基于失效模式与效应模型的康复护理对急性心肌梗死合并心律失常患者的干预效果

Effect of Failure Mode and Effect-Based Model of Rehabilitation Care Intervention in Patients with Acute Myocardial Infarction Combined with Arrhythmia

目的:探讨基于失效模式与效应(FMEA)模型的康复护理对急性心肌梗死(AMI)合并心律失常患者的干预效果.方法:选取2021年3月至2023年9月于本院收治的122例AMI合并心律失常患者作为研究对象.采用随机数字表法,将其分为观察组(n=61,给予基于FMEA模型的康复护理)和对照组(n=61,给予常规康复护理).比较两组急救效率、干预前后心功能、不良事件发生率.结果:观察组患者入院后首份心电图完成时长、血肌钙蛋白T(TNT)检测结果出具时间、进医院到球囊扩张操作完成时长,以及冠状动脉开通治疗总时长均短于对照组,差异具有统计学意义(P<0.05).干预后,观察组患者心率、QT间期离散度低于对照组,左心室射血分数高于对照组,差异具有统计学意义(P<0.05).观察组患者不良事件发生率(3/61,4.92%)低于对照组(12/61,19.69%),差异具有统计学意义(P<0.05).结论:基于FMEA模型的康复护理对AMI合并心律失常患者具有显著干预效果,可提高急救效率,能够有效改善心功能.

Objective:To explore the effect of a rehabilitation care intervention based on the failure mode and effect(FMEA)model in patients with acute myocardial infarction(AMI)combined with arrhythmia.Methods:A total of 122 patients with AMI complicated with arrhythmia admitted to our hospital from March 2021 to September 2023 were selected as the research object.They were randomly divided into observation group(n=61,received rehabilitation nursing of FMEA model)and control group(n=61,received routine rehabilitation).The first aid efficiency,cardiac function before and after intervention and the incidence of adverse events were compared between the two groups.Results:The length of time to complete the first electrocardiogram after admission,the time to produce the serum troponin T(TNT)test result,the length of time between admission to the hospital and completion of the balloon dilatation operation,and the total length of time for coronary artery opening therapy in observation group were shorter than those in control group,the differences were statistically significant(P<0.05).After intervention,the heart rate and QT interval dispersion in observation group were lower than those in control group,and the left ventricular ejection fraction was higher than that in control group,the differences were statistically significant(P<0.05).The incidence of adverse events in observation group(3/61,4.92%)was lower than that of control group(12/61,19.69%),the difference was statistically significant(P<0.05).Conclusion:Rehabilitation care based on the FMEA model has a significant intervention effect on patients with AMI combined with arrhythmia,which can improve the efficiency of emergency care and can effectively improve cardiac function.