FMEA模式对宫颈机能不全行宫颈环扎术患者的干预效果

Intervention effect of FMEA model on patients with cervical incompetence undergoing cervical cerclage

目的探讨失效模式及效应分析模式(FMEA)对宫颈机能不全行宫颈环扎术患者的干预效果。方法选取我院收治的64例孕期宫颈机能不全行择期宫颈环扎术患者为研究对象,采用随机数字表法将其分为观察组(n=32,FMEA护理干预)和对照组(n=32,传统护理干预)。比较两组入院及出院时ADHS、WEMWBS评分、并发症发生情况和患者满意度。结果出院时,两组ADHS、WEMWBS评分均显著升高,且观察组高于对照组(P<0.05)。观察组住院期间并发症总发生率明显低于对照组,而患者满意情况优于对照组(P<0.05)。结论 FMEA护理干预应用于宫颈机能不全行宫颈环扎术围术期患者可提高患者满意度及希望水平,改善其心理状态,降低术后并发症发生风险,进而提高护理服务质量。

Objective To explore the intervention effect of failure mode and effect analysis (FMEA) model on patients with cervical incompetence undergoing cervical cerclage.Methods A total of 64 cases of patients with cervical incompetence during pregnancy who underwent cervical cerclage in our hospital were selected as the study objects and divided into observation group (n=32,FMEA nursing intervention) and control group (n=32,traditional nursing intervention) according to random number table method.The scores of ADHS and WEMWBS at admission and discharge,incidences of complications and patients' satisfaction were compared between the two groups.Results At discharge,the scores of ADHS and WEMWBS in two groups significantly increased,and those in the observation group were higer than the control group (P<0.05).The total incidence of complications in the observation group during hospitalization was significantly lower than that in the control group,but the patients' satisfaction was better than that in the control group (P<0.05).Conclusion FMEA nursing intervention applied in perioperative patients with cervical incompetence undergoing cervical cerclage can improve patients' satisfaction,hope level and psychological state,reduce the risk of postoperative complications,and then improve the quality of nursing service.