复锻炼依从性,减少并发症发生。Objective Trochanteric fracture of femur is one of the common clinical diseases with an increasing incidence and incidence rate.Early surgical treatment is the main means,and scientific postoperative management is the key measure to promote functional recovery of fracture and reduce the risk of complications.In order to further optimize perioperative management measures of trochanteric fracture of femur,This study investigated the effects of collaborative nursing based on failure modes and effects analysis(FMEA)theory on functional recovery and complications of femoral trochanteric fracture.Methods A total of 80 patients with femoral trochanteric fracture admitted to Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from January 2022 to June 2023 were selected and divided into 2 groups according to the random number table method,with 40 cases in both control group and observation group.Patients who received routine rehabilitation nursing interventions served as the control group,and the observation group received routine rehabilitation nursing interventions and collaborative nursing based on FMEA theory on top of the control group.The compliance of rehabilitation exercise between the two groups was compared,and hip function and complications(pressure sores,infection,venous thrombosis of lower limbs)were evaluated by the Harris score system(HHS).Results The compliance of rehabilitation exercise in the observation group was higher than that in the control group(P<0.05).After intervention,the scores of pain,function,joint motion,and deformity in the observation group were higher than those in the control group(P<0.05).The complication rate of the observation group was 2.50%(1/40),which was significantly lower than that of the control group[20.00%(8/40),χ^(2)=4.507,P=0.034].Conclusion The implementation of FMEA theory can promote the rapid recovery of joint function in patients with femoral trochanteric fracture,improve the compliance of rehabilitation exercise,and reduce the occurrence of comp

关 键 词：股骨粗隆间骨折 失效模式与效应分析 协同护理 关节功能 

分 类 号：R683.42[医药卫生—骨科学] R473.6[医药卫生—外科学]