基于FMEA模型的预见性护理对手术室患者低体温的预防研究

Study on the prevention of hypothermia in inpatients in the operating room by predictive nursing based on FMEA model

目的研究基于失效模式与效应分析(FMEA)模型的预见性护理对手术室患者低体温的预防效果。方法选择2020年12月至2021年12月在西安医学院第二附属医院接受手术治疗的180例患者展开研究,按随机数表法分为对照组和观察组各90例。对照组患者采用常规护理干预,观察组患者采用基于FMEA模型的的预见性护理。术后3 d比较两组患者的术后情况、护理质量、护理满意度及术后并发症的发生情况。结果观察组患者的清醒时间、术后引流量、尿量分别为(47.98±5.41)min、(63.64±3.13)mL、(43.18±6.02)mL/h,明显短(少)于对照组的(51.10±6.18)min、(84.81±4.07)mL、(64.64±5.41)mL/h,差异均有统计学意义(P<0.05);观察组患者的风险管理、心率管理、血压管理、低体温控制评分分别为(23.10±1.20)分、(22.09±2.02)分、(23.42±1.01)分、(23.98±0.87)分,明显高于对照组的(18.38±1.05)分、(19.31±1.14)分、(20.15±1.30)分、(20.46±1.34)分,差异均有统计学意义(P<0.05);观察组患者的护理工作满意度为95.56%,明显高于对照组的86.67%,术后并发症的总发生率为3.33%,明显低于对照组的11.11%,差异均有统计学意义(P<0.05)。结论基于FMEA模型的预见性护理对手术室患者低体温的预防效果明显,且能降低术后并发症,提高护理工作质量,值得临床推广。

Objective To explore the effect of predictive nursing based on failure mode and effect analysis(FMEA)model in preventing hypothermia of inpatients in the operating room.Methods A total of 180 patients who underwent surgery in the Second Affiliated Hospital of Xi'an Medical College from December 2020 to December 2021 were selected for the study.According to the random number table method,the patients were divided into a control group and an observation group,each with 90 patients.The control group was given routine nursing intervention,and the observation group was given predictive nursing based on FMEA model.The postoperative situation,nursing quality,nursing job satisfaction,and postoperative complications were compared between the two groups at 3 days after the operation.Results The awake time,postoperative drainage,and urine volume of the observation group were(47.98±5.41)min,(63.64±3.13)mL,and(43.18±6.02)mL/h,which were significantly shorter or(less)than(51.10±6.18)min,(84.81±4.07)mL,(64.64±5.41)mL/h of the control group(P<0.05).The scores of risk management,heart rate management,blood pressure management,and hypothermia control of the observation group were(23.10±1.20)points,(22.09±2.02)points,(23.42±1.01)points,and(23.98±0.87)points,significantly higher than(18.38±1.05)points,(19.31±1.14)points,(20.15±1.30)points,(20.46±1.34)points of the control group(P<0.05).The nursing job satisfaction of patients in the observation group was 95.56%,which was significantly higher than 86.67%in the control group,and the total incidence of postoperative complications in the observation group was 3.33%,which was significantly lower than 11.11%in the control group,with statistically significant differences(P<0.05).Conclusion Predictive nursing based on FMEA model has obvious prevention effect on hypothermia in patients in the operating room,and can reduce postoperative complications and improve the quality of nursing work,which is worthy of clinical promotion.