摘要
目的对全髋关节置换手术患者开展FMEA(Failure Mode and Effect Analysis,失效模式和效应分析)预防髋关节脱位。方法 58例全髋关节置换手术患者随机分成实验组和对照组,对照组28例患者围手术期按骨科手术护理常规护理,实验组30例患者在此基础上对患者可能发生脱位的失效模式进行分析、评估,计算发生脱位的RPN(风险指数)值,找出导致发生脱位的高风险因子和高风险操作,制定相应的防范计划和预防措施,调整操作流程,加强管床护士和患者防脱位相关知识培训指导。结果实验组术后脱位的RPN值明显低于对照组(p<0.01),患者对防脱位相关知识掌握程度、住院天数、患者对护理工作满意度有显著差异,p<0.05,p<0.01,实验组住院期间无发生髋关节脱位,对照组发生脱位2例。结论实施FMEA模式管理有助于预防髋关节置换术后关节脱位的发生,有效防范脱位风险,促进患者康复,提高护理质量。
Objective To prevent dislocation of the hip in total hip replacement surgery patients with the FMEA （failure mode and effect analysis）. Methods 58 cases of total hip replacement surgery patients were random- ly divided into experimental and control groups. 28 patients in the control group received perioperative routine nursing care of orthopedic surgery. Besides these, 30 patients in experimental group evaluate the patients dislocation of the failure mode. Calculate the dislocation of the RPN （risk index） values, identify the cause of the occurrence of dislo- cation of high - risk factor and high - risk operations. Formulate corresponding prevention plan and prevention meas- ures. Adjust process, strengthen the canal bed nurses and patients to prevent dislocation related knowledge training. Results Postoperative dislocation of the RPN value in the experimental group was less than that in control group （p 〈0. O1 ）, the extend of patients about dislocation prevention knowledge, duration of hospitalization, patients on nursing job satisfaction have significant difference, p 〈0. 05, p 〈0. 01, No hip dislocation was found in experimental groups during hospitalization. 2 cases had dislocation in control group. Conchmion The implementation of FMEA management mode helps to prevent hip dislocation after hip arthroplasty, effectively reduce the risk of dislocation, promoting the rehabilitation of patients and improve the quality of nursing care.
出处
《现代医院》
2013年第7期97-99,共3页
Modern Hospitals
关键词
失效模式和效应分析
髋关节
置换
脱位
failure mode and effect analysis, hip, replacement, dislocation
