基于FMEA模型的康复护理对冠心病合并心律失常患者的干预效果

Intervention effect of rehabilitation nursing based on FMEA model on patients with coronary heart disease and arrhythmia

目的:探讨基于失效模式与效应分析(failure mode and effect analysis,FMEA)模型的康复护理对冠心病合并心律失常患者的干预效果。方法:选择2020年1月至2021年6月安徽皖北煤电集团总医院收治的100例冠心病心绞痛合并心律失常患者,按照随机数表法分为实验组与对照组,每组各50例。对照组患者给予常规护理,实验组患者给予基于FMEA模型的康复护理,均从入院护理至出院。比较2组患者汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、健康调查量表(36-item Short-Form,SF-36)的变化和护理满意度。结果:护理后,实验组HAMA、HAMD评分均明显低于对照组,差异有统计学意义(P<0.05);实验组SF-36各项目评分均明显高于对照组,差异有统计学意义(P<0.05);与对照组比较,实验组护理的总满意率更高(P<0.05)。结论:基于FMEA模型的康复护理对冠心病合并心律失常患者的干预效果明显,可有效改善患者的不良情绪、生活质量,提高护理满意度,值得临床推广。

Objective: To study the intervention effect of rehabilitation nursing based on failure modes and effects analysis(FMEA) model on patients with coronary heart disease and arrhythmia. Methods: A total of 100 patients with coronary heart disease complicated with arrhythmia treated in our hospital from January 2020 to June 2021 were selected and divided into an experimental group and a control group by random number table method, with 50 cases in each group. The patients in the control group were given routine nursing, and the patients in the experimental group were given rehabilitation nursing based on FMEA model. All of them were treated from admission to discharge. The clinical efficacy, changes of Hamilton Anxiety Scale(HAMA), Hamilton Depression Scale(HAMD), 36-item Short-Form(SF-36) and nursing satisfaction were compared between the two groups at discharge. Results: A?ter nursing, the HAMA and HAMD scores in the experimental group were lower than that of the control group, the difference was statistically significant(P<0.05);each item scores of the SF-36 in experimental group were significantly higher than that of control group, the difference was statistically significant(P<0.05);compared with the control group, the total satisfaction rate of nursing in the experimental group was higher(P<0.05). Conclusion: Rehabilitation nursing based on FMEA model have obvious intervention effect on patients with coronary heart disease complicated with arrhythmia, which can effectively improve patients’ bad mood, quality of life, improve the nursing satisfaction, which is worthy of clinical promotion.