实施FMEA的模式护理预防肘部骨折术后肘关节僵硬.docVIP

实施FMEA的模式护理预防肘部骨折术后肘关节僵硬 　　[摘要] 目的 对肘部骨折术后患者开展失效模式和效应分析（FMEA）模式护理以预防肘关节僵硬的发生。 方法 将148例肘部骨折术后固定治疗的患者随机分成实验组和对照组，对照组75例患者按骨科手术护理常规护理，在常规护理基础上对实验组73例患者可能发生肘关节僵硬的失效模式及风险因子进行分析、评估，计算发生肘关节僵硬的风险指数（RPN）值，制定相应的防范措施。 结果 对两组患者在术后5个月进行调查：实验组的肘关节功能Mayo 评分明显高于对照组（P0.05），实验组肘关节僵硬发生率明显低于对照组（P0.05），且无一例发生肘关节僵硬，实验组对护理服务的满意度达到了100%，明显高于对照组（P0.05）。 结论 实施FMEA模式护理能有效防范肘关节僵硬的发生，提高护理质量和效果，保进患者康复，减少医疗纠纷和谐医患关系。 　　[关键词]失效模式和效应分析；肘部骨折；肘关节；僵硬 　　[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2013）14-36-03 　　Implementation of FMEA mode care to prevent elbow stiffness after elbow fracture surgery 　　CHEN Yuegui CAI Yanhao CUI Chuying YUAN Yueshuang LIANG Seming 　　Xinzao Hospital in Panyu District of Guangzhou City，Guangzhou 511436，China 　　[Abstract] Objective To carry out FMEA model care on patients after elbow fracture to prevent the occurrence of elbow stiffness. Methods 148 cases of patients with elbow fracture surgery were randomly divided into fixed experimental group and control group， control group （75 patients） was given orthopedic surgical routine care， on the basis of the control group， the failure modes and risk factors were analyzed and evaluated in experimental group （73 patients） who may occur elbow stiffness， and elbow stiffness RPN （risk index） value was calculated， and take relevant precautions. Results The two groups of patients were investigated after five months. Mayo elbow function score in experimental group was significantly higher than that in control group （P0.05），elbow stiffness incidence rate in experimental group was significantly lower than that in control group （P0.05），and no case of elbow stiffness happened.The nursing service satisfaction reached 100% in experimental group， was significantly higher than that in control group （P0.05）. Conclusion Implementation of FMEA mode care can effectively prevent the occurrence of elbow stiffness， improve care quality and effectiveness， make sure rehabilitation of patients and reduce medical disputes， promote harmonious doctor-p