International Journal of Nursing Research
International Journal of Nursing Research. 2025; 7: (6) ; 10.12208/j.ijnr.20250317 .
总浏览量: 40
南通市第二人民医院 江苏南通
*通讯作者: 徐于相,单位:南通市第二人民医院 江苏南通;
目的 观察ICU采用HFMEA理念联合精细化护理对患者中心静脉导管护理质量的影响。方法 择2023年1月-2024年1月60例本院ICU收治并行中心静脉导管置入术的患者参与,并利用随机分组法将患者均分至研究组、参照组,研究组采用采用HFMEA理念联合精细化护理,参照组采用常规护理,统计并记录两组患者研究数据。结果 患者SAS、SDS评分,护理前两组评分无明显差异(P>0.05);护理后各项评分研究组比参照组低(P<0.05)。护理质量评分见研究组比参照组高(P<0.05)。患者导管相关并发症发生率,研究组比参照组低(P<0.05)。护理总满意率研究组比参照组低(P<0.05)。结论 HFMEA理念联合精细化护理在提高ICU患者中心静脉导管护理质量中的应用理想,值得推广并应用。
Objective To observe the effect of HFMEA combined with intensive care on the quality of central venous catheter care in ICU. Methods From January 2023 to January 2024, 60 patients admitted to ICU of our hospital who underwent central venous catheter implantation were selected to participate, and the patients were evenly divided into the study group and the reference group by randomized method. The study group adopted HFMEA concept combined with refined nursing, and the reference group adopted routine nursing. The study data of the two groups of patients were statistically recorded. Results There was no significant difference in SAS and SDS scores between the two groups before nursing (P > 0.05). The scores after nursing in the study group were lower than those in the reference group (P < 0.05). The nursing quality score of the study group was higher than that of the reference group (P < 0.05). The incidence of catheter-related complications in the study group was lower than that in the reference group (P < 0.05). The total satisfaction rate of nursing in the study group was lower than that in the reference group (P < 0.05). Conclusion HFMEA concept combined with refined nursing is ideal for improving the quality of central venous catheter nursing in ICU patients, and it is worth promoting and applying.
[1] 王江琪,李玉林,陈云霞.在提高神经内科ICU中心静脉导管护理质量中的应用[J]. 现代医药卫生,2024,40(6):965-967,971.
[2] 陈小列. HFMEA模式对呼吸内科患者静脉留置针并发症、护理质量的影响[J]. 中外医学研究,2021(2):96-98.
[3] 李旭. 医疗失效及效应分析模式(HFMEA)在手术室护理安全管理中的应用效果观察[J]. 中国医药指南,2020, 18(19):211-212.
[4] 贝嘉卉,郭宛玉. 基于医疗失效模式与效应分析的护理干预方案在乳腺癌日间化疗患者中的应用[J]. 延边大学医学学报,2024,47(3):360-363.
[5] 贾瑶,梁新慧,吴惟,等. 医疗失效模式与效应分析在颅脑创伤急诊手术护理风险管理中的应用[J]. 实用临床医药杂志,2024,28(8):127-133. .
[6] 谭丽嫦,李佩兰,梁霭媛. 基于FMEA模式的精细化管理措施在ICU中心静脉导管护理中的应用[J]. 海南医学,2021, 32(13):1765-1768.
[7] 田文玲. 基于FMEA理论护理对PICC置管后深静脉血栓预防效果研究[J]. 检验医学与临床,2019,16(9):1244-1248.
[8] 潘瑶. 精细化护理在提高ICU中心静脉导管护理质量中的应用[J]. 保健文汇,2020(29):84-85.
[9] 塔吉古丽·阿布力孜,艾力努尔·喀木. 关于精细化管理对提高ICU中心静脉导管护理质量的效果分析[J]. 家庭医药,2019(7):239-240.