上海护理2026，Vol.26Issue(9)：15-21,7.DOI:10.3969/j.issn.1009-8399.2026.09.003
失效模式与效应分析在泌尿系肿瘤围手术期患者深静脉血栓非药物干预中的应用
Application of Failure Mode and Effects Analysis in Non-Pharmacological Interventions for Deep Vein Thrombosis in Perioperative Patients with Urological Tumors
摘要
Abstract
Objective To investigate the risk optimization and clinical effects of Failure Mode and Effects Analysis(FMEA)in non-pharmacological prophylaxis for perioperative deep vein thrombosis(DVT)in patients with urological tumors,aiming to provide a reference for improving nursing care for these patients.Methods From February 2023 to January 2026,66 patients undergoing surgery for urological tumors at a Grade III-A hospital in Anhui Province were selected by convenience sampling.Based on the time of admission,33 patients admitted from February 2023 to February 2024 were assigned to the control group and received routine non-pharmacological prophylaxis for DVT;33 patients admitted from March 2024 to January 2026 were assigned to the intervention group and received optimized measures developed based on FMEA.The risk priority numbers(RPN)of failure modes were compared before and after the intervention;the process quality indicators,patient outcome indicators,and rehabilitation indicators in the prophylaxis process were compared between groups.Results After the intervention,the RPN values of 5 high-risk failure modes(inaccurate risk scores,insufficient early postoperative mobilization,improper wearing of graduated compression stockings,improper use of intermittent pneumatic compression pumps,and poor patient compliance)all decreased compared to pre-intervention levels(P<0.01).The risk score accuracy,early mobilization rate,proper wearing rate of graduated compression stockings,proper use rate of intermittent pneumatic compression pumps,and patient early mobilization compliance score were all better in the intervention group than in the control group(P<0.01);in terms of outcome indicators,the incidences of DVT,lower limb swelling,and lower limb skin injury in the intervention group were lower than those in the control group(P<0.05),and no pulmonary embolism occurred in either group;in terms of rehabilitation indicators,the time to first mobilization and the mean length of hospital stay in the intervention group were shorter than those in the control group(P<0.05).Conclusion FMEA can accurately identify and optimize high-risk links in the non-pharmacological prophylaxis of perioperative DVT in patients with urological tumors,thus improving prophylactic quality and accelerating postoperative recovery.关键词
深静脉血栓/泌尿系肿瘤/围手术期康复/失效模式和效应分析/质量管理Key words
Deep vein thrombosis/Urological tumor/Perioperative rehabilitation/Failure Mode and Effects Analysis/Quality management分类
医药卫生引用本文复制引用
谢莉,刁兆香,余子强,王胜男,李华刚,杜和喜..失效模式与效应分析在泌尿系肿瘤围手术期患者深静脉血栓非药物干预中的应用[J].上海护理,2026,26(9):15-21,7.基金项目
国家自然科学基金项目-青年科学基金项目(82100815). （82100815）
