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Effect of FMEA-based nursing model on negative emotion and daily activity ability in patients with cerebral infarction |
ZHANG Lijuan1 ZHOU Yixia1,2 LI Yi3 LI Wei4 XU Xu5 XU Jianwei6,7 |
1.School of Nursing, Guizhou Medical University, Guizhou Province, Guiyang 550004, China;
2.School of Nursing, Traditional Chinese Medicine, Guizhou Province, Guiyang 550025, China;
3.Key Laboratory of Molecular Biology,Guizhou Medical University, Guizhou Province, Guiyang 550004, China;
4.School of Nursing, Bijie Medical College,Guizhou Province, Bijie 551700, China;
5.Department of Neurosurgery, Affiliated Hospital of Guizhou Medical University, Guizhou Province, Guiyang 550004, China;
6.Basic Medical Sciences, Guizhou Medical University, Guizhou Province, Guiyang 550004, China;
7.National Local Joint Engineering Laboratory of Cell Engineering and Biomedical Technology of Guizhou Medical University, Guizhou Key Laboratory of Regenerative Medicine, Guiyang Key Laboratory of Adult Stem Cell Transformation, Chinese Academy of Medical Sciences, Guizhou Province, Guiyang 550004, China |
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Abstract Objective To explore the effect of nursing model based on failure mode and influence analysis (FMEA) on negative emotion and daily activity ability of patients with cerebral infarction. Methods In a prospective study, a total of 105 patients with cerebral infarction treated in a Grade 3A hospital in Guiyang from November 2019 to August 2020 were divided into two groups control group 53 cases and experimental group 52 cases by random number table methed. All patients received routine nursing, and the experimental group increased the nursing mode based on FMEA. During the intervention, the death and loss of follow-up of the patients in the two groups were observed; after the intervention, the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS) and Barthel index scale were compared between the two groups. Results During the intervention period, there were death and loss of follow-up in both the control group and the test group, and there was no significant difference in the number of death and loss of follow-up between the two groups(P > 0.05); after intervention, the scores of SAS and SDS decreased and the Barthel index increased in both groups. The scores of SAS and SDS in the test group were lower than those in the control group,while the Barthel index was higher than that in the control group, the differences were statistically significant (P < 0.05). Conclusion The nursing model based on FMEA can effectively reduce the anxiety and depression of patients with cerebral infarction and improve the ability of daily activities.
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[1] 徐晓艳.早期康复训练对脑卒中患者日常生活能力及负性情绪的影响[J].护理实践与研究,2018,15(24):53-54.
[2] 侯瑞丽,牛文亮,刘波,等.青年、老年脑梗死患者流行病学分布比较及影响因素分析[J].中国现代医生,2019,57(16):9-13.
[3] Zhong Z,Wu H,Ye M,et al. Association of APOE Gene Polymorphisms with Cerebral Infarction in the Chinese Population [J]. Med Sci Monit,2018(24):1171-1177.
[4] 王萧,马红梅,陈媛,等.社会支持在脑卒中偏瘫病人病耻感与负性情绪之间的中介效应分析[J].实用老年医学,2020,34(12):1313-1316,1320.
[5] 孙胜楠,徐耀,马灿灿,等.急性缺血性脑卒中后认知障碍患者精神行为症状的特征性分析[J].中华老年心脑血管病杂志,2020,22(4):348-351.
[6] Zhang L,Zhang T,Sun Y. A newly designed intensive caregiver education program reduces cognitive impairment,anxiety,and depression in patients with acute ischemic stroke [J]. Braz J Med Biol Res,2019,52(9):e8533.
[7] 张文静.失效模式和效应分析在护理中的应用及进展[J].天津护理,2016,24(2):184-185.
[8] 全国第四届脑血管病学术会议.各类脑血管病诊断要点[J].中华神经杂志,1996,29:379-380.
[9] 陈建伟,孙吉花,支红敏,等.应用失效模式与效应分析防范手术中血源性职业暴露[J].中国感染控制杂志,2019, 18(8):776-782.
[10] Zung WW. A rating instrument for anxiety disorders [J]. Psychosom,1971,12(6):371-379.
[11] 张敬悬,翁正.抑郁自评量表的因子分析[J].精神医学杂志,2004,17(3):131-133.
[12] 范天伦,童玉燕,李娇红,等.日常生活活动能力评定量表在脑卒中患者中应用的对比研究[J].世界最新医学信息文摘,2016,16(79):113-114.
[13] 黄悦蕾,林燕萍,黄玉妹,等.FMEA护理模式对高血压脑出血病人RPN值与心理社会适应状况的影响[J].全科护理,2020,18(28):3822-3824.
[14] 纪风兵,吴雪琴,周海英,等.失效模式与效应分析法在神经内科ICU医院感染控制中的应用[J].预防医学情报杂志,2021,37(1):109-113.
[15] 黄燕珠,李玲,姚丽.失效模式和效应分析联合早期康复护理对脑梗死患者的影响[J].当代护士:中旬刊,2020, 27(11):33-35.
[16] 秦莲花,杨若澜,黄双丽,等.失效及效应分析模式联合行为督导干预对脑梗死患者疗效及多项功能恢复的影响研究[J].护士进修杂志,2020,35(10):935-938.
[17] 梁娟,张婷,刘玲.失效模式和效应分析在脑卒中患者护理风险管理中的应用[J].护理实践与研究,2015,12(9):14-16.
[18] 李学文,国鹏,孟令伶,等.失效模式与效应分析法在护理安全管理中的应用[J].中国医院管理,2016,36(12):83-85.
[19] 刘凤勤.性格色彩罗盘在脑卒中后抑郁患者情绪管理中的应用[J].国际精神病学杂志,2020,47(5):1053-1056.
[20] 耿力,张艳,马婕.脑卒中后抑郁患者实施治疗性沟通研究[J].护理学杂志,2016,31(17):78-80.
[21] 韩斌如,张聪雅.老年脑卒中患者护理依赖现状调查[J].中华护理杂志,2019,54(5):672-677.
[22] 吕慧兰,梁伟容,刘素华,等.音乐治疗结合护理干预对脑卒中后疲劳的疗效观察[J].护理实践与研究,2017, 14(8):154-155.
[23] 王飞龙,卢兆桐,路威,等.肺癌患者心理健康状况调查及其影响因素分析[J].实用医药杂志,2016,33(7):586-589.
[24] 李新杰,乔钦增,王静,等.健康教育照护者对脑卒中后抑郁患者疗效的影响[J].预防医学情报杂志,2017,33(8):744-747.
[25] 张振桐,陈蕾,张桃桃.延续性心理护理对脑卒中后遗症患者负性情绪的影响[J].中国全科医学,2018,21(S2):227-228.
[26] 王梦佳,谢珺,吴丹,等.缺血性脑卒中复发预防管理策略研究进展[J].护理研究,2020,34(24):4433-4435.
[27] 朱莉,曹晓林,李红燕,等.缺血性脑卒中患者疾病管理路径的建立与应用研究[J].中国医药导报,2020,17(32):170-174.
[28] 李玉香,李振洋,胡周俊.急诊快捷护理路径对缩短急性缺血性脑卒中患者溶栓绿色通道停留时间的临床价值[J].中国医学创新,2020,17(6):78-81. |
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