FMEA联合预见性护理对腹腔镜全子宫切除术患者术中应激反应与术后恢复的影响OA
The impact of FMEA combined with predictive care on intraoperative stress response and postoperative recovery in patients undergoing laparoscopic total hysterectomy
目的:探讨腹腔镜全子宫切除术患者手术室护理中失效模式与效应分析(FMEA)联合预见性护理对术中应激反应、术后恢复的影响效果.方法:选取 2021 年 1 月至 2024 年 3 月于本院妇科确诊并行腹腔镜全子宫切除术的 60 例患者,采用抽签法分为两组各 30 例.对照组采用传统手术室护理,观察组在传统手术室护理基础上采用施FMEA联合预见性护理.测定生理应激反应指标、心理应激反应指标,统计术后并发症总发生率,对比上述观察指标差异.结果:观察组的术后并发症总发生率、术中生理应激反应指标、入手术室前的心理应激反应指标均低于对照组(P<0.05).结论:FMEA联合预见性护理能够进一步缓解腹腔镜全子宫切除术患者术中应激反应,为其术后恢复提供帮助,具有较大的应用价值.
Objective:To explore the effect of failure mode and effect analysis(FMEA)combined with predictive nursing on in-traoperative stress response and postoperative recovery in laparoscopic total hysterectomy patients.Methods:Sixty patients who underwent laparoscopic total hysterectomy and were diagnosed in the gynecology department of our hospital from January 2021 to March 2024 were selected.They were divided into two groups with 30 patients in each group by drawing lots.The con-trol group received traditional operating room care,while the observation group received FMEA combined with predictive care on the basis of traditional operating room care.Measure physiological and psychological stress response indicators,calculate the total incidence of postoperative complications,and compare the differences in the above observation indicators.Results:The total incidence of postoperative complications,physiological stress response indicators during surgery,and psychological stress response indicators before entering the operating room in the observation group were all lower than those in the control group(P<0.05).Conclusion:The combination of FMEA and predictive care can further alleviate the intraoperative stress response of patients undergoing laparoscopic total hysterectomy,provide assistance for their postoperative recovery,and have great ap-plication value.
李婷;苏静;张小伏
连云港市赣榆区人民医院手术室,江苏 连云港 222100
临床医学
腹腔镜全子宫切除术失效模式与效应分析预见性护理身心应激反应
Laparoscopic total hysterectomyFailure mode and effect analysisAnticipatory carePhysical and mental stress response
《中外女性健康研究》 2024 (008)
18-21 / 4
连云港市赣榆区卫生科技项目;项目编号:202304;项目名称:基于 FMEA 模型的预见性护理在腹腔镜全子宫切除术中的应用研究
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