首页|基于FMEA的护理干预对人工髋关节置换患者术后髋关节功能及心理状态的效果分析

基于FMEA的护理干预对人工髋关节置换患者术后髋关节功能及心理状态的效果分析

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目的:探究基于失效模式与效应分析(FMEA)的护理干预对人工髋关节置换患者术后髋关节功能和心理状态的影响。方法:选择 2020年 10月—2022年 10月九江市第一人民医院收治的 92例人工髋关节置换患者为研究对象,按随机数字表法将其分为对照组和观察组,各46例。对照组采用常规护理,观察组采用基于FMEA的护理干预,两组均持续护理 3 个月。对比两组髋关节功能、心理状态、并发症发生情况和生活质量。结果:护理后,两组Harris髋关节功能评分量表(HHS)、生活质量综合评定问卷-74(GQOLI-74)各个维度评分均高于护理前,且观察组HHS、GQOLI-74 各个维度评分均高于对照组,差异均有统计学意义(P<0。05)。护理后,两组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于护理前,且观察组SDS、SAS评分均低于对照组,差异均有统计学意义(P<0。05)。观察组并发症发生率为 4。35%,低于对照组的 17。39%,差异有统计学意义(P<0。05)。结论:基于FMEA的护理干预应用于人工髋关节置换患者,可减轻其负性情绪,减少并发症的发生情况,改善髋关节功能及生活质量。
Effect Analysis of Nursing Intervention Based on FMEA on Hip Function and Mental State of Patients with Artificial Hip Replacement
Objective:To investigate the effects of nursing intervention based on failure mode and effect analysis(FMEA)on hip function and psychological status of patients with artificial hip replacement.Methods:A total of 92 patients with artificial hip replacement admitted to the First People's Hospital of Jiujiang from October 2020 to October 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,46 cases in each group.The control group was treated with routine nursing,and the observation group was treated with FMEA-based nursing intervention.Both groups received continuous nursing for 3 months.Hip function,mental state,complications and quality of life were compared between the two groups.Results:After nursing,the scores of Harris Hip Function Scale(HHS)and Generic Quality of Life Inventory-74(GQOLI-74)in all dimensions were higher in both groups than before nursing,and the scores of HHS and GQOLI-74 in the observation group were higher than those in the control group,with statistical significance(P<0.05).After nursing,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in two groups were lower than before nursing,and the scores of SDS and SAS in observation group were lower than those in control group,with statistical significance(P<0.05).The incidence of complications in the observation group was 4.35%,which was lower than 17.39%in the control group,the difference was statistically significant(P<0.05).Conclusion:Nursing intervention based on FMEA can alleviate negative emotions,reduce complications,and improve hip function and quality of life in patients with artificial hip replacement.

Artificial hip replacementFailure mode and effect analysisNursing interventionHip functionMental state

黄敏、周梦、王海丽、李慧

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江西省九江市第一人民医院骨科,江西 九江 332000

人工髋关节置换术 失效模式与效应分析 护理干预 髋关节功能 心理状态

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)