首页|HFMEA模式在预防大隐静脉曲张术后并发症中的效应分析

HFMEA模式在预防大隐静脉曲张术后并发症中的效应分析

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目的:观察医疗失效模式与效应分析(HFMEA)在预防大隐静脉曲张(GSVV)术后并发症中的应用效果。方法:选取GSVV术后患者 85 例,随机分为研究组(n=43)与对照组(n=42),给予对照组常规干预,研究组予以基于HFMEA的细节管控模式干预。比较两组围术期指标、股静脉血流情况、凝血功能及并发症。结果:研究组术后首次下地活动时间、住院时间少于对照组(P<0。05)。干预后研究组血流速度、血流量、PT、TT、APTT水平及满意度高于对照组,D-D水平、深静脉血栓(DVT)及并发症总发生率低于对照组(P<0。05)。结论:HFMEA的细节管控模式能促进GSVV患者术后恢复,有助于改善股静脉血流情况与凝血功能,降低DVT发生率,满意度高。
Application of Failure Mode and Effects Analysis in Preventing Postoperative Complications of Great Saphenous Varicose Vein
Objective:To observe the application effect of Healthcare Failure Mode Effect Analysis(HFMEA)in preventing complications aftergreat saphenous varicose veins(GSVV)surgery.Methods:85 patients undergoing surgery for GSVV were divided into the study group(n=43)and the control group(n=42),receiving routine nursing and HFMEA-based detailcontrol model of nursing,respectively.Perioperative indicators,femoral vein blood flow,coagulation function and complications were compared between the groups.Results:Postoperative ambulatory time and hospital stay of the study group was shorter than that of the control group(P<0.05).After intervention,blood flow velocity,blood flow,PT,TT,APTT and satisfaction in the study group were higher/longer than those in the control group.D-D level,the incidence of DVT and the total incidence of complications were lower than those in the control group(P<0.05).Conclusion:HFMEA-based detail control model of nursing can promote postoperative recovery of patients with GSVV,improve their femoral vein blood flow and coagulation function,and reduce the incidence of DVT,with high satisfaction.

Healthcare Failure Mode Effect AnalysisDetail control modeGreat saphenous varicose veinsDeep venous thrombosis

金健、朱俊、王璐、胡银霜、余兰兰

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六安市人民医院普外科,安徽六安 237000

医疗失效模式与效应分析 细节管控模式 大隐静脉曲张 深静脉血栓

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(4)