首页|FMEA模式联合质控管理在胃肠道手术中的应用效果

FMEA模式联合质控管理在胃肠道手术中的应用效果

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目的 探讨失效模式与效应分析(FMEA)联合质控管理在胃肠道手术中的应用效果。方法 选取 2020年1月至2022年12 月在本院接受胃肠道手术治疗的172 例患者为研究对象,根据入院时间将其分为常规管理组(n=86,质控管理)和联合管理组(n=86,FMEA联合质控管理)。比较两组患者的手术相关指标、血清炎性因子水平、心理状态、术后并发症发生情况和护理满意度。结果 联合管理组的手术用时、术后首次排气时间、普通饮食恢复时间、切口愈合时间、下床活动时间及住院时间短于常规管理组(P<0。05)。术后1、5 d,联合管理组的内皮素(ET)、C-反应蛋白(CRP)及白细胞介素-6(IL-6)水平低于常规管理组(P<0。05)。术后,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于术前,且联合管理组低于常规管理组(P<0。05)。联合管理组的术后并发症总发生率明显低于常规管理组(P<0。05)。联合管理组的护理满意度明显高于常规管理组(P<0。05)。结论 FMEA模式联合质控管理对降低胃肠道手术感染风险、促进患者快速康复具有积极意义。
Application effect of FMEA mode combined with quality control management in gastrointestinal surgery
Objective To explore the application effect of failure mode and effects analysis(FMEA)mode combined with quality control management in gastrointestinal surgery.Methods A total of 172 patients who underwent gastrointestinal surgery in our hospital from January 2020 to December 2022 were selected as the research objects.According to the admission time,the patients were divided into routine management group(n=86,quality control management)and combined management group(n=86,FMEA combined quality control management).The operation-related indicators,serum inflammatory factors levels,psychological status,postoperative complications and nursing satisfaction were compared between the two groups.Results The operation time,postoperative first exhaust time,recovery time of normal diet,incision healing time,ambulation time and hospitalization time in the combined management group were shorter than those in the routine management group(P<0.05).At 1 and 5 d after operation,the levels of endothelin(ET),C-reactive protein(CRP)and interleukin-6(IL-6)in the combined management group were lower than those in the routine management group(P<0.05).After operation,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the two groups were lower than those before operation,and those in the combined management group were lower than the routine management group(P<0.05).The total incidence of postoperative complications in the combined management group was significantly lower than that in the routine management group(P<0.05).The nursing satisfaction of the combined management group was significantly higher than that of the routine management group(P<0.05).Conclusion FMEA mode combined with quality control management has positive significance in reducing the risk of gastrointestinal surgery infection and promoting the rapid recovery of patients.

failure mode and effects analysisquality control managementgastrointestinal surgery

杨亮、张燕

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河南省南阳市中心医院手术一部,河南 南阳,473000

失效模式与效应分析 质控管理 胃肠道手术

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(23)