摘要
目的 探究失效模式与效应分析(FMEA)围术期干预对剖宫产产妇疼痛、心理及妊娠结局影响。方法 选取行剖宫产的产妇106例并按照入院顺序1∶1纳入常规组和FMEA组,各53例。常规组给予常规护理干预,FMEA组在常规组护理的基础上给予FMEA围术期干预。对比两组术后排气、下床活动和术后泌乳时间;对比两组疼痛视觉模拟评分(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,不良妊娠发生率以及主观感受满意度。结果 干预后,FMEA组术后排气时间、下床活动时间、术后泌乳时间均少于常规组(P<0.05);FMEA组术后恢复时间及术后12、24、48 h的疼痛评分均显著低于常规组(P<0.05);FMEA组SAS、SDS评分均显著低于常规组(P<0.05);FMEA组不良妊娠结局发生率显著低于常规组(P<0.05);FMEA组对疼痛管理、护理必要性和推荐他人接受评分均明显高于常规组(P<0.05)。结论 对剖宫产产妇应用FMEA围术期干预,可显著促进产妇术后恢复时间,改善其疼痛、心理评分和不良妊娠结局发生率,提升主观感受满意度。
Objective To explore the effects of perioperative intervention based on failure mode and effect analysis(FMEA)on pain,psychology status and pregnancy outcomes in parturients undergoing cesarean section.Methods A total of 106 parturients who underwent cesarean section were selected and divided into the routine group and the FMEA group at a 1:1 ratio according to the admission order,with 53 cases in each group.The routine group received conventional nursing intervention,while the FMEA group was given FMEA-based perioperative intervention on top of the routine nursing provided to the routine group.The two groups were compared in the terms of postoperative exhaust time,ambulation time and postoperative lactation time.Comparisons between the two groups were made regarding scores of visual analogue scale(VAS),self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS),along with the incidence of adverse pregnancy outcomes levels of subjective satisfaction.Results After intervention,the FMEA group had shorter postoperative exhaust time,ambulation time,and postoperative lactation time than the routine group(P<0.05).Compared with the routine group,the postoperative recovery time,pain scores at 12h,24h and 48h after surgery in FMEA group were significantly lower(P<0.05).The SAS and SDS scores in FMEA group were significantly lower than those in routine group(P<0.05).The incidence of adverse pregnancy outcomes in the FMEA group was significantly lower than that in the routine group(P<0.05).The scores of pain management,nursing necessity and acceptance of recommending others in FMEA group were significantly higher than those in routine group(P<0.05).Conclusion The application of FMEA-based perioperative intervention in parturients undergoing cesarean section can significantly shorten the postoperative recovery time,improve pain and psychological scores,reduce the incidence of adverse pregnancy outcomes,and enhance subjective satisfaction.
作者
贾金鸽
Jia Jinge(Department of Obstetrics,Pingdingshan City Maternal and Child Health Care Hospital,Pingdingshan 467000,Henan,China)
关键词
失效模式与效应分析
围术期护理
剖宫产
疼痛
心理
妊娠结局
Failure mode and effect analysis
Perioperative nursing
Caesarean section
Pain
Psychology
Pregnancy outcome
