摘要
目的探讨医疗失效模式与效果分析模式(HFMEA)结合循证医学在手术室感染预防及护理质量中的实践效果。方法选取2019年3月-2020年3月在本院接受手术治疗的104例患者,根据随机抽签法分为观察组和对照组,各组均分52例患者。对照组采用常规手术室护理,观察组在常规护理基础上采用HFMEA模式结合循证医学模式干预。比较两组患者感染发生率、不良事件发生率、护理质量评分、风险优先指数及手术患者满意度等。结果观察组手术室医院感染的发生率、各种护理不良事件发生率及风险优先指数明显低于对照组,差异有统计学意义(P<0.05);观察组手术患者总满意度明显高于对照组,差异有统计学意义(P<0.05)。观察组患者病区管理、护理人员培训、消毒隔离、护理质量监控、护理文化建设、护理文件管理的得分均高于对照组,差异有统计学意义(P<0.05)。结论通过将HFMEA模式与循证医学结合,规范了手术室流程控制,提高了手术室的护理质量,增加了患者的满意度。
Objective To explore the practical effect of medical failure mode and effect analysis mode(HFMEA)combined with evidence-based medicine in the prevention of infection and improvement of the quality of nursing in the operating room.Methods 104 patients who underwent surgery in our hospital from March 2019 to March 2020 were randomly divided into observation group and control group,with 52 patients in each group.The control group received routine nursing,while the observation group received HFMEA combined with evidence-based medicine intervention on the basis of routine nursing.The infection rate,adverse event rate,nursing quality score,risk priority index and surgical patient satisfaction were compared between two groups.Results The incidence of nosocomial infection in the operating room,the incidence of various nursing adverse events and the risk priority index in the observation group were significantly lower than those in the control group(P<0.05).The total satisfaction of patients in the observation group was significantly higher than that in the control group(P<0.05).The scores of patients in the observation group in ward management,nursing staff training,disinfection and isolation,nursing quality monitoring,nursing culture construction and nursing document management were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion By combining HFMEA mode with evidence-based medicine,the process control in the operating room is standardized,the nursing quality in the operating room is improved,and the satisfaction of patients is increased.
作者
谷纯砾
GU Chunli(The First Affiliated Hospital,Henan University of Science and Technology,Luoyang,Henan,471000,China)
出处
《新疆医学》
2023年第10期1267-1270,1275,共5页
Xinjiang Medical Journal
关键词
HFMEA模式
循证医学
手术室
感染
护理质量
HFMEA mode
Evidence based medicine
Operation room
Infection
Nursing quality
