失效模式-效应分析护理在老年肾病综合征患者中的应用效果

Application effects of failure mode-effect analysis nursing in elderly patients with nephrotic syndrome

目的:观察失效模式-效应分析护理在老年肾病综合征患者中的应用效果。方法:选取2019年10月至2022年9月该院收治的104例老年肾病综合征患者进行前瞻性研究,按随机数字表法将其分为观察组与对照组各52例。对照组采用常规护理,观察组采用失效模式-效应分析护理,比较两组护理前后凝血功能指标[活化部分凝血酶时间(APTT)、凝血酶时间(TT)、血浆纤维蛋白原(FIB)、D-二聚体(D-D)]水平、血栓栓塞事件发生率和生命质量[简明健康调查量表(SF-36)]评分。结果:护理后,两组APTT、TT水平均高于护理前,且观察组高于对照组,两组D-D、FIB水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组血栓栓塞事件发生率低于对照组,差异有统计学意义(P<0.05);护理后,两组社会功能、生理职能、生理机能、情感职能、精神健康、一般健康状况、躯体疼痛、精力等SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:失效模式-效应分析护理应用于老年肾病综合征患者可提高生命质量评分,改善凝血功能指标水平,降低血栓栓塞事件发生率,其效果优于常规护理。

Objective:To observe application effects of failure mode-effect analysis nursing in elderly patients with nephrotic syndrome.Methods:A prospective study was conducted on 104 elderly patients with nephrotic syndrome admitted to the hospital from October 2019 to September 2022.They were divided into observation group and control group according to the random number table method,52 cases in each.The control group was given routine nursing,while the observation group was given the failure mode-effect analysis nursing.The levels of coagulation function indexes[thrombin time(TT),activated partial thrombin time(APTT),plasma fibrinogen(FIB),D-dimer(D-D)],the incidence of thromboembolism events,and the quality of life[short form health survey(SF-36)]were compared between the two groups before and after the nursing.Results:After the nursing,the levels of APTT and TT in the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;the levels of D-D and FIB in the two groups were lower than those before the nursing,and the observation group was lower than those in the control group;and the differences were statistically significant(P<0.05).The incidence of thromboembolic events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,after the nursing,the SF-36 scores of social function,physiological function,physiological role,emotional function,mental health,general health status,physical pain and vitality in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The failure mode-effect analysis nursing in the elderly patients with nephrotic syndrome can improve the quality of life scores,improve the levels of coagulation function indexes and reduce the incidence of thromboembolic events.Moreover,it is superior to the routine nursing.