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| Effect of nursing measures based on FMEA model on psychological status and sleep quality of maintenance hemodialysis patients |
| LIU Qingyan1 SUN Mengjie1 TAO Mingfen2 |
1.Department of Hemodialysis, Xuancheng People’s Hospital, Anhui Province, Xuancheng 242000, China;
2.Blood Purification Center, the First Affiliated Hospital of Anhui Wannan Medical College, Anhui Province, Wuhu 241000, China |
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Abstract Objective To explore the effect of nursing measures based on failure mode and effect analysis (FMEA) model on psychological status and sleep quality of maintenance hemodialysis patients. Methods From March 2018 to October 2020, 92 patients with maintenance hemodialysis in Xuancheng People’s Hospital of Anhui Province were selected as study objects. They were divided into observation group and control group according to the random number table method, with 46 cases in each group. Control group was given routine nursing intervention, and observation group was given nursing intervention based on FMEA model. The scores of self-rating depression scale (SDS), self-rating anxiety scale (SAS), Pittsburgh sleep quality index (PSQI) and short form 36-item short form health survey (SF-36), satisfaction, and the incidence of complications were compared between two groups. Results After three months of intervention, the score of SDS, SAS and PSQI in two groups were lower than those before intervention, and observation group was lower than control group, and the differences were statistically significant (P ＜ 0.05). After three months of intervention, SF-36 score in two groups were higher than those before intervention, and observation group was higher than control group, and the differences were statistically significant (P ＜ 0.05). The catheter infection rate and fistula occlusion rate of observation group were lower than those of control group, and the satisfaction of patients was higher than that of control group, and the differences were statistically significant (P ＜ 0.05). Conclusion The nursing measures based on FMEA model can effectively improve the psychological status, sleep quality and life quality of patients with maintenance hemodialysis, which is worth popularizing.
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