FMEA护理模式对冠心病心绞痛患者心绞痛发作次数及持续时间的影响

目的 探讨失效模式与效应分析(FMEA)护理模式对冠心病心绞痛患者心绞痛发作次数及持续时间的影响。方法选取2019年10月至2020年10月我院心内科收治的80例冠心病心绞痛患者为研究对象,按照随机数字表法将其分为对照组和观察组,每组40例。对照组实施常规护理,观察组实施FMEA护理模式。比较两组的治疗依从性、心绞痛发作情况、心理状态、舒适度和生活质量评分及护理满意度。结果 观察组的治疗总依从率为92.50%,高于对照组的75.00%(P<0.05)。观察组的心绞痛发作次数少于对照组,单次心绞痛发作持续时间短于对照组(P<0.05)。护理后,观察组的SAS、SDS评分均低于对照组,GCQ、生活质量各维度评分高于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。结论 FMEA护理模式可有效减少冠心病心绞痛患者的心绞痛发作情况,有利于改善心理状态,提升躯体舒适度和生活质量,使其对护理服务更加满意。

Effects of FMEA nursing mode on the number and duration of angina pectoris attack in patients with coronary heart disease and angina pectoris

Objective To explore the effects of failure mode and effect analysis(FMEA) nursing mode on the number and duration of angina pectoris attack in patients with coronary heart disease and angina pectoris. Methods A total of 80patients with coronary heart disease and angina pectoris treated in the cardiology department of our hospital from October 2019 to October 2020 were selected as the research objects. The patients were divided into control group and observation group according to random number table method, with 40 cases in each group. Routine nursing was implemented in the control group and FMEA nursing mode was implemented in the observation group. The treatment compliance, angina pectoris attack, psychological state, comfort, quality of life scores and nursing satisfaction were compared between the two groups. Results The total compliance rate of treatment of the observation group was 92.50%,which was higher than 75.00% of the control group(P <0.05). The number of angina pectoris attack in the observation group was less than that in the control group, and the duration of single angina pectoris attack was shorter than that in the control group(P<0.05). After nursing, the SAS and SDS scores of the observation group were lower than those of the control group, and the GCQ and quality of life of each dimension scores were higher than those of the control group(P<0.05). The nursing satisfaction of the observation group was higher than that of the control group(P <0.05). Conclusion FMEA nursing mode can effectively reduce the attack of angina pectoris in patients with coronary heart disease and angina pectoris, improve their psychological state, physical comfort and quality of life, and make patients more satisfied with nursing services.