摘要
目的 构建基于失效模式和效应分析(FMEA)模型的膀胱癌手术患者质控干预方案,并分析其应用效果。方法 选取2022年5月至2023年12月收治的膀胱癌手术患者114例,以便利抽签法分为干预组(n=58)与对照组(n=56)。对照组患者给予常规干预方案,干预组采用基于FMEA模型的膀胱癌手术患者质控干预方案。比较2组患者心理应激反应指标、负性情绪指标、生活质量评分、术后并发症发生率、质控干预满意度。结果 术后干预后,2组SDS、SAS评分下降,生活质量评分升高,差异有统计学意义(P<0.05);与对照组比较,干预组患者术前即刻舒张压、发抖发生率、呼吸频率、术前即刻心率、术后并发症总发生率、SDS及SAS评分下降,生活质量评分及质控干预满意度升高,差异有统计学意义(P<0.05)。结论 基于FMEA模型的膀胱癌手术患者质控干预方案可有效增强膀胱癌手术患者治疗效果与预后效果,在降低患者心理应激反应、负性情绪、术后并发症发生率,提高生活质量等方面具有积极意义。
Objective To construct a quality control intervention scheme for patients undergoing bladder cancer surgery based on the failure mode and effects analysis(FMEA)model,and to analyze its application effect.Methods A total of 114 surgically treated bladder cancer patients admitted from May 2022 to December 2023 were selected and divided into the intervention group(n=58)and control group(n=56)by convenient lottery method.Conventional interventions were given to patients of the control group,and a quality control scheme based on the FMEA model was applied to patients in the intervention group.Psychological stress reaction,negative emotion,the quality of life score,postoperative complications and the degree of quality control intervention were compared.Results After the intervention,the Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scores significantly decreased,and the score of quality of life significantly increased in both groups(P<0.05).Compared with the control group,the preoperative immediate diastolic blood pressure,incidence of shivering,respiratory rate,immediate heart rate before surgery,total incidence of postoperative complications,SDS and SAS scores were significantly lower in the intervention group,and the quality of life scores and satisfaction with quality control intervention were significantly higher than the control group(P<0.05).Conclusion The quality control intervention scheme based on the FMEA model for surgically treated bladder cancer patients can effectively enhance the therapeutic effect and prognostic effect,showing positive significance in reducing the psychological stress response,negative emotions,postoperative complications and improving the quality of life.
作者
唐郑
钱晨
曹蓓诺
郭娜
TANG Zheng;QIAN Chen;CAO Beinuo(Operating Room,Jiangsu Cancer Hospital,Jiangsu,Nanjing 210009,China)
出处
《河北医药》
2025年第12期2080-2084,共5页
Hebei Medical Journal
