HFMEA模式对呼吸内科患者静脉留置针并发症、护理质量的影响

Influence of HFMEA Mode on Complications and Nursing Quality of Patients with Venous Indwelling Needle in Respiratory Medicine Department

目的:研究医疗失效模式与效应分析(HFMEA)模式对呼吸内科患者静脉留置针并发症、护理质量的影响。方法:选取2019年3-12月本院呼吸内科患者200例,按随机数字表法分为对照组和试验组,各100例。对照组进行常规静脉留置针置管和护理,试验组在对照组基础上应用HFEMA模式干预,比较两组静脉留置针并发症发生率,并评价护理质量及护理满意度。结果:干预后试验组皮下血肿、药物外渗、导管阻塞、静脉炎、静脉血栓发生率明显低于对照组(P<0.05),试验组护理质量中基础护理、服务态度、健康教育、护理文书书写评分明显高于对照组(P<0.05),且试验组护理满意度明显高于对照组(P<0.05)。结论:将HFMEA模式应用到呼吸内科患者常规护理中,可有效减少静脉留置针并发症发生,显著提高护理质量及患者满意度。

Objective:To study the effect of healthcare failure mode and effect analysis (HFMEA) mode on complications and nursing quality of patients with venous indwelling needle in respiratory medicine department.Method:From March to December 2019,200 patients were selected from the Respiratory Medicine department of our hospital.They were randomly divided into the control group and the experimental group,with 100 cases in each group.The control group received routine venous indwelling needle and nursing.On this basis,the experimental group received HFEMA mode of intervention.The incidence of complications of venous indwelling needle was compared between the two groups.Nursing quality and nursing satisfaction were evaluated.Result:After intervention,the incidences of subcutaneous hematoma,drug extravasation,catheter obstruction,phlebitis and venous thrombosis in the experimental group were significantly lower than those in the control group (P<0.05).The scores for basic nursing,service attitude,health education and nursing document writing of the experimental group were significantly higher than those of the control group (P<0.05),and nursing satisfaction was significantly higher than that of the control group (P<0.05).Conclusion:Applying HFMEA mode in routine nursing for patients in respiratory medicine department can effectively reduce the complications of venous indwelling needle,and significantly improve the nursing quality and nursing satisfaction.