FMEA在声带息肉患者术后发声障碍训练期间心理和认知行为改善中的应用  

Application value of the failure mode and effects analysis in psychological and cognitive behavior improvement during postoperative vocal impairment training in patients with vocal cord polyps

作　　者：池艳秋 田爱美 王爽[1] CHI Yanqiu;TIAN Aimei;WANG Shuang(Department of Otolaryngology,Beijing Jishuitan Hospital,Beijing 100096,China)

机构地区：[1]北京积水潭医院耳鼻喉科,100096

出　　处：《河北医药》2023年第13期2072-2074,2078,共4页Hebei Medical Journal

摘　　要：目的探讨分析失效模式与效应分析(FMEA)模式在声带息肉患者术后发声障碍训练期间心理和认知行为改善中的应用效果。方法选择2019年7月至2021年3月接诊的声带息肉术后发声障碍患者100例,应用随机数字分组法将患者分为对照组和研究组,每组50例。对照组接受基础护理,研究组接受FMEA模式护理,分析2组患者护理后认知行为、心理障碍等指标。结果研究组患者护理后CD-RISC量表各项评分及总分均高于对照组(P<0.05);研究组护理后HADM、LSAS、VHI评分优于对照组(P<0.05);研究组护理后自觉症状积分优于对照组(P<0.05);研究组护理后TABQ分型优于对照组(P<0.05)。结论声带息肉术后发声障碍患者,接受FMEA模式干预,可以改善患者心理障碍,促进患者症状改善,降低嗓音障碍,加强患者认知行为反应,具有较为明显价值。Objective To explore the application value of the failure mode and effects analysis(FMEA)in psychological and cognitive behavior improvement during postoperative vocal disorder training in patients with vocal cord polyps.Methods A total of 100 patients with postoperative vocal dysfunction from July 2019 to March 2021 were randomly divided into control group(n=50)and study group(n=50).Conventional nursing and FMEA-based nursing were given to patients of control group and study group,respectively.Cognitive behavior and psychological obstacles after intervention were compared between groups.Results The scores of each dimension of the Connor-Davidson Resilience Scale(CD-RISC)and the total scores in the study group were significantly higher than those in control group(P<0.05).The scores of the Human Acellular Dermal Matrix(HADM),the Liebowitz Social Anxiety Scale(LSAS),the Voice Handicap Index(VHI)and conscious symptoms after intervention were significantly better in the study group than those in control group(P<0.05).After intervention,TABQ typing was significantly better in the study group than that in control group(P<0.05).Conclusion For patients with postoperative vocal dysfunction,FMEA can improve the psychological disorder,clinical symptoms,voice disorder,and cognitive behavioral response,which has an obvious clinical value.

关 键 词：声带息肉术后发声障碍患者 失效模式与效应分析模式 A型行为问卷 嗓音障碍指数量表 自觉症状积分 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]