摘要
目的:探究基于失效模式和效应分析(FMEA)模式的风险管理减少新生儿经外周静脉穿刺中心静脉置管(PICC)并发症的临床价值。方法:选取2017年10月-2019年10月本院104例PICC新生儿,随机分为试验组(常规PICC护理+基于FMEA模式的风险管理,52例)和对照组(常规PICC护理,52例),比较两组PICC相关并发症发生情况、非计划拔管率,评价护理干预效果。结果:试验组PICC相关并发症发生率(3.85%)低于对照组(19.23%),非计划拔管率(0)低于对照组(7.69%),差异有统计学意义(χ^2=5.766、4.192,P<0.05)。结论:基于FMEA模式的风险管理用于新生儿PICC护理中,可有效降低PICC相关并发症风险,减少并发症发生,预防非计划拔管,有助于PICC治疗顺利及安全,值得推广应用。
Objective:To explore the clinical value of risk management based on failure mode and effect analysis(FMEA)model to reduce the complications of peripherally inserted central venous catheters(PICC)in newborns.Method:From October 2017 to October 2019,104 newborns with PICC in our hospital were randomly divided into the experimental group(routine PICC nursing+risk management based on FMEA model,52 cases)and the control group(routine PICC nursing,52 cases).The occurrence of complications related to PICC and the rate of unplanned extubation were compared between the two groups to evaluate the effect of nursing intervention.Result:The incidence of complications related to PICC in the experimental group(3.85%)was lower than that in the control group(19.23%),and the rate of unplanned extubation in the experimental group(0)was lower than that of the control group(7.69%),the differences were statistically significant(χ^2=5.766,4.192,P<0.05).Conclusion:The risk management based on FMEA model in newborn PICC nursing can effectively reduce the risk of complications related to PICC,reduce complications and prevent unplanned extubation,which is conducive to the smooth and safe treatment of PICC,and is worth popularizing.
作者
陈华燕
CHEN Huayan(Women and Children Hospital Affiliated to Xiamen University,Xiamen 361003,China)
出处
《中外医学研究》
2020年第31期98-100,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
