FMEA联合PMT护理用于留置植入式静脉输液港肿瘤化疗患者的效果OA
Effect of FMEA Combined with PMT Nursing in Tumor Chemotherapy Patients with Indwelling of Implantable Venous Access Port
目的:探究失效模式与效应分析(failure mode and effects analysis,FMEA)联合保护动机理论(protection motivation theory,PMT)护理用于留置植入式静脉输液港(implantable venous access port,IVAP)肿瘤化疗患者的效果.方法:选取 2021 年 5 月—2023 年 12 月泰兴市人民医院收治的留置 IVAP肿瘤化疗患者共 118 例,采用随机数字表法分为观察组、对照组.对照组(n=59)患者接受常规护理模式干预,观察组(n=59)患者接受 FMEA 联合 PMT 护理干预,干预时长为 3 个月.比较两组研究对象干预前后的风险优先数(risk priority number,RPN)、SAS、SDS 评分、一般性自我效能量表(general self-efficacy score,GSES)、Kolcaba 舒适状况量表(general comfort questionnaire,GCQ)及两组并发症发生率、护理满意度评分.结果:两组干预后各维度的 RPN 值、SAS 与 SDS 评分相比干预前降低,且观察组低于对照组(P<0.05);干预后,GSES 与 GCQ 评分相比干预前升高,且观察组高于对照组(P<0.05);观察组干预期间研究对象的并发症发生率显著低于对照组(P<0.05);观察组干预后研究对象的护理满意度评分显著高于对照组(P<0.05).结论:FMEA 联合 PMT 应用于留置 IVAP 肿瘤化疗患者能有效减轻 IVAP相关风险隐患,缓解负面情绪,提高自我效能感及舒适度,减少并发症发生,提升护理满意度.
Objective:To explore the effect of failure mode and effect analysis(FMEA)combined with protection motivation theory(PMT)nursing in tumor chemotherapy patients with indwelling of implantable venous access port(IVAP).Method:A total of 118 patients with IVAP indwelling who underwent tumor chemotherapy in Taixing People's Hospital were enrolled from May 2021 to December 2023.According to random number table method,they were divided into observation group and control group.The control group(n=59)was given routine nursing,while observation group(n=59)was given FMEA combined with PMT nursing.All were intervened for 3 months.The risk priority number(RPN),SAS,SDS,general self-efficacy scale(GSES)and Kolcaba general comfort questionnaire(GCQ)before and after intervention,incidence of complications and score of satisfaction with nursing were compared between the two groups.Result:After intervention,RPN,scores of SAS and SDS were decreased in both groups,which those were lower in observation group than control group(P<0.05),after intervention,scores of GSES and GCQ were increased,which were higher in observation group than control group(P<0.05).During intervention,incidence of complications in observation group was significantly lower than that in control group(P<0.05).After intervention,scores of nursing satisfaction in observation group were significantly higher than those in control group(P<0.05).Conclusion:The application of FMEA combined with PMT nursing can effectively reduce IVAP related risk,alleviate negative emotions,improve self-efficacy and comfort,reduce complications and improve nursing satisfaction in patients with IVAP indwelling after tumor chemotherapy.
王甜甜
泰兴市人民医院肿瘤内科 江苏 泰兴 225400
医药卫生
植入式静脉输液港恶性肿瘤化疗失效模式与效应分析保护动机理论
Implantable venous access portMalignant tumorChemotherapyFailure mode and effect analysisProtective motivation theory
《中国医学创新》 2026 (15)
83-88,6
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