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FMEA模式在乳腺癌患者癌性伤口和术后恢复中的应用

周玉 童宗培 王莉 周均凤 李青

周玉, 童宗培, 王莉, 周均凤, 李青. FMEA模式在乳腺癌患者癌性伤口和术后恢复中的应用[J]. 中华全科医学, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398
引用本文: 周玉, 童宗培, 王莉, 周均凤, 李青. FMEA模式在乳腺癌患者癌性伤口和术后恢复中的应用[J]. 中华全科医学, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398
ZHOU Yu, TONG Zongpei, WANG Li, ZHOU Junfeng, LI Qing. Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer[J]. Chinese Journal of General Practice, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398
Citation: ZHOU Yu, TONG Zongpei, WANG Li, ZHOU Junfeng, LI Qing. Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer[J]. Chinese Journal of General Practice, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398

FMEA模式在乳腺癌患者癌性伤口和术后恢复中的应用

doi: 10.16766/j.cnki.issn.1674-4152.003398
基金项目: 

安徽省卫生健康科研项目 AHWJ2022c052

详细信息
    通讯作者:

    周玉,E-mail:Czzy0914@163.com

  • 中图分类号: R737.9

Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer

  • 摘要:   目的  探究失效模式和效果分析(FMEA)模式在乳腺癌患者中的应用效果,及对患者癌性伤口和术后恢复的影响。  方法  选取2021年1月—2023年8月滁州市中西医结合医院收治的乳腺癌患者86例纳入研究,按照随机数字表将患者分为对照组(43例,采用常规护理干预)及FMEA组(43例,采用FMEA预防性护理干预)。比较2组干预前后癌性伤口恢复情况、疼痛、患肢功能恢复、焦虑状况及护理满意度。  结果  干预后,FMEA组渗液颜色正常例数显著多于对照组(χ2=4.674,P=0.031),渗液气味显著低于对照组[(2.14±0.67)级vs. (2.58±0.74)级,t=2.890,P=0.005],渗液量差异无统计学意义(P>0.05)。干预第1、3、7天,2组VAS评分均逐渐降低(P < 0.05),且FMEA组各时间点评分均显著低于对照组(P < 0.05);干预后,2组患肢活动角度均显著提高(P < 0.05),且FMEA组显著高于对照组(P < 0.05);干预后,2组状态焦虑量表(SAI)评分、特质焦虑量表(TAI)评分均显著降低(P < 0.05),且FMEA组显著低于对照组(P < 0.05)。FMEA组护理满意度显著高于对照组[93.02%(40/43) vs. 76.74%(33/43),χ2=4.440,P=0.035]。  结论  FMEA模式预防可有效促进乳腺癌患者术后癌性伤口与上肢功能恢复,缓解疼痛及焦虑。

     

  • 表  1  2组乳腺癌患者癌性伤口恢复情况比较

    Table  1.   Comparison of cancer wound recovery between the two groups of breast cancer patients

    组别 例数 渗液量[例(%)] 渗液颜色[例(%)] 渗液气味
    (x±s, 级)
    少量 中量 大量 正常 非正常
    对照组 43 15(34.88) 15(34.88) 13(30.23) 18(41.86) 25(58.14) 2.58±0.74
    FMEA组 43 21(48.84) 15(34.88) 7(16.28) 28(65.12) 15(34.88) 2.14±0.67
    统计量 1.605a 4.674b 2.890c
    P 0.108 0.031 0.005
    注:aZ值,b为χ2值,ct值。
    下载: 导出CSV

    表  2  2组乳腺癌患者疼痛情况比较(x±s, 分)

    Table  2.   Comparison of pain between the two groups of breast cancer patients (x±s, points)

    组别 例数 干预第1天 干预第3天 干预第7天
    对照组 43 4.94±0.87 3.92±0.66a 2.64±0.43ab
    FMEA组 43 4.36±0.81 3.37±0.59a 2.19±0.37ab
    t 3.200 4.074 5.202
    P 0.002 < 0.001 < 0.001
    注:F组间=3.284,P < 0.001;F时间=9.860,P < 0.001;F交互=4.224,P < 0.001。与干预第1天比较,aP < 0.05;与干预第3天比较,bP < 0.05。
    下载: 导出CSV

    表  3  2组乳腺癌患者患肢功能恢复情况比较(x±s, °)

    Table  3.   Comparison of functional recovery of the affected limb between the two groups of breast cancer patients (x±s, °)

    组别 例数 上举 内旋 外旋 水平屈曲 水平伸展
    干预前 干预后 干预前 干预后 干预前 干预后 干预前 干预后 干预前 干预后
    对照组 43 82.14±8.34 148.51±16.36a 42.16±4.28 57.27±5.19a 55.61±5.38 69.82±7.14a 87.43±6.17 121.06±8.12a 15.17±2.23 21.37±3.55a
    FMEA组 43 83.27±9.42 162.57±15.62ab 41.29±4.73 61.57±5.28ab 56.48±5.12 77.51±7.57ab 89.18±6.46 125.57±7.66ab 14.61±2.35 23.38±3.58ab
    注:与干预前比较,aP < 0.05;与对照组比较,bP < 0.05。
    下载: 导出CSV

    表  4  2组乳腺癌患者焦虑状况比较(x±s, 分)

    Table  4.   Comparison of anxiety status of breast cancer patients in two groups (x±s, points)

    组别 例数 SAI TAI
    干预前 干预后 干预前 干预后
    对照组 43 54.15±7.64 44.88±3.76a 53.76±6.67 42.15±4.34a
    FMEA组 43 55.23±8.17 42.69±3.68a 52.36±7.23 39.86±4.47a
    t 0.809 2.730 0.933 2.410
    P 0.421 0.008 0.353 0.018
    注:与干预前比较,aP < 0.05。
    下载: 导出CSV

    表  5  2组乳腺癌患者护理满意度比较[例(%)]

    Table  5.   Comparison of nursing satisfaction of breast cancer patients in two groups [cases (%)]

    组别 例数 非常满意 满意 不满意 总满意
    对照组 43 18(41.86) 15(34.88) 10(23.26) 33(76.74)
    FMEA组 43 26(60.47) 14(32.56) 3(6.98) 40(93.02)
    注:2组护理总满意度比较,χ2=4.440,P=0.035。
    下载: 导出CSV
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  • 收稿日期:  2023-10-20
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