基于失效模式与效应分析的护理干预在骨科手术室护理中的应用

Objective To explore the influence of nursing intervention based on failure mode and effect analysis(FMEA) on nursing quality and risk events in orthopedic operating room. Methods 32 patients admitted to the department of orthopedics, Wuxing District Hospital of Traditional Chinese Medicine, Huzhou City, Zhejiang Province from January 2025 to April 2025(before FMEA) were selected as the control group, and 32 patients admitted to orthopedics Department from May 2025 to October 2025(after FMEA) as the observation group. The control group received routine nursing, while the observation group received routine nursing plus FMEA-based nursing. The nursing quality and risk events of the two groups were observed, and the health behaviors before and after nursing were compared [Health Promotion Lifestyle Scale(HPLP-Ⅱ)]. Results The observation group scored higher in disease monitoring, nurse-patient communication, life nursing and technical operation than the control group(P<0.05). The incidence of risk events in the observation group was lower than that in the control group(3.13% vs. 25.00%)(P<0.05). After nursing, the scores of sports, stress management, health responsibility, nutrition, spiritual growth and interpersonal relationship in the observation group were higher than those in the control group(P<0.05). Conclusion Nursing based on FMEA can improve the nursing quality of orthopedic operating room, reduce risk events and improve patients' health behavior.