摘要
目的探讨医疗失效模式与效应分析(HFMEA)对预防重型颅脑损伤气管切开患者肺部感染的影响。方法选取2018年1—12月遵义医科大学附属医院神经外科重型颅脑损伤行气管切开患者100例作为试验组,实施HFMEA护理管理模式;选取2017年1—12月重型颅脑损伤气管切开患者100例作为对照组,实施常规护理管理模式,比较两组患者肺部感染的发生率及患者满意度。结果试验组肺部感染的发生率低于对照组,差异有统计学意义(P<0.05);试验组满意度高于对照组,差异有统计学意义(P<0.05)。结论采用HFMEA模式对重型颅脑损伤气管切开患者肺部感染的原因进行分析、制订并实施改进方案,可有效降低感染发生率。
Objective To investigate the effect of healthcare failure mode and effect analysis(HFMEA)on the prevention of pulmonary infection in patients with severe craniocerebral injury after tracheotomy.Methods A total of 100 patients with severe craniocerebral injury who underwent tracheotomy in Department of Neurosurgery,Affiliated Hospital of Zunyi Medical University from January to December 2018 were selected as the experimental group,HFMEA nursing management mode was implemented.A total of 100 patients with severe craniocerebral injury undergoing tracheotomy from January to December 2017 were selected as the control group,and routine nursing management mode was implemented.The incidence of pulmonary infection and patient satisfaction were compared between the two groups.Results The incidence of pulmonary infection in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05);the satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The HFMEA model was used to analyze the causes of pulmonary infection in patients with severe craniocerebral injury after tracheotomy,and the improvement scheme was formulated and implemented,which could effectively reduce the incidence of infection.
作者
宋凌霞
张咏梅
周婷
SONG Lingxia;ZHANG Yongmei;ZHOU Ting(Department of Nursing,Affiliated Hospital of Zunyi Medical College,Guizhou Province,Zunyi 563003,China)
出处
《中国医药导报》
CAS
2020年第32期173-176,共4页
China Medical Herald
基金
遵义医学院附属医院硕士科研启动基金项目(院字号2014[20])
贵州省科技合作计划项目(黔科合LH字[2015]7459号)。
