应用医疗失效模式与效应分析提高老年慢性心力衰竭病人的自我护理行为

doi:10.3969/j.issn.1003-9198.2021.09.022

摘要/Abstract

摘要： 目的探讨医疗失效模式与效应分析(HFMEA)对老年CHF病人自我护理行为的改善效果。方法采用便利抽样法将老年CHF病人分为对照组43例和试验组48例。对照组采用传统健康教育方式,试验组应用HFMEA进行流程风险评估,分析失效模式和失效原因,并制定改进措施。干预6个月后评价2组病人的自我护理指数和生活质量。结果干预6个月后,试验组病人的心衰自我护理指数总分及各维度量表评分均高于对照组(P<0.01),明尼苏达心衰生活质量调查表总分低于对照组(P<0.05)。结论 HFMEA能够显著提高老年CHF病人的自我护理水平并改善其生活质量。

关键词: 慢性心力衰竭, 医疗失效模式与效应分析, 自我护理, 生活质量, 老年人

Abstract: Objective To investigate the effects of healthcare failure mode and effect analysis (HFMEA) in improving self-care behaviors of the elderly patients with chronic heart failure (CHF). Methods The elderly patients with CHF were divided into the control group (n=43) and the experimental group (n=48) by convenience sampling method.The control group was given conventional medical education, and the experimental group was given medical education following HFMEA method. In HFMEA, the critical values of potential failure mode were evaluated, and the causes of failure were analyzed. Based on the HFMEA results, appropriate measures were carried out to avoid those potential failures. The quailty of life and the score of Self-Care of Heart Failure Index (SCHFI) were compared between the two groups after six months of intervention. Results After six months of intervention, the total score and each dimension score of SCHFI in the experimental group were significantly higher than those in the control group (P<0.01), and the score of Minnesota Living with Heart Failure Questionnaire in the experimental group was significantly lower than that in the control group(P<0.05). Conclusions HFMEA can effectively improve the levels of self-care behaviors and the quality of life in the elderly patients with CHF.

Key words: chronic heart failure, health failure mode and effect analysis, self-care, quality of life, aged

中图分类号:

R 473.5

李婷茹, 王素英, 高春红, 史超雄. 应用医疗失效模式与效应分析提高老年慢性心力衰竭病人的自我护理行为[J]. 实用老年医学, 2021, 35(9): 982-985.

LI Ting-ru, WANG Su-ying, GAO Chun-hong, SHI Chao-xiong. Effect of healthcare failure mode and effect analysis in improving self-care behaviors of elderly patients with chronic heart failure[J]. Practical Geriatrics, 2021, 35(9): 982-985.

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