FMEA护理模式对高血压患者再发脑出血风险和适应状况的影响

Effects of FMEA nursing model on relapse of cerebral hemorrhage and psychosocial adaptability in patients with hypertension

目的 探讨失效模式及效应分析模式（FMEA）在预防高血压患者再发脑出血和增强其心理适应状况中的应用效果.方法 选取2014年3月—2015年3月河北医科大学第二医院收治入院的高血压并发脑出血患者110例.成立FMEA小组,对所有研究对象进行FMEA分析,找出潜在的失效模式,进行分析探讨,制定相关改进措施并实施.比较干预前后高血压患者再发脑出血的风险系数（RPN值）和心理社会适应状况.结果 干预后高血压并发脑出血患者的饮食、用药和运动等RPN值均低于干预前,差异有统计学意义（P〈0.05）;干预后高血压并发脑出血患者心理社会适应状况得分高于干预前,差异有统计学意义（P〈0.05）.结论 应用FMEA可以有效地降低高血压患者再发脑出血的风险系数,提高患者心理社会适应状况.

Objective To explore the effects of failure mode and effects analysis （FMEA） nursing model on relapse of cerebral hemorrhage and psychosocial adaptability in patients with hypertension. Methods 110 patients with both hypertension and cerebral hemorrhage who were hospitalized in No.2 hospital of Hebei medical university from March 2014 to March 2015 were selected into the study. An FMEA panel was established. The participants were investigated based on FMEA model to explore the underlying failure mode and intervention strategies. Comparing the risk priority number （RPN） and psychosocial adaptability before and after the intervention.Results After the intervention,RPNs for diet,medication,and exercise significantly reduced and the score for psychosocial adaptability highly improved （P〈0.05）.Conclusions FMEA can effectively reduce patients＇ relapse of cerebral hemorrhage and improve their psychosocial adaptability.