[1]袁三英,马俊,杨松,等.失效模式与效应分析在普外科静脉输液流程构建中的应用[J].西部中医药,2018,31(05):115-118.
　YUAN Sanying,MA Jun,YANG Song,et al.Application of Failure Mode and Effects Analysis to the Construction of Intravenous Infusion Process in General Surgery[J].Western Journal of Traditional Chinese Medicine,2018,31(05):115-118.
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失效模式与效应分析在普外科静脉输液流程构建中的应用()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年05期
页码:
115-118
栏目:
出版日期:
2018-05-15

文章信息/Info

Title:
Application of Failure Mode and Effects Analysis to the Construction of Intravenous Infusion Process in General Surgery
文章编号:
1004-6852(2018)05-0115-04
作者:
袁三英，马俊，杨松，韩爱华，刘静梅，彭方兴△
四川绵阳四○四医院普外科，四川 绵阳 621000
Author(s):
YUAN Sanying, MA Jun, YANG Song, HAN Aihua, LIU Jingmei, PENG Fangxing△
Surgery Department, Mianyang 404 Hospital of Sichuan, Mianyang 621000, China
关键词:
失效模式; 效应分析; 普外科; 静脉输液; 流程构建
Keywords:
failure mode;  effect analysis;  general surgery;  intravenous infusion;  process construction
分类号:
R473.1
文献标志码:
B
摘要:
目的：探讨失效模式与效应分析在普外科静脉输液流程构建中的应用价值。方法：以2015年1月至2015年6月普外科收治的急性胆囊炎患者40例为对照组实施常规输液护理，2015年7月至2015年12月急性胆囊炎患者40例为观察组在失效模式与效应分析下根据静脉输液流程实施输液护理，比较2组导管留置期间发生的相关并发症情况及患者生活质量、导管留置时间。结果：观察组输液期间出现输液外渗、血栓形成、输液管脱出比例低于对照组(P＜0.05)；观察组静脉穿刺时间快于对照组(P＜0.05)；输液过程中疼痛评分低于对照组(P＜0.05)；观察组静脉穿刺成功所需次数少于对照组(P＜0.05)，输液期间静脉穿刺针留置时间长于对照组(P＜0.05)。结论：在失效模式与效应分析下，于普外科构建静脉输液流程，能有效减少输液相关并发症，提高输液效率，减少患者痛苦。
Abstract:
Objective: To explore the values of failure mode and effect analysis applied to the construction of intravenous infusion process in general surgery. Methods: Forty patients with acute cholecystitis who were admitted into the general surgery from January, 2015 to June, 2015 were chosen as the control group, and they accepted conventional infusion nursing, another forty patients from July, 2015 to December, 2015 were selected as the observation group and they received infusion care according to the process of intravenous infusion after failure mode and effect analysis, quality of life and catheter indwelling time were analyzed, the incidences of the complications during the period of indwelling catheter were compared. Results: The observation group was lower than the control group in the proportions of infusion extravasation, thrombosis and perfusion tube removal rate during the period of infusion (P＜0.05); the observation group was quicker than the control group in vein puncture time (P＜0.05); lower than the control group in pain scores in the process of infusion (P＜0.05); the observation group was less than the control group in the times of successful vein puncture (P＜0.05), longer than the control group in the indwelling time of vein puncture needle during the time of infusion (P＜0.05). Conclusion: Constructing the process of intravenous infusion in general surgery after failure mode and effect analysis could effectively reduce the infusion-related complications, raise infusion efficiency and relieve the patients’ pain.

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备注/Memo

备注/Memo:
收稿日期：2017-04-10 *基金项目：四川省科技计划项目（编号2015JY219)。 作者简介：袁三英(1981—)，女，博士学位，主管护师。研究方向：普外科疾病护理。 △通讯作者：彭方兴(1970—)，男，博士学位，副主任医师。研究方向：胃肠和肝胆微创外科。
更新日期/Last Update: 2018-05-15