The application of HFMEA concept combined with refined nursing in improving the quality of central venous catheter care for ICU patients
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

摘要

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。

Abstract

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.