摘要
目的探讨应用失效模式和效应分析(failure mode and effect analysis,FMEA)在膝关节置换术后预防深静脉血栓的效果。方法 2011年1-6月的45例全膝关节置换的患者设置为对照组,本组病人围手术期按膝关节置换常规护理,2011年7-12月的45例膝关节置换的患者设置为观察组,本组病人在围手术期除执行膝关节置换常规护理,还运用FMEA模式理论对膝关节置换术后可能发生深静脉血栓的失效模式进行前瞻性原因分析、评估、寻找出术后导致发生深静脉血栓发生的高危因素,制定防范的优先行动计划和改进措施。对实施FMEA前后两组病人术后容易引起深静脉血栓的高风险因子的RPN值、病人对预防深静脉血栓相关知识的掌握情况、住院时间以及病人满意度比较。结果观察组术后深静脉的RPN值低于对照组(P<0.05),病人住院时间、对预防深静脉血栓相关知识掌握程度以及对护理工作满意度有统计学差异意义(P<0.05)。结论应用失效模式和效应分析(FMEA)理论对膝关节置换手术后病人进行评估、分析和采取相关措施,能有效防范风险,降低术后深静脉血栓的发生,促进患者康复,提高护理质量。
Objective To observe the effect of total knee arthroplasty patients using failure mode and effect analysis in preventing DVT. Methods 45 cases undergoing TKA from January to June in 2011 were chosen the control group, 45 cases from July to November in 2011 were chosen the observe group. Results Perioperative period nursing care was performed on control group, while the other group was applied routine nursing care and failure mode and effect analysis, measured and ana- lyzed the prospective high risk factors resulted in DVT , and taken some intervention measues, and compared with risk priprity number （RPN） of DVT after TKA, the level of preventing DVT, length of stay in hospital, patients＇ satisfaction degree. Results RPN of the observed group was obviously lower than the contrlled （ P 〈 0.05 ） . There were significant difference in the level of preventing DVT, length of stay in hospital, patients＇ satisfaction degree in two groups （ P 〈 0. 05 ） . Conclusion Patients after TKA with the failure mode and effect analysis in nursing can efficiently decrease the opportunity of DVT , forecast and estimate some high risk factors and take some measures, to promote patients recover earlier and quality of care in patients.
出处
《广州医药》
2013年第2期63-65,68,共4页
Guangzhou Medical Journal
关键词
失效模式和效应分析
膝关节置换
深静脉血栓
护理
Failure mode and effect analysis
Total knee arthroplasty
Deep vein thrombosis （DVT）
Nursing care
