Application of failure mode and effect analysis in postoperative care for fracture patients
Objective To analyze the application and influence of failure modes and effect analysis in postoperative care for fracture patients.Methods Sixty fracture patients surgically treated at Jinan Central Hospital from January to December 2022 were selected for the randomized controlled trial,and were divided into a control group and an observation group by the random number table method,with 30 cases in each group.There were 19 men and 11 women in the control group;they were(49.20±2.01)years old.There were 17 men and 13 women in the observation group;they were(49.46±2.33)years old.The control group took routine care;the observation group took the nursing intervention of the failure mode and effect.analysis Through hospital investigation and follow-up,the motor function and quality of life were evaluated by the Fugl-Meyer Assessment(FMA)and European Quality of Life 5-Dimensions(EQ-5D)on the day of admission and 30 d after the surgery.The incidences of complications within 30 d after the surgery were compared between the two groups.t and x2 tests were applied.Results Thirty days after the surgery,the scores of reflex activity,synergy movement,separated movement,and coordination/speed in the observation group were higher than those in the control group[(4.65±0.77)vs.(4.01± 1.02),(12.03±1.37)vs.(11.30±1.26),(3.03±1.22)vs.(2.49±1.01),and(2.59±0.92)vs.(2.10±0.89)],with statistical differences(t=2.743,2.148,2.075,and 2.097;all P＜0.05).Thirty days after the surgery,the scores of mobility,self-management ability,activity,pain/uncomfortableness,and depression or anxiety in the observation group were higher than those in the control group[(2.01± 0.64)vs.(1.78±0.14),(1.95±0.43)vs.(1.72±0.34),(1.82±0.26)vs.(1.67±0.27),(2.01±0.27)vs.(1.90± 0.12),and(1.92±0.14)vs.(1.78±0.30)],with statistical differences(t=2.013,2.298,2.192,2.039,and 2.316;all P＜0.05).The incidence of postoperative complications in the observation group was lower than that in the control group[3.33％(1/30)vs.20.00％(6/30)],with a statistical difference(x2=4.043;P=0.044).Conclusion Failure mode and effect analysis for fracture surgery patients can significantly improve their motor function and quality of life,and effectively reduce the incidence of complications.
FractureFailure mode and effect analysisMotor functionQuality of lifeComplications
万方数据
维普
