基于失效与效果分析模式的护理干预对全麻手术患者苏醒期质量及应激状况的干预效果

Effect of nursing intervention based on FMEA model on the quality of recovery and stress status of patients undergoing general anesthesia

目的探讨基于失效与效果分析(FMEA)模式的护理干预对全麻手术患者苏醒期质量及应激状况的干预效果。方法选取2019年6〜12月解放军陆军第七十三集团军医院收治的200例全麻手术患者作为研究对象,按照随机数表法将其分为观察组和对照组,每组各100例。观察组采用基于FMEA模式的护理干预,对照组采用常规护理干预,观察比较两组的麻醉情况、术后苏醒期质量、应激反应水平及并发症发生情况。结果观察组的拔管时间与麻醉观察滞留时间短于对照组,差异有统计学意义(P<0.05)。术后观察组苏醒期的心率、舒张压、收缩压低于对照组,而血氧饱和度高于对照组,差异均有统计学意义(P<0.05);观察组的C反应蛋白、肾上腺素及去甲肾上腺素水平低于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率(4.00%)低于对照组的(14.00%),差异有统计学意义(P<0.05)。结论基于FMEA模式下的护理干预对全麻手术患者有良好的应用效果,能显著改善患者苏醒期恢复质量,减少术后应激反应发生,增加治疗安全性,具有良好的临床应用价值。

Objective To investigate the effect of nursing intervention based on failure mode and effect analysis(FMEA)model on the quality of recovery and stress status of patients undergoing general anesthesia.Methods A total of 200 patients undergoing general anesthesia who were admitted to People's Liberation Army Ground Force Seventythree Military Hospital from June 2019 to December 2019 were selected as the research objects.The patients were divided into the observation group(100 cases)and the control group(100 cases)according to the random number table method.Patients in the observation group received nursing intervention based on the FMEA model,and patients in the control group received conventional nursing intervention.The operation status,quality of postoperative recovery period,emergency response level and complications of the two groups were observed and compared.Results The extubation time and anesthesia observation stay time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).After the operation,the heart rate,diastolic blood pressure,and systolic blood pressure of the observation group were lower than those of the control group,while the blood oxygen saturation was higher than that of the control group,the differences were statistically significant(P<0.05);the C-reactive protein,epinephrine and norepinephrine levels of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 4.00%,which was lower than that of the control group(14.00%),and the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on the FMEA model has a good application effect for patients undergoing general anesthesia,which can significantly improve the recovery quality of patients during the recovery period,reduce the occurrence of postoperative stress reactions,increase the safety of treatment,and have good clinical application value.