首页|基于失效模式与效应分析的护理干预在急性脑梗死患者中的应用效果

基于失效模式与效应分析的护理干预在急性脑梗死患者中的应用效果

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目的 探讨基于失效模式与效应分析(FMEA)的护理干预在急性脑梗死患者中的应用效果。方法 采用回顾性分析,收集2021年2月至2024年2月于该院接受常规护理干预的58例急性脑梗死患者病历资料,纳入对照组;收集于该院同期接受基于FMEA的护理干预的58例急性脑梗死患者病历资料,纳入观察组,全部患者临床资料均保存完整。比较2组患者干预前后的心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分]、功能恢复指标[肢体运动功能评定量表(FMA)、美国国立卫生研究院卒中量表(NIHSS)评分]、自我护理能力[自我护理能力测定量表(ESCA)评分],以及遵医行为和护理满意度。结果 与干预前比较,2组患者干预后SAS、SDS评分和NIHSS评分均降低,且观察组低于对照组,FMA评分和ESCA评分均升高,且观察组高于对照组,差异均有统计学意义(P<0。05);观察组患者按时服药、坚持锻炼、合理饮食、定期复查等遵医行为占比均高于对照组,差异均有统计学意义(P<0。05);观察组患者护理满意度高于对照组,差异有统计学意义(P<0。05)。结论 基于FMEA的护理干预可改善急性脑梗死患者的心理状态,促进患者肢体功能和神经功能恢复,增强患者遵医行为,提高患者自我护理能力,且患者护理满意度更高。
Application effect of nursing intervention based on failure mode and effect analysis in patients with acute cerebral infarction
Objective To analyze the application effect of nursing intervention based on failure mode and effects analysis(FMEA)in patients with acute cerebral infarction.Methods A retrospective analysis was conducted to collect the medical records of 58 patients with acute cerebral infarction who received routine nursing intervention in the hospitals from February 2021 to February 2024 and were included in the control group.The medical records of 58 patients with acute cerebral infarction who received FMEA-based nursing in-tervention during the same period were collected and included in the observation group.The clinical data of all patients were preserved intact.The psychological status[self-rating anxiety scale(SAS)and self-rating de-pression scale(SDS)scores],functional recovery indexes[limb motor function assessment scale(FMA),Na-tional Institutes of Health Stroke Scale(NIHSS)score],self-care ability[self-care ability scale(ESCA)score],compliance behavior and nursing satisfaction were compared between the two groups before and after intervention.Results Compared with before intervention,the scores of SAS,SDS and NIHSS in the two groups decreased after intervention,and those in the observation group were lower than the control group,FMA score and ESCA score increased,and the observation group was higher than the control group,the differ-ences were statistically significant(P<0.05).The proportion of compliance behaviors such as taking medi-cine on time,insisting on exercise,reasonable diet and regular review in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically signifi-cant(P<0.05).Conclusion FMEA-based nursing intervention can improve the psychological state of pa-tients with acute cerebral infarction,promote the recovery of limb function and neurological function,enhance patients'compliance behavior,improve patients'self-care ability,and patients'nursing satisfaction is higher.

Acute cerebral infarctionNursingFailure mode and effect analysisPsychological stateSelf care ability

张彩霞、王琳、孔红涛、韦兆吉

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开封市中心医院老年病科,河南开封 475000

急性脑梗死 护理 失效模式与效应分析 心理状态 自我护理能力

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(23)