FMEA模式对高血压脑出血患者应对方式、再发脑出血的影响

Effects of FMEA Mode on Coping Styles and Recurrent Cerebral Hemorrhage in Patients with Hypertensive Intracerebral Hemorrhage

目的研究失效模式与效应分析(FEMA)对高血压脑出血患者应对方式、再发脑出血的影响。方法选取本院2017年3月至2018年3月收治的高血压脑出血患者42例,成立FEMA小组,通过对所有研究对象进行FEMA分析,找出潜在的失效模式,分析探讨并制定相关改进措施后实行。比较FEMA模式干预前后患者应对方式、再发脑出血的风险系数(RPN)值变化情况。结果FEMA模式干预后,患者的饮食、用药、运动以及排便的RPN值与干预前相比均显著降低(P<0.05);患者的积极应对评分与干预前相比有提高,消极应对评分明显降低(P<0.05)。结论运用FEMA模式可有效降低高血压脑出血患者的再发脑出血风险,改善患者的应对方式。

Objective To explore effects of failure mode and effect analysis(FEMA)on coping styles and recurrent cerebral hemorrhage in patients with hypertensive intracerebral hemorrhage(HICH).Methods 42 HICH patients who were admitted to the hospital from March 2017 to March 2018 were enrolled.FEMA team was established.FEMA analysis was performed on 42 subjects to find out potential failure modes.Analysis and discussion were conducted.The related improvement measures are developed and implemented.Before and after FEMA intervention,coping style and changes in risk priority number(RPN)of recurrent cerebral hemorrhage were compared.Results After FEMA intervention,RPN values of diet,medication,exercise and defecation were significantly decreased(P<0.05).After FEMA intervention,positive copying scores were significantly increased,while negative copying scores were significantly decreased(P<0.05).Conclusion The application of FEMA mode can effectively reduce risk of recurrent cerebral hemorrhage in HICH patients,and improve their coping styles.