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| Application effect of FMEA model in optimizing the first aid process of patients with severe craniocerebral injury |
| WU Yao1 ZHOU Zhengwu1 YIN Huiling2 |
1.Department of Emergency, Lu’an Hospital of Anhui Medical University, Anhui Province, Lu’an 237005, China;
2.Department of Neurosurgery, Lu’an Hospital Affiliated to Anhui Medical University, Anhui Province, Lu’an 237005, China |
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Abstract Objective To explore the effect of failure mode and effect analysis (FMEA) on optimizing emergency nursing process of severe craniocerebral injury patients. Methods A total of 100 patients with severe craniocerebral injury in the Department of Emergency Lu’an Hospital of Anhui Medical University from April to October 2019 were selected as the research subjects, 50 patients treated from April to October 2019 were treated as the control group and received routine emergency care were given, patients treated from November 2019 to April 2020 were treated as the observation group and optimized care based on FMEA mode were given. The rescue effect and complications were compared. The national Institute of health stroke (NIHSS) score, glasgow coma score (GCS) and nursing satisfaction were recorded. Results The total effective rate of the observation group was higher than the control group (P ＜ 0.05); after nursing, NIHSS scores of both groups were decreased, and observation group was lower than control group; GCS scores of both groups were increased, the GCS score of observation group was higher than that of control group (P ＜ 0.05); the inspection return time, consultation arrival time and rescue room stay time of the observation group were shorter than those of the control group (P ＜ 0.05); the emergency nursing operation evaluation and nursing care of the observation group were significantly lower than those of the control group (P ＜ 0.05), the evaluation of emergency nursing operation, nursing service attitude and nursing effect in the observation group were significantly higher than those in the control group (P ＜ 0.05). Conclusion The optimized emergency nursing process based on FMEA model can effectively improve the emergency rescue effect and neurological function of patients with severe craniocerebral injury, reduce adverse reactions during nursing, and improve the satisfaction, which can be widely used in clinical practice.
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