[1]王汇,程岚,唐淑慧,等.失效模式与效应分析在降低ICU患者肠内营养相关性腹泻中的应用[J].军事护理,2022,39(09):25-28.[doi:10.3969/j.issn.1008-9993.2022.09.007]
　WANG Hui,CHENG Lan,TANG Shuhui,et al.Application of Failure Mode and Effect Analysis in Reducing Enteral Nutrition-Related Diarrhea in ICU Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(09):25-28.[doi:10.3969/j.issn.1008-9993.2022.09.007]
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失效模式与效应分析在降低ICU患者肠内营养相关性腹泻中的应用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年09期
页码:
25-28
栏目:
论著
出版日期:
2022-09-15

文章信息/Info

Title:
Application of Failure Mode and Effect Analysis in Reducing Enteral Nutrition-Related Diarrhea in ICU Patients
文章编号:
1008-9993(2022)09-0025-04
作者:
王汇1; 程岚2; 唐淑慧3; 陆小英1
(1.海军军医大学第一附属医院 护理处,上海 200433; 2.海军军医大学第一附属医院 呼吸科; 3.海军军医大学第一附属医院 肿瘤科)
Author(s):
WANG Hui1; CHENG Lan2; TANG Shuhui3; LU Xiaoying1
(1.Department of Nursing,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China; 2.Department of Respiratory,the First Affiliated Hospital of Naval Medical University; 3.Department of Oncology,the First Affiliated Hospital of Naval Medical University)
关键词:
失效模式与效应分析;  肠内营养;  肠内营养相关性腹泻;  重症监护病房
Keywords:
failure mode and effect analysis;  enteral nutrition;  enteral nutrition-related diarrhea;  ICU
分类号:
R473; R825.7
DOI:
10.3969/j.issn.1008-9993.2022.09.007
文献标志码:
A
摘要:
目的 探讨失效模式与效应分析(effect of failure mode and effect analysis,FMEA)在降低重症监护病房(intensive care unit,ICU)患者肠内营养(enteral nutrition,EN)相关性腹泻中的应用成效。方法 目的抽样法选取某院ICU 2021年5月和9月实施EN的患者及执行护士做为研究对象,其中2021年5月实施EN的患者为对照组,2021年9月实施EN的患者为干预组。对照组采用常规EN操作流程; 干预组采用经FMEA优化后的操作流程,对筛选出的高危失效模式进行有针对性的整改。统计分析两组患者EN腹泻发生率、高危失效模式风险优先指数(risk priority number,RPN)及高危失效模式发生率的变化。结果 干预组患者EN相关性腹泻发生率、RPN分值及高危失效模式发生率均显著下降,差异均有统计学意义(均P<0.05)。结论 运用FMEA质量改进工具,可有效降低ICU患者肠内营养相关性腹泻发生率,保证肠内营养的顺利实施。
Abstract:
Objective To investigate the effect of failure mode and effect analysis(FMEA)in reducing enteral nutrition(EN)related diarrhea in intensive care unit(ICU)patients.Methods By purposive sampling method, the patients with EN and executive nurses in the ICU of a hospital in May and September 2021 were selected.The patients who implemented EN in May 2021 were the control group and the patients who implemented EN in September 2021 were the intervention group.The control group used conventional EN operational nursing procedures.The intervention group adopted the operation process optimized by FMEA to carry out targeted rectification on the high-risk failure modes selected. The incidence of EN related diarrhea,risk priority number(RPN)of high-risk failure mode and the incidence of high-risk failure mode in the two groups were statistically analyzed.Results The incidence of EN related diarrhea,RPN score and the incidence of high-risk failure mode in the intervention group were significantly decreased(all P<0.05).Conclusions Using the FMEA quality improvement tool can effectively reduce the incidence of EN related diarrhea in ICU patients and ensure the successful implementation of enteral nutrition.

参考文献/References:

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-01-07 【 修回日期 】 2022-06-29
【 基金项目 】 军队护理创新与培育专项创新项目(2021HL021)
【 作者简介 】 王汇,本科,副主任护师,主要从事临床护理及管理工作
【 通信作者 】 陆小英,电话:021-31161221
更新日期/Last Update: 2022-09-15