基于HFMEA的预见性护理对永久性起搏器植入术后卧床负性效应的作用  

The effect of predictive nursing based on HFMEA on the negative effects of bed rest after permanent pacemaker implantation surgery

作　　者：孙慧[1] 倪亮亮 杨丽娟 Sun Hui;Ni Liangliang;Yang Lijuan(Department of Cardiology,Yancheng Third People's Hospital,Yancheng 224001,China)

机构地区：[1]盐城市第三人民医院心内科,江苏盐城224001

出　　处：《中西医结合心血管病电子杂志》2024年第4期44-48,33,共6页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探讨基于HFMEA的预见性护理对永久性起搏器植入术后卧床负性效应的作用及效果。方法采用便利抽样法,选取某三甲医院2023年6月到2024年6月行心脏永久性起搏器植入术患者120例为研究对象,选择2023年6月至12月起搏器植入术患者59例为对照组,2024年1月至6月起搏器植入术患者61例为干预组,对照组实施医院原有永久性起搏器植入术术后护理常规,干预组实施以失效模式与效应分析为指导的预见性护理。对比分析两组的术后腰背酸痛、腹胀腹痛、便秘、尿潴留、睡眠障碍等负性效应的发生情况及并发症发生率、护理满意度。结果干预组与对照组对比,在腰背酸痛、腹胀腹痛、便秘、尿潴留、睡眠障碍发生率均优于对照组(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。干预组护理满意度优于对照组(P<0.05)。结论在心脏起搏器植入术后实施以HFMEA为指导的预见性护理干预,能保证有效制动,不增加并发症发生率,同时明显减轻卧床的负性效应,改善睡眠质量,增加舒适度,提高满意度。Objective To explore the role and effectiveness of predictive nursing guided by failure mode and effect analysis on the negative effects of bed rest after permanent pacemaker implantation.Methods Using the convenience sampling method,120 patients who underwent permanent pacemaker implantation in a tertiary hospital from June 2023 to June 2024 were selected as the study subjects.59 patients who underwent pacemaker implantation from June to December 2023 were selected as the control group,and 61 patients who underwent pacemaker implantation from January to June 2024 were selected as the intervention group.The control group implemented the hospital's original routine postoperative care for permanent pacemaker implantation,The intervention group implemented predictive care guided by failure mode and effect analysis.The incidence of postoperative back pain,abdominal distension,abdominal pain,constipation,urinary retention,sleep disorders and other negative effects,the incidence of complications and nursing satisfaction were compared and analyzed between the two groups.Results Compared with the control group,the intervention group had a higher incidence of lower back pain,abdominal distension,abdominal pain,constipation,urinary retention,and sleep disorders than the control group,with statistical significance(P<0.05).There was no difference in the incidence of complications(P>0.05),and nursing satisfaction was better than the control group(P<0.05).Conclusion Implementing predictive nursing interventions guided by HFMEA after pacemaker implantation can ensure effective braking without increasing the incidence of complications,while significantly reducing the negative effects of bed rest,improving sleep quality,increasing comfort,and increasing satisfaction.

关 键 词：失效模式与效应分析 预见性 永久性起搏器植入术 负性效应 护理 

分 类 号：R473[医药卫生—护理学]