失效模式与效应分析在新生儿PICC置管护理中的应用效果

Application effects of failure mode and effect analysis in neonatal PICC catheterization nursing

目的:失效模式与效应分析(FMEA)在新生儿外周穿刺中心静脉导管(PICC)置管护理中的应用效果。方法:选取2019年2月至2020年11月该院收治的80例PICC置管新生儿为研究对象,按照随机数字表法分为观察组与对照组各40例。对照组给予常规PICC置管护理,观察组在对照组基础上采取FMEA护理,比较两组一次置管成功率、护理不良事件发生率、住院时间、使用静脉留置针个数和住院费用。结果:观察组一次置管成功率为95.00%,明显高于对照组的77.50%,差异有统计学意义(P<0.05);观察组护理不良事件发生率为2.50%,明显低于对照组的20.00%,差异有统计学意义(P<0.05);观察组患儿住院时间短于对照组,使用静脉留置针个数和住院费用少于对照组,差异有统计学意义(P<0.05)。结论:FMEA用于新生儿PICC置管护理中可提高一次置管成功率,降低护理不良事件发生率,缩短患儿住院时间,减少其静脉留置针个数和住院费用,效果优于单纯常规护理。

Objective:To analyze application effects of failure mode and effect analysis(FMEA)in neonatal peripherally inserted central catheter(PICC)catheterization nursing.Methods:80 neonates with PICC intubation who were treated in this hospital from February 2019 to November 2020 were selected as the research objects,and were divided into observation group and control group according to the random number table method,40 cases in each.The control group was given routine PICC intubation nursing,while the observation group was given FMEA nursing on the basis of that of the control group.The one-time catheterization success rate,the incidence of nursing adverse events,the hospitalization time,the number of intravenous indwelling needles used and the hospitalization expenses were compared between the two groups.Results:The one-time catheterization success rate in the observation group was 95.00%,which was significantly higher than 77.50%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse nursing events in the observation group was 2.50%,which was significantly lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Further,the hospitalization time of the observation group was shorter than that of the control group,the number of intravenous indwelling needles and the hospitalization expenses were less than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:FMEA used in the neonatal PICC catheterization nursing can improve the one-time catheterization success rate,reduce the incidence of adverse nursing events,shorten the hospitalization time,and reduce the number of intravenous indwelling needles and the hospitalization expenses.Moreover,it is superior to single routine nursing.