摘要
目的探讨基于失效模式与效应分析(FMEA)模式的渐进性康复护理对老年高血压脑出血手术后恢复的影响。方法选择2019年1月至2022年1月安康市中心医院神经外科收治的105例老年高血压脑出血患者进行研究,根据随机数表法分为对照组的观察组各55例。对照组患者采用渐进性康复护理,观察组患者采用基于FMEA模式的渐进性康复护理,两组患者均连续护理至出院。比较两组患者护理前、护理至出院时的收缩压(SBP)、舒张压(DBP)、蒙特利尔认知评估量表(MoCA)评分、简易精神状态检查量表(MMSE)评分和肢体运动能力评分,并比较两组患者护理期间的并发症发生情况。结果观察组患者护理后的SBP、DBP分别为(131.10±10.15)mmHg、(82.75±3.40)mmHg,明显低于对照组的(139.06±11.20)mmHg、(88.22±3.28)mmHg;观察组患者的MoCA、MMSE、上肢运动能力、下肢运动能力评分分别为(25.72±1.25)分、(24.75±2.40)分、(54.60±5.45)分、(27.20±2.10)分,明显高于对照组的(20.30±1.17)分、(21.62±2.11)分、(46.86±3.40)分、(23.01±2.08)分,差异均有统计学意义(P<0.05);护理期间,观察组患者的并发症总发生率为10.91%,略低于对照组的16.00%,但差异无统计学意义(P>0.05)。结论基于FMEA模式的渐进性康复护理能促进老年高血压脑出血手术后的恢复,降低血压,提高认知功能和肢体运动功能,值得在临床中推广应用。
Objective To investigate the effect of progressive rehabilitation nursing based on failure mode and effect analysis(FMEA)model on the recovery of elderly patients with hypertensive intracerebral hemorrhage.Methods A total of 105 elderly patients with hypertensive intracerebral hemorrhage admitted to Department of Neu-rosurgery,Ankang Central Hospital from January 2019 to January 2022 were selected for this study.According to the ran-dom number table method,the patients were divided into the control group(50 cases)and the observation group(55 cases).Patients in the control group received progressive rehabilitation nursing,while patients in the observation group received progressive rehabilitation nursing based on FMEA model.Patients in both groups were continuously nursed until dis-charge.The systolic blood pressure(SBP),diastolic blood pressure(DBP),Montreal Cognitive Assessment Scale(Mo-CA)scores,Mini Mental State Examination Scale(MMSE)scores,and limb motor ability scores of two groups of patients before and after care until discharge were compared,and the incidence of complications during nursing was recorded be-tween the two groups.Results The SBP and DBP of the observation group after nursing were(131.10±10.15)mmHg and(82.75±3.40)mmHg,which were significantly lower than(139.06±11.20)mmHg and(88.22±3.28)mmHg of the control group;the scores of MoCA,MMSE,upper limb motor ability,and lower limb motor ability were(25.72±1.25)points,(24.75±2.40)points,(54.60±5.45)points,and(27.20±2.10)points,significantly higher than(20.30±1.17)points,(21.62±2.11)points,(46.86±3.40)points,and(23.01±2.08)points in the control group;the differences were statistically signifi-cant(P<0.05).During the nursing period,the total incidence of complications in the two groups was 10.91%and 16.00%,and the difference was not statistically significant(P>0.05).Conclusion Progressive rehabilitation nursing based on FMEA model can promote the recovery of elderly hypertensive intracerebral hemorrhage after surgery,reduce blood pressure,
作者
郑荣荣
刘盼
屈姣
ZHENG Rong-rong;LIU Pan;QU Jiao(Department of Neurosurgery,Ankang Central Hospital,Ankang 725000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2023年第11期1638-1641,共4页
Hainan Medical Journal
基金
陕西省自然科学基础研究计划项目(编号:2017JQ5034)。
关键词
失效模式与效应分析
高血压
脑出血
渐进性康复护理
并发症
Failure mode and effect analysis
Hypertension
Cerebral hemorrhage
Progressive rehabilitation nursing
Complications
