基于FMEA模式的舒适护理对血液透析患者皮肤瘙痒的干预效果

Intervention effect of comfort nursing based on FMEA mode on skin pruritus of hemodialysis patients

目的探讨基于失效模式和效应分析(FMEA)模式的舒适护理对血液透析患者皮肤瘙痒的干预效果,为临床治疗提供依据。方法选取2017年8月至2020年8月安徽省亳州市人民医院行血液透析治疗的患者80例。按照随机数字表法,将其分为两组,每组40例。对照组给予常规护理,观察组给予基于FMEA模式的舒适护理。比较两组干预后瘙痒程度及满意度,比较两组护理前后抑郁自评量表(SDS)及焦虑自评量表(SAS)评分。结果观察组干预后瘙痒程度低于对照组(P<0.05)。干预后,两组SDS、SAS评分低于干预前,且观察组低于对照组(P<0.05)。观察组满意率高于对照组(P<0.05)。结论基于FMEA模式的舒适护理对血液透析患者皮肤瘙痒干预效果显著,可减少患者不良情绪,改善身心健康,值得临床推广应用。

Objective To explore the intervention effect of comfort nursing based on failure mode and effect analysis(FMEA)mode on skin pruritus of hemodialysis patients,and to provide evidence for clinical treatment.Methods A total of 80 patients with hemodialysis in Bozhou People’s Hospital of Anhui Province from August 2017 to August 2020 were selected.They were divided into the two groups,according to the random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given comfort nursing based on FMEA mode.The degree of pruritus and satisfaction compared between the two groups after intervention,and the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)before and after intervention were compared.Results The degree of pruritus in the observation group was lower than that in the control group(P<0.05).After intervention,SDS and SAS scores in the two groups were lower than those before intervention,and which of the observation group were lower than those of the control group(P<0.05).The satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion Comfort nursing based on FMEA mode has significant effect on skin pruritus of hemodialysis patients,which can reduce patients’bad mood and improve their physical and mental health,worthy of clinical application.