首页|期刊导航|中西医结合护理(中英文)|基于失效模式及效应分析的急救护理流程对颅脑损伤患者救治效果的影响

基于失效模式及效应分析的急救护理流程对颅脑损伤患者救治效果的影响OA

The impact of emergency nursing process based on failure mode and effect analysis on the treatment outcomes of patients with craniocerebral injury

中文摘要英文摘要

目的 探讨基于失效模式及效应分析(FMEA)的急救护理流程对颅脑损伤患者救治效果的影响.方法 回顾性分析 2024 年 1 月至 2025 年 6 月肇庆市第一人民医院收治的 85 例颅脑损伤患者临床资料,按照不同护理方法分为对照组(常规急救护理流程,40 例)与观察组(基于FMEA的急救护理流程,45 例).比较 2 组的干预效果.结果 观察组的接诊响应时间、基础生命支持启动时间、专科检查启动时间、急诊停留时间均早于或短于对照组(P均<0.05).观察组的护理相关不良事件总发生率、并发症总发生率和死亡率均较对照组低,重症监护室入住时间短于对照组,恢复良好率较对照组高(P均<0.05).观察组入院 6 h及24 h时的格拉斯哥昏迷量表评分均较对照组高(P均<0.05),且 2 组均高于接诊时(P均<0.05).结论 基于FMEA的急救护理流程可提高颅脑损伤患者的抢救时效性,减少护理相关不良事件及并发症,并改善预后.

Objective To explore the impact of the emergency nursing process based on failure mode and effect analysis(FMEA)on the treatment outcomes of patients with craniocerebral injury.Methods A retrospective analysis was conducted on the clinical data of 85 patients with craniocerebral injury admitted to the First People's Hospital of Zhaoqing from January 2024 to June 2025.According to different nursing methods,they were divided into a control group(routine emergency nursing process,40 cases)and an observation group(FMEA-based emergency nursing process,45 cases).The intervention effects were compared between the two groups.Results The observation group had earlier or shorter response time for reception,initiation time for basic life support,initiation time for specialized examination,and emergency stay time than the control group(P<0.05).Compared with the control group,the observation group had a lower overall incidence of nursing-related adverse events,complications,and mortality,shorter ICU stay time,and higher recovery rate(P<0.05).The Glasgow Coma Scale scores at 6 h and 24 h after admission in the observation group were higher than those in the control group(P<0.05),and both groups had higher scores than those at admission(P<0.05).Conclusion The emergency nursing process based on FMEA can improve the timeliness of rescue for patients with craniocerebral injury,reduce nursing-related adverse events and complications,and improve the prognosis.

黄琼琼;邓永相;郭旭

肇庆市第一人民医院,广东 肇庆,526000肇庆市第一人民医院,广东 肇庆,526000肇庆市第一人民医院,广东 肇庆,526000

医药卫生

颅脑损伤失效模式及效应分析急救护理预后

craniocerebral injuryfailure mode and effect analysisemergency nursingprognosis

《中西医结合护理(中英文)》 2026 (1)

17-20,4

10.11997/nitcwm.202601005

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