Effect of operating room nursing on patients undergoing laparoscopic total hysterectomy under failure mode and effect analysis
失效模式与效应分析模式下手术室护理对腹腔镜下全子宫切除患者的影响

摘要

目的 本研究的主要目的是探讨在失效模式与效应分析（FMEA）框架下，手术室护理对接受腹腔镜下全子宫切除手术患者的影响。方法 本研究选取了本院90例接受腹腔镜下全子宫切除手术的患者作为研究对象，按照随机原则，将这些患者分为两组：对照组（45例，接受常规手术室护理服务）和试验组（45例，采纳FMEA模式下的手术室护理）。收集、分析及对比了两组患者的护理效果数据。结果 相较于对照组，试验组患者的拔管时长与麻醉后恢复时间均有显著缩短，且并发症的发生率也明显降低。经统计学分析，这两组之间的差异具有显著性（P＜0.05）。结论 将FMEA模式下的手术室护理应用于腹腔镜下全子宫切除患者，可以明显缩短患者的术后恢复时长，并减少并发症的发生，在临床实践中展现出了显著的应用成效。

Abstract

Objective The primary objective of this study is to investigate the effects of operating room care in patients undergoing laparoscopic total hysterectomy within the framework of Failure Mode and Effects Analysis (FMEA).
Methods In this study, 90 patients who underwent laparoscopic total hysterectomy were selected as the study subjects, and these patients were randomly divided into two groups: control group (45 patients, receiving routine operating room nursing services) and experimental group (45 patients, adopting operating room care under the FMEA model). The nursing effect data of the two groups were collected, analyzed and compared.
Results Compared with the control group, the extubation time and recovery time after anesthesia were significantly shortened in the experimental group, and the incidence of complications was also significantly reduced. Statistically significant differences between the two groups were analyzed (P<0.05).
Conclusion   The application of operating room nursing under the FMEA mode to laparoscopic total hysterectomy patients can significantly shorten the postoperative recovery time and reduce the occurrence of complications, which has shown remarkable application results in clinical practice.