基于失效与效果分析模式的护理干预对全麻手术患者苏醒期质量及应激状况的干预效果

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Abstract Objective To investigate the effect of nursing intervention based on failure mode and effect analysis(FMEA) model on the quality of recovery and stress status of patients undergoing general anesthesia.Methods A total of 200 patients undergoing general anesthesia who were admitted to People′s Liberation Army Ground Force Seventythree Military Hospital from June 2019 to December 2019 were selected as the research objects.The patients were divided into the observation group (100 cases) and the control group (100 cases) according to the random number table method.Patients in the observation group received nursing intervention based on the FMEA model,and patients in the control group received conventional nursing intervention.The operation status,quality of postoperative recovery period,emergency response level and complications of the two groups were observed and compared.Results The extubation time and anesthesia observation stay time of the observation group were shorter than those of the control group,and the differences were statistically significant (P＜0.05).After the operation,the heart rate,diastolic blood pressure,and systolic blood pressure of the observation group were lower than those of the control group,while the blood oxygen saturation was higher than that of the control group,the differences were statistically significant (P＜0.05);the C-reactive protein,epinephrine and norepinephrine levels of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group was 4.00%,which was lower than that of the control group (14.00%),and the difference was statistically significant (P＜0.05).Conclusion Nursing intervention based on the FMEA model has a good application effect for patients undergoing general anesthesia,which can significantly improve the recovery quality of patients during the recovery period,reduce the occurrence of postoperative stress reactions,increase the safety of treatment,and have good clinical application value.

Key words： Failure mode and effect analysis Nursing General anesthesia Recovery quality Complications

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	LI Xiao-wei
	YUAN Fang-ping

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LI Xiao-wei,YUAN Fang-ping. Effect of nursing intervention based on FMEA model on the quality of recovery and stress status of patients undergoing general anesthesia[J]. 中国当代医药, 2021, 28(6): 234-237.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I6/234

[1]	王树欣，韩文军，薄禄龙，等.全麻苏醒期患者去氧饱和的防范策略研究进展[J].护理学杂志，2019，34（5）：104-107.
[2]	王树欣，韩文军，张玲娟，等.全麻术后苏醒期患者去氧饱和发生现况的调查分析[J].护理学杂志，2018，33（10）：48-51.
[3]	刘廷琮.不同麻醉方案对胃癌手术患者苏醒期躁动及认知功能的影响[J].中国老年学杂志，2017，37（3）：664-666.
[4]	郭秀婷，王笑青，张爱鸣，等.医疗失效模式与效应分析对糖尿病足患者感染的防控效果[J].中华医院感染学杂志，2017，27（23）：5505-5508.
[5]	王晶，顾海燕，王萍.失效模式和效应分析在颈椎前路手术病人中的应用效果[J].护理研究，2018，32（21）：3444-3447.
[7]	郭龙飞，胡逢静，蔡玲，等.重症医学科医院感染现状及其风险评估研究进展[J].中华医院感染学杂志，2019，29（8）：1263-1266.
[8]	代云萍，邓富秋，陈慧，等.FMEA模式对妇产科住院患者医院感染的防控效果[J].中华医院感染学杂志，2017，27（18）：4206-4209.
[11]	罗小平，牟江涛，李斌飞，等.麻醉恢复室全麻复苏患者清醒前导尿管拔除方案的制订及应用效果评价[J].中华护理杂志，2018，53（12）：1468-1472.
[6]	Mora A，Ayala L，Bielza R，et al.Improving safety in blood transfusion using failure mode and effect analysis[J].Transfusion，2019，59（2）：516-523.
[9]	Rienzi L，Bariani F，Dalla Zorza M，et al.Comprehensive protocol of traceability during IVF：the result of a multicentre failure mode and effect analysis[J].Hum Reprod，2017，32（8）：1612-1620.
[10]	Babiker A，Amer YS，Osman ME，et al.Failure Mode and Effect Analysis （FMEA） may enhance implementation of clinical practice guidelines：An experience from the Middle East[J].J Eval Clin Pract，2018，24（1）：206-211.
[12]	黄卓梅，汪飞，高晓枫，等.右美托咪定气管内给药对妇科腹腔镜手术患者全麻苏醒期的影响[J].中山大学学报（医学版），2018，39（1）：113-118.
[13]	简晓敏，刘焕仪，曾彦茹，等.不同麻醉深度下全麻术后拔出气管导管时患者应激反应与舒适度的比较[J].广东医学，2016，37（12）：1900-1903.
[14]	Boulé M，Lachapelle S，Collin-Lévesque L，et al.Failure Mode，Effect，and Criticality Analysis of the Parenteral Nutrition Process in a Mother-Child Hospital：The AMELIORE Study[J].Nutr Clin Pract，2018，33（5）：656-666.
[15]	张静，兰星，陈庆红，等.护士参与麻醉门诊术前教育对麻醉恢复期患者的影响[J].护理学杂志，2020，35（2）：56-58.
[16]	彭碧波，张利岩，郑静晨.美国应急管理发展历程中应急医学发展变迁[J].中国护理管理，2018，18（7）：879-883.
[17]	周秀红，杜新平，王宽，等.失效模式与效应分析在血管再通流程优化中的应用效果评价[J].中华危重病急救医学，2018，30（7）：686-690.
[18]	魏万宏，郭敏，宋晓启，等.基于共词聚类的FMEA 在我国医院管理中研究热点分析[J].中国医院管理，2019，39（3）：47-50，59.