Application of failure mode and effect analysis in preventing stroke patients from aspiration
10.3760/cma.j.issn.1672-7088.2013.21.012
- VernacularTitle:失效模式和效应分析在脑卒中后预防误吸中的应用
- Author:
Fen LV
;
Yuan GAO
;
Xia LI
;
Xiaoya CHEN
- Publication Type:Journal Article
- Keywords:
Failure mode and effect analysis;
Stroke;
Aspiration
- From:
Chinese Journal of Practical Nursing
2013;29(21):33-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application effect of FMEA(failure mode and effect analysis) in prevention of aspiration after stroke.Methods From October 2011 to April 2012 48 stroke patients in our department without implementation of the FMEA management mode were set as the control group.From May 2012 to November 2012,another 48 cases were set as the observation group,in addition to the routine neurological nursing care,we also used FMEA to find forward-looking reason of the failure mode of aspiration and operation process analysis,evaluation,calculation and identify the risk factors of aspiration in patients with cerebral apoplexy and high-risk operation steps,prevention priority action plan and improvement measures.The incidence of aspiration,RPN value of six high risk factors,and satisfaction degree and mastering degree of aspiration related knowledge by patients and their families were compared.Results In the observation group,the crisis values of 6 high risk factors was significantly lower than those of the control group.Significant differences existed in satisfaction degree and mastering degree of aspiration related knowledge by patients and their families as well as hospitalization time.There was no aspiration cases during hospitalization in the observation group while 3 aspiration cases in the control group.Conclusions Application of FMEA to evaluate patients with swallowing disorder after stroke,analyzing and taking relevant measures can effectively prevent risks,reduce the occurrence of aspiration,improve the quality of nursing and promote patients' recovery.
