摘要
目的:观察基医疗失效模式与效应分析(HFMEA)的清单式管理结合个性化健康教育对初产妇产程及睡眠质量的影响。方法:选取2024年2—8月南华大学附属第二医院分娩的初产妇160例作为研究对象,采用信封法分为观察组和对照组,每组80例。对照组采用常规护理干预措施,观察组在对照组基础上并给予基于HFMEA的清单式管理结合个性化健康教育干预。比较2组初产妇分娩产程、疼痛评分,以及干预前后睡眠质量、生命质量。结果:观察组初产妇第一、第二和第三产程时间均明显少于对照组(P<0.05),疼痛视觉模拟评分法(VAS)评分低于对照组(P<0.05)。干预后2组初产妇睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能障碍评分均降低(P<0.05),且观察组均低于对照组(P<0.05)。干预后,2组初产妇躯体功能、心理功能、健康状况和社会功能评分均升高(P<0.05),且观察组均高于对照组(P<0.05)。结论:基于HFMEA的清单式管理结合个性化健康教育可缩短初产妇分娩产程,减轻产妇疼痛,改善睡眠质量,提高生命质量。
Objective:To evaluate whether a Healthcare Failure Mode and Effects Analysis(HFMEA)-based checklist management model combined with personalized health education improves labor outcomes and sleep quality in primiparous women.Methods:In this randomized study,160 primiparous women who delivered at our hospital from February 2024 to August 2024 were allocated by sealed-envelope randomization at a 1∶1 ratio to a control group(conventional nursing)or an intervention group(conventional nursing plus HFMEA-based checklist management and personalized health education).Primary outcomes were the durations of the first,second,and third stages of labor and intrapartum pain measured by the visual analog scale(VAS).Secondary outcomes included sleep quality-assessed before and after the intervention using the Pittsburgh Sleep Quality Index(PSQI)—a quality of life across physical,psychological,general health,and social domains.Results:Compared with controls,the intervention group had significantly shorter first,second,and third stages of labor and lower intrapartum VAS scores(all P<0.05).After intervention,PSQI component scores for global sleep quality,sleep onset latency,sleep duration,sleep efficiency,sleep disorders,hypnotic drugs,and daytime disorder were lower than baseline scores in both groups,with significantly lower scores in the intervention group than in the control group(all P<0.05).Qualityoflife scores(physical,psychological,general health,and social domains)were significantly higher than baseline scores in both groups,with significantly higher scores in the intervention group than in the control group(all P<0.05).Conclusion:An HFMEAbased checklist management model combined with personalized health education shortens labor,reduces pain,and improves sleep quality and quality of life in primiparous women.
作者
陈琳
彭玲
CHEN Lin;PENG Ling(Department of Obstetrics,the Second Hospital,University of South China,Hengyang 421001,China)
出处
《世界睡眠医学杂志》
2025年第9期2017-2020,共4页
World Journal of Sleep Medicine
关键词
初产妇
分娩
产程
医疗失效模式与效应分析
清单式管理
个性化健康教育
睡眠质量
Primiparas
Delivery
Labor process
Healthcare failure mode and effect analysis
Inventory management
Personalized health education
Sleep quality
