基于失效模式与效应分析理论的干预策略在急性ST段抬高型心肌梗死患者护理中的应用

Application of Intervention Strategy Based on Failure Model and Effect Analysis Theory in Nursing Care of Patients with Acute ST Segment Elevation Myocardial Infarction

目的观察基于失效模式与效应分析(FMEA)理论的干预策略在急性ST段抬高型心肌梗死(STEMI)患者护理中的应用。方法选取2017年1月至2020年10月河南省人民医院收治的82例急性STEMI患者作为研究对象,根据护理方法分为对照组(37例)和观察组(45例)。给予对照组传统护理模式,观察组在对照组基础上接受基于FMEA理论的干预策略。记录两组手术室指标,并比较两组治疗依从性及护理满意度。结果干预后,观察组治疗依从率(91.11%)较对照组(73.97%)高(P<0.05)。观察组分诊评估时间、急诊停留时间、急诊心电图时间及急救时间均短于对照组(P<0.05)。观察组护理总满意度(93.33%)较对照组(78.38%)高(P<0.05)。结论将基于FMEA理论的干预策略应用于急性STEMI患者护理中,能有效改善患者治疗依从性,提高临床诊疗效果,促进护患和谐。

Objective To observe the application of the intervention strategy based on failure model and effect analysis(FMEA)theory in nursing care of patients with acute ST segment elevation myocardial infarction(STEMI).Methods A total of 82 patients with acute STEMI admitted to Henan Provincial People’s Hospital from January 2017 to October 2020 were selected as the research objects,and they were divided into control group(37 cases)and observation group(45 cases)according to the nursing method.Control group was given the traditional nursing model,and observation group implemented the intervention strategy based on FMEA theory on the basis of control group.The operating room indexes of the two groups were recorded,and the treatment compliance and nursing satisfaction of the two groups were compared.Results After intervention,the treatment compliance rate(91.11%)of observation group was higher than that(73.97%)of control group(P<0.05).The evaluation time,emergency stay time,emergency electrocardiogram time and emergency time of observation group were all shorter than those of control group(P<0.05).The total nursing satisfaction(93.33%)of observation group was higher than that(78.38%)of control group(P<0.05).Conclusion The intervention strategy based on FMEA theory is applied in nursing care of patients with acute STEMI,which can effectively improve the patients’treatment compliance,improve the clinical diagnosis and treatment effect and promote the harmony between nurses and patients.