护理实践与研究
護理實踐與研究
호리실천여연구
Nursing Practice and Research
2015年
9期
14-16
,共3页
失效模式%效应分析%脑卒中%护理风险管理
失效模式%效應分析%腦卒中%護理風險管理
실효모식%효응분석%뇌졸중%호리풍험관리
Failure mode%Effect analysis%Cerebral apoplexy%Nursing risk management
目的:探讨失效模式与效应分析( FMEA)在脑卒中住院患者护理风险管理中的应用效果. 方法:选择2012年1~10月神经内科住院的脑卒中患者103例为对照组,按照神经内科护理常规进行护理;选择2013年1~10月神经内科住院的脑卒中患者106例为观察组, 除执行神经内科护理常规外,应用FMEA对脑卒中患者住院期间常发生的不安全事件(护理风险)主要原因进行分析,选择其中失效模式优先风险数值( RPN)的5个失效模式,并对其影响因素进行分析,同时制定改善措施并落实. 比较观察组实施FMEA管理模式前后RPN值、两组护理工作满意度、护理风险发生率. 结果:观察组改善措施实施后失效模式的RPN低于实施前(P<0.05),护理工作满意度高于对照组(P<0.05),护理风险发生率低于对照组(P<0. 05). 结论:应用FMEA护理管理模式能降低脑卒中住院患者不安全事件的发生率,提高患者对护理工作的满意度.
目的:探討失效模式與效應分析( FMEA)在腦卒中住院患者護理風險管理中的應用效果. 方法:選擇2012年1~10月神經內科住院的腦卒中患者103例為對照組,按照神經內科護理常規進行護理;選擇2013年1~10月神經內科住院的腦卒中患者106例為觀察組, 除執行神經內科護理常規外,應用FMEA對腦卒中患者住院期間常髮生的不安全事件(護理風險)主要原因進行分析,選擇其中失效模式優先風險數值( RPN)的5箇失效模式,併對其影響因素進行分析,同時製定改善措施併落實. 比較觀察組實施FMEA管理模式前後RPN值、兩組護理工作滿意度、護理風險髮生率. 結果:觀察組改善措施實施後失效模式的RPN低于實施前(P<0.05),護理工作滿意度高于對照組(P<0.05),護理風險髮生率低于對照組(P<0. 05). 結論:應用FMEA護理管理模式能降低腦卒中住院患者不安全事件的髮生率,提高患者對護理工作的滿意度.
목적:탐토실효모식여효응분석( FMEA)재뇌졸중주원환자호리풍험관리중적응용효과. 방법:선택2012년1~10월신경내과주원적뇌졸중환자103례위대조조,안조신경내과호리상규진행호리;선택2013년1~10월신경내과주원적뇌졸중환자106례위관찰조, 제집행신경내과호리상규외,응용FMEA대뇌졸중환자주원기간상발생적불안전사건(호리풍험)주요원인진행분석,선택기중실효모식우선풍험수치( RPN)적5개실효모식,병대기영향인소진행분석,동시제정개선조시병락실. 비교관찰조실시FMEA관리모식전후RPN치、량조호리공작만의도、호리풍험발생솔. 결과:관찰조개선조시실시후실효모식적RPN저우실시전(P<0.05),호리공작만의도고우대조조(P<0.05),호리풍험발생솔저우대조조(P<0. 05). 결론:응용FMEA호리관리모식능강저뇌졸중주원환자불안전사건적발생솔,제고환자대호리공작적만의도.
Objective:To study the effect of failure mode and effect analysis ( FMEA) in nursing risk management of hospitalized patients with cerebral apo-plexy. Methods:From January 2012 to October 103 patients as control group,carried out in accordance with the neurology care routine nursing. Chose January-October 2013 106 cases of patients with cerebral apoplexy as the observation group,they were received FMEA,the main reason was analyzed,including failure mode was preferred risk selection number ( RPN) of five failure mode,and its influence factors were analyzed,and at the same time develop improve-ment measures and implementation. Comparated observation group RPN values before and after the implementation of FMEA management mode,two groups of nurses job satisfaction,the incidence of nursing risk. Results:Observation group to improve the measures after implementation failure mode of RPN was lower than the control group (P<0. 05),nursing job satisfaction was higher than the control group (P<0. 05),the incidence of nursing risk was lower than the control group (P<0. 05). Conclusion:The application of FMEA nursing management mode can reduce the incidence of stroke inpatients unsafe events, improve patients satisfaction of nursing work.
