摘要
目的:探讨失效模式与效应分析(FMEA)对多发性创伤患者急救护理流程风险管理控制的影响。方法:选取2022年6月—2023年6月佛山市顺德区第五人民医院收治的102例多发性创伤患者为研究对象,按随机数字表法将其分为对照组和观察组,各51例。对照组给予常规急诊急救护理,观察组给予基于FMEA的急救护理。对比两组救护时效性、不良事件发生情况及患者满意度。结果:观察组护理人员到位、建立静脉通路、药物使用、气道管理、血液样本送检、开展急诊手术的时间均短于对照组,差异均有统计学意义(P<0.05)。观察组不良事件发生率为3.92%,低于对照组的17.64%,差异有统计学意义(P<0.05)。观察组患者满意度为88.24%,高于对照组的49.02%,差异有统计学意义(P<0.05)。结论:FMEA应用于多发性创伤患者急救护理流程风险管理控制中,可以优化救护时效性,降低不良事件发生率,提升患者满意度。
Objective:To explore the influence of failure mode and effects analysis(FMEA)on the risk management and control of the emergency nursing process for patients with multiple trauma.Methods:A total of 102 patients with multiple trauma admitted to the Fifth People’s Hospital of Foshan Shunde District from June 2022 to June 2023 were selected as the research objects.They were divided into a control group and an observation group according to the random number table method,with 51 cases in each group.The control group was given conventional emergency first aid nursing,while the observation group was given first aid nursing based on FMEA.The rescue timeliness,occurrence of adverse events and patient satisfaction of the two groups were compared.Results:The time for the arrival of nursing staff,establishment of venous access,drug use,airway management,submission of blood samples for examination,and implementation of emergency surgeries in both groups of the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was 3.92%,which was lower than 17.64%in the control group,the difference was statistically significant(P<0.05).The satisfaction rate of patients in the observation group was 88.24%,which was higher than 49.02%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of FMEA in the risk management and control of the emergency nursing process for patients with multiple traumas can optimize the timeliness of rescue,reduce the incidence of adverse events,and improve patient satisfaction.
作者
吕伟斌
LIU Weibin(Department of Emergency,the Fifth People’s Hospital of Foshan Shunde District(Longjiang Hospital of Shunde District),Foshan 528000,China)
出处
《中国伤残医学》
2025年第9期23-26,31,共5页
Chinese Journal of Trauma and Disability Medicine
关键词
多发性创伤
失效模式与效应分析
急救护理流程
风险管理控制
Multiple trauma
Failure mode and effect analysis
Emergency nursing process
Risk management control
