基于失效模式与效应分析的干预对老年高血压患者睡眠质量的影响  

The Impact of Interventions Based on Failure Mode and Effect Analysis on Sleep Quality in Elderly Patients with Hypertension

作　　者：沈学毅[1] 许冰蕊[1] SHEN Xueyi;XU Bingrui(First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2025年第1期179-182,共4页World Journal of Sleep Medicine

摘　　要：目的:探究老年高血压患者应用基于失效模式与效应分析(FMEA)模式的干预对其睡眠质量的影响。方法:选取2022年6月至2023年12月厦门大学附属第一医院保健二科收治的老年高血压患者106例作为研究对象,按照随机数字表法分为对照组和观察组,每组53例。对照组给予常规护理干预,观察组在对照组的基础上给予基于FMEA模式的护理方法干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用失眠严重程度指数(ISI)比较2组患者干预前后失眠症状的改善效果,采用服药依从性评估量表比较2组患者的服药依从性。结果:干预后,观察组PSQI各维度评分、ISI量表评分均显著低于对照组,观察组服药依从性评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:老年高血压患者接受基于FMEA模式的干预,可提高其服药依从性,降低失眠程度,改善睡眠质量,值得临床推广应用。Objective:To explore the effect of intervention based on Failure Mode and Effects Analysis(FMEA)on sleep quality in elderly patients with hypertension.Methods:A total of 106 elderly patients with hypertension admitted to the Health Care Department of Xiamen University Affiliated First Hospital from June 2022 to December 2023 were selected as the research subjects.They were divided into a control group and an observation group using a random number table method,with 53 cases in each group.The control group received routine nursing interventions,while the observation group received additional nursing interventions based on the FMEA model.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients,the Insomnia Severity Index(ISI)was used to compare the improvement ininsomnia symptoms before and after intervention,and the medication adherence assessment scale was used to compare the medication adherence of the two groups.Results:After intervention,the PSQI scores and ISI scale scores in the observation group were significantly lower than those in the control group,whilethe medication adherence scores in the observation group were significantly higher than those in the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:Intervention based on FMEA model can improve medication adherence,reduce insomnia,and improve sleep quality in elderly hypertensive patients,which is worthy of clinical promotion and application.

关 键 词：高血压 老年高血压 失效模式与效应分析 睡眠质量 失眠程度 服药依从性 心血管疾病 

分 类 号：R544.1[医药卫生—心血管疾病] R338.63[医药卫生—内科学]