【摘要】 目的 探讨失效模式和效应分析（FMEA）对急性脑卒中后留置胃管患者的干预效果。方法 选取120例急性脑卒中后留置胃管患者，对照组60例和干预组60例。对照组实施常规管理干预，干预组实施FMEA模型管理干预，比较2组干预效果。结果 干预组患者胃管留置时间及住院时间均短于对照组，差异有统计学意义（P<0.05）。干预组胃管拔管成功率76.67%，高于对照组的50.00%(P<0.05)。相较于干预前和同期对照组，干预后干预组患者血清白蛋白（ALB）、血清总蛋白（TP）水平及生活质量量表（SF-36）各维度评分均升高（P<0.05）。干预期间，干预组患者误吸、吸入性肺炎、食管反流、胃管滑脱不良事件发生率均低于对照组（P<0.05）。结论 急性脑卒中后留置胃管患者采用FMEA模式进行干预可明显促进患者恢复，提高生活质量，改善营养水平，降低吸入性肺炎、食管反流等不良事件发生风险。更多还原

【Abstract】 Objective To investigate the intervention effect of failure mode and effect analysis(FMEA)on patients with gastric tube retention after acute stroke.Methods A total of 120 patients with with gastric tube retention after acute stroke were selected and grouped into control group of 60 cases and intervention group of 60cases.The control group received routine management intervention,while the intervention group received FMEA model management intervention.The intervention effects of the two groups were compared.Results The retention time and hospital stay of the intervention group were shorter than those of the control group,and the difference was statistically significant(P<0.05).The success rate of gastric tube extubation in the intervention group was76.67%,which was higher than that in the control group(50.00%,P<0.05).Compared with the control group before and during the same period,the levels of serum albumin(ALB),serum total protein(TP) and scores of all dimensions of quality of life scale(SF-36) in the intervention group were increased after intervention(P<0.05).During the intervention period,the incidence of aspiration,aspiration pneumonia,esophageal reflux and gastric tube slip in the intervention group was lower than that in the control group(P<0.05).Conclusion The intervention of FMEA mode on the patients with gastric tube retention after acute stroke can greatly promote recovery,improve quality of life,improve nutritional levels,and reduce the risk of adverse events,such as aspiration pneumonia and esophageal reflux.更多还原