人性化护理干预对脊柱侧弯矫形术患者心境状态及并发症的影响

Effect of Humanized Nursing Intervention Guided by FMEA on Mood State and Complication Rate of Scoliosis Patients

目的探讨以失效模式和效应分析(FMEA)为指导的人性化护理干预对脊柱侧弯矫形术患者心境状态及并发症发生率的影响。方法选取我院2016年4月—2019年4月60例择期行脊柱侧弯矫形术患者,依据建档时间不同分为对照组(2016年4月—2017年10月建档,n=30)和研究组(2017年11月—2019年4月建档,n=30)。对照组采用常规护理,研究组于对照组基础上增设FMEA为指导的人性化护理干预。对比两组健康知识掌握情况、术后恢复情况、并发症发生率、护理满意度及干预前后心境状态[焦虑(HAMA)、抑郁(HAMD)]、生活质量(SF-36)。结果研究组健康知识掌握度(96.67%)高于对照组(70.00%)(P<0.05)。研究组并发症总发生率(3.33%)与对照组(20.00%)对比差异无统计学意义(P>0.05)。研究组卧床时间、切口愈合时间、住院时间均短于对照组(P均<0.05)。两组干预后HAMA、HAMD分值均低于干预前(P均<0.05),且研究组均低于对照组(P均<0.05)。两组干预后健康状况、生理功能、情感职能、社会功能各维度分值均高于干预前(P均<0.05),且研究组均高于对照组(P均<0.05)。研究组护理满意度优于对照组(P<0.05)。结论以FMEA为指导的人性化护理干预可改善脊柱侧弯矫形术患者心境状态,提高其健康知识掌握度,且能缩短术后恢复时间,提高患者生活质量,有效改善患者对护理工作满意度。

Objective To explore the effect of humanized nursing intervention guided by failure mode and effect analysis(FMEA)on mood state and complication rate of scoliosis patients undergoing orthopedics.Methods 60 patients with scoliosis(from April 2016 to April 2019)were selected.According to different filing time,they were divided into control group(filed from April 2016 to October 2017,n=30)and research group(filed from November 2017 to April 2019,n=30).The control group was given routine nursing care,on the basis of the control group,the study group was given humanized nursing intervention guided by FMEA.The mastery of health knowledge,post-operative recovery,incidence of complications,nursing satisfaction,mood states[anxiety(HAMA),depression(HAMD)],quality of life(SF-36)before and after intervention were compared between the two groups.Results The mastery of health knowledge in the study group(96.67%)was higher than that in the control group(70.00%)(P<0.05).There was no significant difference in the total incidence of complications between the study group(3.33%)and the control group(20.00%)(P>0.05).The bedridden time,wound healing time and hospitalization time in the study group were shorter than those in the control group(P<0.05).The scores of HAMA and HAMD in the two groups after intervention were lower than those before intervention,and those in the study group were lower than those in the control group(P<0.05).The scores of health status,physiological function,emotional function and social function of the two groups after intervention were higher than those before intervention,and those of the study group were higher than those of the control group(P<0.05).The nursing satisfaction of the study group was better than that of the control group(P<0.05).Conclusion Humanized nursing intervention guided by FMEA can significantly improve the mood state of patients undergoing scoliosis orthopedics,improve their health knowledge,shorten the recovery time,improve the quality of life of patients,and effectively improve patients'satisfaction with nursing work.