Objective To explore the application of healthcare failure mode and effect analysis(HFMEA)concept combined with refined nursing in improving the nursing quality of central venous catheter in the neurological intensive care unit(ICU).Methods A total of 312 patients admitted to ICU of neurology department of our hospital from January 2021 to August 2022 who received central venous catheter therapy were selected as study subjects and divided into the observation group and the control group according to the time of admission,with 156 cases in each group.The control group adopted the conventional nursing plan,and the observation group adopted the HFMEA concept combined with the refined nursing plan.The risk priority number(RPN),nursing quality and patients'satisfaction with nursing work were compared between the two groups.Results Compared with the control group,the RPN of health education[(109.20±13.04)points vs.(83.78±7.64)points],patient factor[(110.44±12.60)points vs.(75.47±7.60)points],catheter factor[(93.57±12.78)points vs.(75.24±9.06)points],piping operation factors[(93.92±12.79)points vs.(70.75±7.78)points],punching and sealing operation[(82.26±9.25)points vs.(67.60±6.42)points],and post-piping management[(98.44±11.82)points vs.(69.99±6.84)points]was significantly decreased in the observation group(P＜0.05).The the total score of nursing quality[(461.06±12.04)points vs.(478.32± 7.34)points]were significantly increased(P＜0.05),and the score of patients'satisfaction[(85.65±5.70)points vs.(90.83±5.03)points]were also significantly increased(P＜0.05).Conclusion HFMEA combined with refined nursing can significantly reduce the risk level in the process of central venous catheter nursing,improve the nursing quality and patient satisfaction.
关键词
医疗失效模式和效应分析/精细化护理/中心静脉导管/护理质量/重症监护室
Key words
Healthcare failure mode and effect analysis/Refined nursing/Central venous catheter/Nursing quality/Intensive care unit
维普
万方数据