Analysis of the Application of Nursing Management under Failure Mode and Effect Analysis Mode in Patients with Severe Traumatic Brain Injury
Objective:To analyze the application of nursing management under failure mode and effect analysis(FMEA)mode in patients with severe traumatic brain injury(STBI).Method:A total of 112 patients with STBI admitted to Xinyu People's Hospital from January 2020 to December 2022 were selected as the study objects.Patients were grouped according to time of admission,patients admitted from January 2020 to June 2021 were included in the control group(n=50),patients admitted from July 2021 to December 2022 were included in the observation group(n=62).The control group received routine nursing intervention,while the observation group received nursing intervention based on FMEA mode.Consciousness,prognosis,coagulation function,nutritional index and incidence of complications were compared between the two groups.Result:Before nursing,there were no statistical significances in scores of Glasgow coma scale(GCS)and Karnofsky performance status(KPS)between the two groups(P>0.05);after nursing,scores of GCS and KPS in the two groups were increased compared to those before nursing,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in prothrombin time(PT),fibrinogen(FIB)and D-dimer(D-D)between the two groups(P>0.05);after nursing,FIB in the two groups were increased compared to those before nursing,and that in the observation group was higher than that in the control group;PT were shorter and D-D were lower in the two groups than those before nursing,and those in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in prealbumin(PA)and albumin(ALB)between the two groups(P>0.05);after nursing,ALB and PA in both groups were higher than those before nursing,and those in observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications was 12.90%in the observation group,lower than 38.00%in the control group,the difference was statistically significant(P=0.013).Conclusion:After active and effective rescue and treatment measures for patients with STBI,nursing management under FMEA mode can greatly improve the prognosis of patients and prevent the occurrence of various complications.
Failure mode and effect analysisSevere traumatic brain injuryNursingComplications
万方数据
维普
