Impact of FMEA-Based Nursing on Postoperative Condition of Appendicitis Patients.

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Alternative therapies in health and medicine Pub Date : 2025-01-01

Yang Yang

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引用次数: 0

Abstract

Backgrounds: Appendicitis (AP) is a prevalent and sudden disease, and although surgery can be effective in treating it, post-surgical care is of great importance in improving the patient's recovery.

Objective: To analyze the impact of Failure Mode and Effect Analysis (FMEA)-based nursing on patients with AP after surgery.

Methods: A total of 104 patients with AP who received treatment in Fuyang Shi Hospital of TCM from December 2021 to February 2023 were enrolled and randomly divided into a control group (n = 52) who received routine nursing and a research group (n = 52) who receive FMEA-based nursing. The time to recovery of bowel sounds, time to defecation by anus, time to anal exhaust, and length of stay were statistically analyzed in both groups after surgery. Pain, sleep, and psychological status of patients before and after surgery were assessed using the visual analog scale (VAS), Pittsburgh Sleep Quality Index (PSQI), and self-rating anxiety scale/self-rating depression scale (SAS/SDS). Patients' satisfaction with nursing was also investigated, and the incidence of postoperative complications was recorded.

Results: After surgery, the research group showed shorter time to recovery of bowel sounds, time to defecation by anus, time to anal exhaust, and length of stay, and lower scores of VAS, PSQI, SAS, and SDS than those of the control group (P < .05). As indicated by the satisfaction survey, compared with the control group, the research group showed a larger number of patients who were very satisfied with nursing and a smaller number of patients who thought their nursing should be improved; the incidence of postoperative complications was also lower in the research group (P < .05).

Conclusion: For patients with AP, FMEA-based nursing improves their postoperative recovery, alleviates their pain, and ameliorates their sleep quality, which is of high clinical application value.

本刊更多论文

基于 FMEA 的护理对阑尾炎患者术后状况的影响。

背景：阑尾炎（Apendicitis，AP）是一种常见的突发性疾病，虽然手术可以有效治疗阑尾炎，但手术后的护理对提高患者的康复具有重要意义：分析基于失效模式与效应分析（FMEA）的护理对 AP 患者术后的影响：方法：选取2021年12月至2023年2月在阜阳市中医院接受治疗的AP患者104例，将其随机分为对照组（52例）和研究组（52例），对照组接受常规护理，研究组接受基于FMEA的护理。对两组术后肠鸣音恢复时间、肛门排便时间、肛门排气时间和住院时间进行统计分析。使用视觉模拟量表（VAS）、匹兹堡睡眠质量指数（PSQI）和焦虑自评量表/抑郁自评量表（SAS/SDS）评估了手术前后患者的疼痛、睡眠和心理状况。此外，还调查了患者对护理的满意度，并记录了术后并发症的发生率：研究组术后肠鸣音恢复时间、肛门排便时间、肛门排气时间和住院时间均短于对照组，VAS、PSQI、SAS 和 SDS 评分低于对照组（P < .05）。满意度调查显示，与对照组相比，研究组对护理工作非常满意的患者人数较多，认为护理工作有待改进的患者人数较少；研究组的术后并发症发生率也较低（P < .05）：对于 AP 患者，基于 FMEA 的护理可改善其术后恢复、减轻其疼痛、提高其睡眠质量，具有较高的临床应用价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

0.90

自引率

0.00%

发文量

219

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