医疗失效模式与效应分析模式护理在肛肠疾病中的应用效果OA
Application effect of healthcare failure mode and effect analysis nursing model in anorectal diseases
目的 探讨医疗失效模式与效应分析模式(HFMEA)护理在肛肠疾病患者中的应用效果.方法 选取2014年1月至2025年1月阳西总医院人民医院收治的100例肛肠疾病患者作为研究对象,按照随机数字表法分为观察组与对照组,每组50例.观察组采用HFMEA护理,对照组采用常规护理.比较两组患者的临床疗效、术后康复时间、视觉模拟评分法(VAS)评分、术后并发症发生率及护理满意度.结果 观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05).观察组的红肿消退时间、脓性分泌物消失时间、创面愈合时间、便血消失时间、住院时间均短于对照组,差异有统计学意义(P<0.05).观察组术后72 h的VAS评分低于对照组,差异有统计学意义(P<0.05).观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05).观察组的护理满意度高于对照组,差异有统计学意义(P<0.05).结论 肛肠手术患者在围手术期采用HFMEA模式护理,可有效提高手术效果,缩短术后康复时间,术后疼痛有所改善,并发症发生率较低,护理满意度较高,值得临床推广.
Objective To explore the application effect of the healthcare failure mode and effect analysis(HFMEA)nursing model in patients with anorectal diseases.Methods A total of 100 patients with anorectal diseases admitted to Yangxi Gen-eral Hospital People's Hospital from January 2014 to January 2025 were selected as the research subjects,they were divided into the observation group and the control group according to the random number table method,with 50 cases in each group.The observation group received HFMEA nursing,while the control group received routine nursing.The clinical efficacy,postoperative recovery time,visual analogue scale(VAS)score,postoperative complication rate,and nursing satisfaction of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The time for red swelling to subside,disappear-ance of purulent secretion,wound healing time,disappearance of hematochezia,and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The VAS score at 72 hours after surgery in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients undergoing anorectal surgery,adopting the HFMEA nursing model during the perioperative period can effectively improve the surgical outcome,shorten the postoperative recovery time,alleviate postoperative pain,reduce the complication rate,and increase nursing satisfaction.It is worthy of clinical promotion.
黄淑珍;何裔敏;罗敏怡;黎小帅;吴翠英;叶凤彩
阳西总医院人民医院麻醉科,广东阳西 529800阳西总医院人民医院麻醉科,广东阳西 529800阳西总医院人民医院麻醉科,广东阳西 529800阳西总医院人民医院消毒供应中心,广东阳西 529800阳西总医院人民医院全科医学科,广东阳西 529800阳西总医院人民医院脑科中心,广东阳西 529800
医药卫生
围手术期医疗失效模式与效应分析模式肛肠疾病视觉模拟评分法
Perioperative periodHealthcare failure mode and effect analysisAnorectal diseaseVisual analogue scale
《中国当代医药》 2026 (21)
138-142,5
广东省阳江市卫生健康局科技计划项目(阳卫健2024012).
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