摘要
目的:探讨医疗失效模式与效应分析法(HFMEA)在腹股沟疝日间手术患者医院-社区管理流程中的应用价值。方法:选取我院2015年5月~2017年5月收治的腹股沟疝日间手术患者107例,随机分为试验组55例和对照组52例,均行开放式疝无张力修补术,对照组患者术后采用常规护理管理模式,观察组采用HFMEA管理模式。比较两组手术并发症发生率及术后再入院率。结果:试验组腹股沟疝日间手术并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。试验组腹股沟疝日间手术后再入院率明显低于对照组,差异有统计学意义(P<0.05)。结论:将HFMEA应用于腹股沟疝日间手术患者医院-社区管理流程中,可提高临床护理与管理质量,从而有效降低术后并发及再入院率。
Objective:To explore the application value of health failure mode and effect analysis(HFMEA) in the hospital-community management process of day surgery patients with inguinal hernia.Methods:A total of 107 surgery patients with inguinal hernia admitted to our hospital from May 2015 to May 2017 were selected and randomly divided into observation group and control group with 55 cases and 52 cases respectively.Patients of the two groups received open tension-free hernia repair.The patients in the control group were treated with routine nursing management mode,and those in the observation group were treated with HFMEA management mode.The incidence of postoperative complications and readmission rate of the two groups were compared.Results:The incidence of complications of inguinal hernia surgery in the observation group was significantly lower than that in the control group,and the difference was of statistical significance(P〈0.05).The readmission rate of the inguinal hernia surgery in the observation group was significantly lower than that in the control group,and the difference was of statistical significance(P〈0.05).Conclusion:The application of HFMEA in the hospital-community management process of day surgery patients with inguinal hernia can improve the quality of clinical nursing and management,and effectively reduce the postoperative complications and readmission rate in patients with inguinal hernia surgery.
出处
《护理实践与研究》
2017年第20期56-58,共3页
Nursing Practice and Research
基金
东莞市卫生和计划生育局社会科技发展项目(201650715001587)
关键词
腹股沟疝
日间手术
医院-社区管理流程
Inguinal hernia
Day surgery
Hospital - community management process