基于FMEA模式的护理干预应用于宫颈癌患者PICC化疗过程中的效果

Effect of Nursing Intervention Based on FMEA Model in PICCChemotherapy for Patients with Cervical Cancer

目的:探讨基于失效模式-效应分析(FMEA)模式的护理干预应用于宫颈癌经外周静脉穿刺中心静脉置管(PICC)化疗患者中对生活质量的影响。方法:选择2021年10月—2022年10月于河南省人民医院接受PICC化疗的90例宫颈癌患者作为研究对象,将其按照随机数字表法分为A组(45例)和B组(45例)。A组患者在PICC化疗期间接受常规护理措施,B组患者则接受基于FMEA模式的护理干预措施,比较两组置管情况、自我效能评分、生活质量及不良事件发生率。结果:B组患者置管时间比A组短,一次性穿刺成功、一次性置管成功率均比A组高(P<0.05);两组干预3个月后疾病与症状、饮食与运动、认知与行为、躯体功能、心理功能、社会功能均比干预前上升,且B组比A组高(P<0.05);B组PICC置管不良事件总发生率比A组高(P<0.05);两组干预前后物质生活状态评分比较,差异无统计学意义(P>0.05)。结论:基于FMEA模式的护理干预应用于宫颈癌PICC化疗患者中可缩短置管时间,提高一次性穿刺成功、一次性置管成功率,提升自我效能水平,降低PICC置管不良事件的发生率,并有助于生活质量的提高。

Objective:To explore the effect of nursing intervention based on failure mode-effect analysis(FMEA)mode on the quality of life of patients with cervical cancer undergoing peripherally inserted central catheter(PICC)chemotherapy.Methods:A total of 90 patients with cervical cancer who received PICC chemotherapy in Henan Provincial People’s Hospital from October 2021 to October 2022 were selected as the study subjects.They were divided into group A(45 patients)and group B(45 patients)according to the random number table method.Patients in group A received routine nursing measures during PICC chemotherapy,while patients in group B received nursing interventions based on FMEA model.The catheterization,self-efficacy score,quality of life and incidence of adverse events were compared between the two groups.Results:The time of catheterization in group B was shorter than that in group A,and the success rate of one-time puncture and one-time catheterization were higher than those in group A(P<0.05).After 3 months of intervention,the disease and symptoms,diet and exercise,cognition and behavior,physical function,psychological function and social function of the two groups were higher than those before intervention,and those in group B were higher than those in group A(P<0.05).The total incidence of PICC catheter adverse events in group B was higher than that in group A(P<0.05).There was no significant difference in the scores of material life status between the two groups before and after intervention(P>0.05).Conclusion:The application of nursing intervention based on FMEA mode in patients with cervical cancer undergoing PICC chemotherapy can shorten the catheterization time,improve the success rate of one-time puncture and one-time catheterization,improve the level of selfefficacy,reduce the incidence of adverse events of PICC catheterization,and help to improve the quality of life.