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

Abstract

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

CLC Number:

R 473.5

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.

References

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Effect of healthcare failure mode and effect analysis in improving self-care behaviors of elderly patients with chronic heart failure

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