摘要
目的 观察失效模式和效应分析(FMEA)护理在回肠结肠造瘘患儿围手术期的应用效果。方法 选取郑州大学第三附属医院2021年7月至2022年7月收治的80例回肠结肠造瘘患儿进行研究,以入院顺序分组。对照组(40)例接受常规护理,观察组(40例)接受FMEA护理。比较两组患儿住院期间并发症发生情况、护理效果、术后及出院前家属造瘘护理能力、家属护理满意度。结果 观察组并发症发生率[7.50%(3/40)]低于对照组[25.00%(10/40)](P<0.05);观察组第1个造瘘袋使用时间、造瘘袋更换时间长于对照组,住院时间短于对照组(P<0.05);出院时观察组家属造瘘护理能力高于对照组(P<0.05);观察组家属护理满意度[97.50%(39/40)]高于对照组[77.50%(31/40)](P<0.05)。结论 FMEA护理可有效减少回肠结肠造瘘患儿术后感染等并发症发生,提升护理效果,增强家属造瘘护理能力,同时能改善家属护理满意度。
Objective To observe the application effect of failure mode and effect analysis(FMEA)nursing in the perioperative period of children after ileocolostomy.Methods A total of 80 children with ileocolostomy in the Third Affiliated Hospital of Zhengzhou University from July 2021 to July 2022 were selected for research,and they were divided into groups in the order of admission,the control group(40 cases)received routine care and the observation group(40 cases)received FMEA care.The incidence of complications during hospitalization,nursing effect,ostomy nursing ability of family members after operation and before discharge and nursing satisfaction of family members were compared between the two groups.Results The incidence of complications in the observation group[7.50%(3/40)]was lower than that[25.00%(10/40)]in the control group(P<0.05).The use time of the first ostomy bag and the replacement time of the ostomy bag in the observation group were longer than those in the control group,and the hospitalization time was shorter than that in the control group(P<0.05).At discharge,the nursing ability of the family members of the observation group was higher than that of the control group(P<0.05).The nursing satisfaction of family members in the observation group[97.50%(39/40)]was higher than that[77.50%(31/40)]in the control group(P<0.05).Conclusion FMEA nursing can effectively reduce postoperative complications such as infection in children with ileocolostomy,improve nursing effectiveness,enhance family members’fistula care ability and improve family care satisfaction.
作者
雷清云
周志南
孟红
LEI Qingyun;ZHOU Zhinan;MENG Hong(Department of Pediatric General Surgery,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2023年第10期1884-1887,共4页
Henan Medical Research
