HFEMA在COPD患者长期家庭无创通气中的应用  

Application of HFEMA in patients with COPD under long-term noninvasive ventilation during living at home

作　　者：乔秋阁[1] 游道锋[2] 闫丽 赵新[1] 李亚伟[1] 赵学刚 QIAO Qiuge;YOU Daofeng;YAN Li(The Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050035,China;不详)

机构地区：[1]河北医科大学第二医院,石家庄市050035 [2]河北医科大学第一医院,石家庄050035

出　　处：《河北医药》2021年第8期1266-1269,共4页Hebei Medical Journal

摘　　要：目的探讨在居家期间应用医疗失效模式与效应分析模式(HFEMA)在长期家庭无创通气的慢性阻塞性肺疾病(COPD)患者中开展延续护理的效果。方法将2019年12月至2020年5月符合纳入标准的63例长期家庭无创通气COPD患者为研究对象。随机数字表法随机分为观察组(n=32)和对照组(n=31),对照组给予常规居家指导和随访,观察组采用基于HFEMA模式的延续护理干预,3个月后比较2组患者的肺功能情况、CAT慢性阻塞性肺疾病评估测试、SGRQ生活质量评分及焦虑自评量表(SAS)和抑郁自评量表(SDS)评价得分情况。结果干预后2组患者肺功能情况、CAT慢性阻塞性肺疾病评估测试评分及SGRQ生活质量评分均有所改善,观察组评分优于对照组(P<0.05),焦虑自评量表(SAS)和抑郁自评量表(SDS)评价得分均较出院时有所降低,且观察组患者得分低于对照组,2组比较差异有统计学意义(P<0.001)。结论在居家期间应用医疗失效模式与效应分析的模式,优化了延续护理流程,有效降低了长期家庭无创通气的COPD患者的抑郁水平、提高了患者对治疗的依从性、保证了患者的生活质量,也提升了延续护理的效果,值得推广使用。Objective To investigate the effects of the application of medical failure mode and effect analysis mode(HFEMA)in continuous nursing for the patients with chronic obstructive pulmonary disease(COPD)during living at home under long-term noninvasive ventilation.Methods A total of 63 patients with COPD who lived at home under long-term noninvasive ventilation from January 2020 to March 2020 were enrolled in the study,who were randomly divided into observation group(n=32)and control group(n=31).The patients in control group were given routine home guidance and follow-up,however,the patients in observation group were treated by continuous nursing intervention based on HFEMA model.After 3-month intervention,the lung function,evaluation test of chronic obstructive pulmonary disease(CAT),life quality score and Self Rating Anxiety Scale(SGRQ),Self rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)were observed and compared between the two groups.Results After the intervention,the lung function,CAT scores,SGRQ scores in both groups were improved,moreover,which in observation group were superior to those in control group.In addition SAS scores and SDS scores in observation group were significantly lower than those in control group.Conclusion The apallication of HFEMA in patients with COPD under long-term family noninvasive ventilation during living at home can optimize the continuous nursing process,and effectively decrease the depression degree of patients,and improve patient’s compliance with treatment and life quality.Therefor it is worth popularizing in clinical practice.

关 键 词：医疗失效模式与效应分析 长期家庭无创通气 慢性阻塞性肺疾病 

分 类 号：R563[医药卫生—呼吸系统]