Effect of Nursing Intervention Based on FMEA Model in PICC Chemotherapy for Patients with Cervical Cancer
Objective:To explore the effect of nursing intervention based on failure mode-effect analysis(FMEA)mode on the quality of life of patients with cervical cancer undergoing peripherally inserted central catheter(PICC)chemotherapy.Methods:A total of 90 patients with cervical cancer who received PICC chemotherapy in Henan Provincial People's Hospital from October 2021 to October 2022 were selected as the study subjects.They were divided into group A(45 patients)and group B(45 patients)according to the random number table method.Patients in group A received routine nursing measures during PICC chemotherapy,while patients in group B received nursing interventions based on FMEA model.The catheterization,self-efficacy score,quality of life and incidence of adverse events were compared between the two groups.Results:The time of catheterization in group B was shorter than that in group A,and the success rate of one-time puncture and one-time catheterization were higher than those in group A(P<0.05).After 3 months of intervention,the disease and symptoms,diet and exercise,cognition and behavior,physical function,psychological function and social function of the two groups were higher than those before intervention,and those in group B were higher than those in group A(P<0.05).The total incidence of PICC catheter adverse events in group B was higher than that in group A(P<0.05).There was no significant difference in the scores of material life status between the two groups before and after intervention(P>0.05).Conclusion:The application of nursing intervention based on FMEA mode in patients with cervical cancer undergoing PICC chemotherapy can shorten the catheterization time,improve the success rate of one-time puncture and one-time catheterization,improve the level of self-efficacy,reduce the incidence of adverse events of PICC catheterization,and help to improve the quality of life.
Cervical cancerPeripherally inserted central catheterChemotherapyFailure mode-effect analysisQuality of life