实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (10): 1067-1070.doi: 10.3969/j.issn.1003-9198.2022.10.022

• 护理园地 • 上一篇    下一篇

基于FMEA联合PMT护理模式在养老机构老年人安全管理中的应用研究

景冬梅, 宋佳牡, 宋薇, 徐静仙   

  1. 211112 江苏省南京市,南京医科大学附属老年医院(江苏省省级机关医院)南京江宁沐春园护理院
  • 收稿日期:2021-11-08 出版日期:2022-10-20 发布日期:2022-10-21
  • 通讯作者: 宋佳牡,Email: jgyysjm@163.com
  • 基金资助:
    老年医学科技发展基金(医养结合)专项项目(JGS2019ZXYY15)

Research on the application of FMEA combined with PMT in the safety management of the elderly in nursing home

JING Dong-mei, SONG Jia-mu, SONG Wei, XU Jing-xian   

  1. Muchunyuan Nursing Home, the Affiliated Geriatric Hospital of Nanjing Medical University(Jiangsu Province Official Hospital),Nanjing 211112, China
  • Received:2021-11-08 Online:2022-10-20 Published:2022-10-21

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摘要： 目的 探讨基于失效模式与效应分析(FMEA)联合保护动机理论(PMT)在养老机构老年人安全管理中的应用效果。 方法 回顾性分析2019年1月至2020年6月入住我院的80例老年人的人口学资料及其他评估资料。以护理方案不同进行分组,将接受常规护理模式的40例纳入对照组,应用FMEA联合PMT护理模式的40例纳入研究组。2组均干预3个月,比较2组干预前后的风险优先数值(RPN)、生活质量评分、自我效能评分、跌倒发生情况及护理满意度。 结果 干预前,2组老人的RPN、生活质量评分、自我效能评分比较,差异均无统计学意义(P>0.05)。干预结束后,2组老人的RPN明显下降,生活质量评分及自我效能评分均显著提高,且研究组改善幅度优于对照组(P<0.05);干预结束后,研究组中无跌倒事件发生,对照组中有3例发生跌倒事件,但2组跌倒发生率差异无统计学意义;研究组护理满意度评分高于对照组,差异有统计学意义(P<0.05)。 结论 采用FMEA联合PMT的护理干预可以有效预防养老机构老年人跌倒事件的发生,提高老年人的生活质量和自我效能能力,保障了老年人在养老机构的安全管理。

关键词: 失效模式与效应分析, 保护动机理论, 养老机构, 老年人, 安全管理

Abstract: Objective To explore the application effect of protection motivation theory (PMT)combined with failure mode and effect analysis (FMEA) in the safety management of the elderly in the nursing home. Methods A total of 80 elderly patients admitted to Nanjing Jiangning Muchunyuan Nursing Home from January 2019 to June 2020 were enrolled in this study. All subjects were divided into the observation group and the control group with 40 cases in each group. The control group received routine nursing model, and the observation group received nursing intervention based on FMEA and PMT. Both groups were treated for 3 months. The risk priority number (RPN), quality of life score, self-efficacy score, incidence of fall and nursing satisfaction were compared between the two groups before and after intervention. Results Before intervention, there were no significant differences in RPN, quality of life score and self-efficacy score between the two groups (P>0.05). After the intervention, the RPN of the two groups decreased significantly, and the scores of quality of life and self-efficacy increased significantly, especially in the observation group (P<0.05). After the intervention, the incidence rate of fall showed no significant difference between the two groups(P>0.05). The nursing satisfaction score was higher in the observation group than that in the control group (P<0.05). Conclusions Nursing intervention based on FMEA combined with PMT can effectively improve the quality of life and self-efficacy of the elderly, and show value in the safety management of the elderly in nursing home.

Key words: failure mode and effect analysis, protection motivation theory, nursing home, aged, safety management

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