文章摘要

基于FMEA模式的康复护理对支气管哮喘急性发作患者的疗效

作者: 1徐洁, 2李晓明, 3王欣
1 青岛市市立医院西院区呼吸内科,青岛 266002
2 青岛市市立医院西院区消化内科,青岛 266002
3 青岛市市立医院西院区普外科,青岛 266002
通讯: 王欣 Email: 13153227260@163.com
DOI: 10.3978/j.issn.2095-6959.2022.01.024

摘要

目的:探讨支气管哮喘急性发作患者应用基于失效模式和效果分析(failure mode and effect analysis,FMEA)模式的康复护理的效果。方法:选取2015年10月至2020年10月于青岛市市立医院西院区诊治的126例支气管哮喘急性发作患者为研究对象,按照随机单双数法将其分成对照组与研究组,每组各63例。对照组患者予以常规护理,研究组患者予以基于FMEA模式的康复护理。护理1周后,对比两组患者的临床症状改善时间、护理前后肺功能指标[包括第1秒用力呼吸容积(forced breathing volume,FEV1)、用力肺活量(forced vital capacity,FVC)及呼气流速峰值(peak expiratory flow rate,PEFR)]及生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOLI-74)评分,并分析两组患者并发症状况及对护理的满意度。结果:研究组患者咳嗽、喘息、肺部啰音及哮鸣音的改善时间分别为(5.14±0.51) d、(2.99±0.29) d、(4.70±0.46) d、(4.80±0.47) d,均明显短于对照组[(6.81±0.67) d、(4.36±0.43) d、(5.78±0.57) d、(5.97±0.60) d;P<0.05];护理1周后,两组患者的FEV1、FVC及PEFR均明显升高(P<0.05),且研究组患者的FEV1、FVC及PEFR分别为(2.24±0.20) L、(2.40±0.23) L、(3.58±0.35) L/s,均明显高于对照组[(1.60±0.15) L、(1.82±0.17) L、(2.70±0.26) L/s;P<0.05);护理1周后,两组患者的GQOLI-74评分均明显提高(P<0.05),且研究组患者的GQOLI-74评分为(95.43±9.44)分,明显高于对照组的(79.24±7.85)分(P<0.05);研究组患者的并发症发生率为1.59%,明显低于对照组(11.11%,P<0.05);研究组患者对护理的满意度为96.83%,明显高于对照组(73.02%,P<0.05)。结论:基于FMEA模式的康复护理可以明显缩短支气管哮喘急性发作患者临床症状的改善时间,促进肺功能的快速恢复,且有效减少并发症的发生,进一步提高其生活质量及对护理的满意度。
关键词: 支气管哮喘;急性发作期;失效模式和效果分析;康复护理;肺功能;生活质量

Curative effects of rehabilitation nursing based on FMEA mode on patients with acute attack of bronchial asthma

Authors: 1XU Jie, 2LI Xiaoming, 3WANG Xin
1 Department of Respiratory Medicine, West Hospital District of Qingdao Municipal Hospital, Qingdao 266002, China
2 Department of Gastroenterology, West Hospital District of Qingdao Municipal Hospital, Qingdao 266002, China
3 Department of General Surgery, West Hospital District of Qingdao Municipal Hospital, Qingdao 266002, China

CorrespondingAuthor: WANG Xin Email: 13153227260@163.com

DOI: 10.3978/j.issn.2095-6959.2022.01.024

Abstract

Objective: To explore the effects of rehabilitation nursing based on failure mode and effect analysis (FMEA) mode for patients with acute attack of bronchial asthma. Methods: A total of 126 cases patients with acute attack of bronchial asthma who were admitted and treated in West Hospital District of Qingdao Municipal Hospital from October 2015 to October 2020 were selected as the research subjects. According to the random odd-even number method, the patients were divided into control group and study group, 63 cases in each group. Patients in the control group were given routine nursing, and patients in the study group were given rehabilitation nursing based on FMEA model. After 1 week of nursing, the clinical symptom improvement time, lung function indexes [including forced breathing volume (FEV1), forced vital capacity (FVC) and peak expiratory flow rate (PEFR)] and Generic Quality of Life Inventory-74 (GQOLI-74) score before and after nursing of the two groups were compared, and the complication status and satisfaction level with nursing of the two groups were analyzed. Results: The improvement time of cough, wheezing, lung rales and wheezing in the study group was (5.14±0.51) d, (2.99±0.29) d, (4.70±0.46) d and (4.80±0.47) d, which was significantly shorter than those in the control group [(6.81±0.67) d, (4.36±0.43) d, (5.78±0.57) d, (5.97±0.60) d; P<0.05]. After 1 week of nursing, the FEV1, FVC and PEFR in both groups were significantly increased (P<0.05), and the FEV1, FVC and PEFR in the study group were (2.24±0.20) L, (2.40±0.23) L, (3.58±0.35) L/s, which were significantly higher than those in the control group [(1.60±0.15) L, (1.82±0.17) L, (2.70±0.26) L/s; P<0.05]. After 1 week of nursing, the GQOLI-74 scores in both groups were significantly improved (P<0.05), and the GQOLI-74 score in the study group was (95.43±9.44) points, which was significantly higher than that in the control group [(79.24±7.85) points] (P<0.05). The incidence of complications in the study group was 1.59%, which was significantly lower than that in the control group (11.11%, P<0.05); the nursing satisfaction of the study group was 96.83%, which was significantly higher than that in the control group (73.02%, P<0.05). Conclusion: The rehabilitation nursing based on FMEA model can significantly shorten the improvement time of clinical symptoms of patients with acute attack of bronchial asthma, promote the rapid recovery of lung function, effectively reduce the occurrence of complications, and further improve their quality of life and nursing satisfaction.
Keywords: bronchial asthma; acute attack period; failure mode and effect analysis; rehabilitation nursing; lung function; quality of life

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