摘要
目的探讨以医疗失效模式与效应分析(HFMEA)模式为基础的产后出血预防流程在阴道分娩产妇中的应用效果。方法将本院2018年4月至2019年4月收治的80例阴道分娩产妇按入院时间分为对照组与试验组,各40例。对照组给予常规产后出血预防干预,试验组实施以HFMEA模式为基础的产后出血预防流程干预。比较两组患者的干预效果。结果护理后,试验组产妇的产后出血发生率低于对照组(P<0.05);试验组产妇产后2、24 h及总产程的出血量少于对照组(P<0.05);产后,两组产妇的RBC、HGB、HCT水平均降低,但试验组高于对照组(P<0.05);护理后,试验组产妇的不良分娩结局总发生率低于对照组(P<0.05);护理后,两组产妇的SAS、SDS评分均降低,WHOQOL-100评分均升高,且试验组优于对照组(P<0.05)。结论以HFMEA模式为基础的产后出血预防流程可有效预防阴道分娩产妇产后出血,减少产后出血量,降低不良分娩结局发生率,改善产妇心理状态及生活质量。
Objective To explore the application effect of postpartum hemorrhage prevention process based on healthcare failure mode and effect analysis(HFMEA)model in vaginal delivery.Methods According to the admission time,eighty vaginal delivery women admitted in our hospital from April 2018 to April 2019 were divided into control group and experimental group,with 40 cases in each group.The control group was given routine postpartum hemorrhage prevention intervention,the experimental group was given postpartum hemorrhage prevention process intervention based on HFMEA model.The intervention effects of the two groups were compared.Results After nursing,the incidence of postpartum hemorrhage in the experimental group was lower than that in the control group(P<0.05);the amount of hemorrhage in the experimental group at postpartum 2,24 h and the total delivery process were less than those in the control group(P<0.05);after delivery,RBC,HGB and HCT levels of the two groups decreased,but those in the experimental group were higher than the control group(P<0.05);after nursing,the total incidence of adverse delivery outcomes in the experimental group was lower than that in the control group(P<0.05);after nursing,the SAS and SDS scores of the two groups decreased,while the WHOQOL-100 scores increased,and those in the experimental group were better than the control group(P<0.05).Conclusion The postpartum hemorrhage prevention process based on HFMEA model can effectively prevent postpartum hemorrhage of vaginal delivery women,reduce the amount of postpartum hemorrhage,and the incidence of adverse delivery outcomes,and improve the psychological state and quality of life of women.
作者
雷艳霞
张妮
LEI Yan-xia;ZHANG Ni(Shangluo Central Hospital,Shangluo 726000,China)
出处
《临床医学研究与实践》
2020年第11期169-171,共3页
Clinical Research and Practice
关键词
医疗失效模式与效应分析模式
产后出血
阴道分娩
healthcare failure mode and effect analysis model
postpartum hemorrhage
vaginal delivery