基于失效模式与效应分析理论的风险管控干预对预防PICC置管后深静脉血栓的影响研究

Study on the Impact of Risk Control Intervention Based on Failure Mode and Effect Analysis Theory on the Prevention of Deep Vein Thrombosis after PICC Catheterization

目的 分析以失.效模式和效应分析(FMEA)理论为基础风险管控干预对经外周置入中心静脉导管(PICC)置管后深静脉血栓(DVT)的预防作用。方法 选择2021.01-2021.12在本院开展PICC置管的80例患者进行研究,结合抽签法分成对照组(结合常规方案提供护理)和观察组(除对照组措施外以FMEA理论为基础开展风险管控干预)各40例,统计并比较两组各失效模式RPM值;干预后DVT等并发症出现情况;导管留置时间和对护理工作的满意度。结果 观察组患者因素、置管操作因素、导管因素、冲管及封管操作、健康教育及置管后护理等失效模式的.RPM值均低于对照组(P<005)。观察组DVT、导管堵塞、感染以及静脉炎等并发症出现比例低于对照组(P<005)。观察组的导管留置时间长于对照组(P<005)。观察组对护理工作的满意度高出对照组(P<005)。结论 以FMEA理论为基础风险管控干预对PICC置管后DVT有着良好的预防作用,能减少并发症产生,使导管留置更长时间,患者满意度较高,值得采用。

Objective To analyze the preventive effect of risk control intervention based on failure mode and effect analysis(FMEA)theory on deep venous thrombosis(DVT)after peripheral placement of central venous catheter(PICC).Methods From January 2021 to December 2021,the 80 patients with PICC catheterization in our hospital were divided into the control group(the routine care)and the observation group(the risk control intervention based on the FMEA theory except the control group),calculated and compared the RPM values of each failure mode in the two groups;DVT and other complications after intervention;catheter retention time and satisfaction with the nursing work.Results The RPM values of patient factors,catheterization factors,catheter factors,punching and sealing operations,health education and post-catheterization care were lower than those in the control group(P<0.05).The proportion of complications such as DVT,catheter blockage,infection,and phlebitis was lower in the observation group than in the control group(P<0.05).Dlonger in the observation group than in the control group(P<0.05).The observation group was more satisfied with nursing work than the control group(P<0.05).Conclusion Risk control intervention based on FMEA theory has a good preventive effect on DVT after PICC catheterization,which can reduce complications,make catheter detention longer,and have high patient satisfaction,which is worth adopting.