基于失效模式与效应分析的护理干预对孔源性视网膜脱离患者的影响

Effect of Nursing Intervention Based on Failure Mode and Effect Analysis on Patients with Rhegmatogenous Retinal Detachment

目的:探讨基于失效模式与效应分析(failure mode and effect analysis,FMEA)的护理干预对孔源性视网膜脱离患者的影响。方法:选取2019年2月-2020年5月本院收治的80例孔源性视网膜脱离患者作为研究对象,采用随机数字表法将其分为研究组和对照组,每组40例。对照组行常规护理干预,研究组行基于FMEA模式的护理干预。比较两组护理前后视力情况、视功能生存质量(CLVQOL)评分、VAS评分、焦虑(SAS)评分、抑郁(SDS)评分、疾病知识评分、护理满意度以及1年后视网膜脱落情况。结果:护理前,两组视力情况、CLVQOL评分、VAS评分、SAS评分、SDS评分、疾病知识得分比较,差异均无统计学意义(P>0.05)。护理后,两组视力情况、CLVQOL评分、疾病知识评分较治疗前均有明显上升,且研究组均高于对照组,差异均有统计学意义(P<0.05);护理后,两组VAS、SAS、SDS评分较治疗前均有明显下降,且研究组均低于对照组,差异均有统计学意义(P<0.05)。研究组护理总满意度为90.0%,对照组为85.0%,两组比较差异无统计学意义(P>0.05)。研究组1年后视网膜脱落发生率为2.5%,明显低于对照组的15.0%,差异有统计学意义(P<0.05)。结论:基于FMEA模式的护理干预对孔源性视网膜脱离患者效果显著,可有效改善患者视力情况,缓解抑郁焦虑情绪,具有临床应用价值,值得推广。

Objective:To explore the effect of nursing intervention based on failure mode and effect analysis (FMEA) on patients with rhegmatogenous retinal detachment.Method:A total of 80 patients with rhegmatogenous retinal detachment admitted to our hospital from February 2019 to May 2020 were selected as the research objects.According to the random number table method,they were divided into the study group and the control group,40 cases in each group.The control group was given routine nursing intervention,the study group was given nursing intervention based on FMEA model.The visual acuity,visual function quality of life (CLVQOL) score,VAS score,anxiety score,depression score,disease knowledge score before and after nursing,satisfaction after nursing and retinal detachment after 1 year were compared between two groups.Result:Before nursing,there were no significant differences in visual acuity,CLVQOL scores,VAS scores,SAS scores,SDS scores and disease knowledge scores between two groups (P>0.05).After nursing,the visual acuity,CLVQOL scores and disease knowledge scores of two groups increased significantly compared with before nursing,and the study group were significantly higher than those of the control group,the differences were statistically significant (P<0.05);After nursing,the VAS,SAS and SDS scores of two groups were significantly lower than those before treatment,and the scores of the study group were lower than those of the control group the differences were statistically significant (P<0.05).The satisfaction rate of patients in the study group was 90.0%,and the control group was 85.0%,but the difference was not statistically significant (P>0.05).The incidence of retinal detachment in the study group after 1 year was 2.5%,which was significantly lower than 15.0% in the control group,the difference was statistically significant (P<0.05).Conclusion:Nursing intervention based on FMEA model has a significant effect on patients with rhegmatogenous retinal detachment,can effectively improve the patient’s vision,relieve depression and anxiety,it has clinical application value and is worthy of promotion.