摘要
目的探讨失效模式与效应分析(FMEA)在颅内肿瘤术后患者继发癫痫健康教育中的应用效果。方法选取2013年6月至2018年6月间宝鸡市高新人民医院收治的200例行颅内肿瘤手术的患者,采用随机数表法分为观察组和对照组,每组100例。对照组患者采用常规健康教育,观察组患者采用FMEA健康教育,比较两组患者干预后的健康知识水平、依从性及癫痫发作情况。结果观察组患者入院健康知识、术前健康知识、术后健康知识及总体知识得分均高于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者治疗依从率为83.0%,高于对照组的60.0%,差异有统计学意义(P<0.05)。观察组患者癫痫发作率为16.0%,低于对照组的36.0%,差异有统计学意义(P<0.05)。结论颅内肿瘤术患者采用FMEA进行健康教育,可较好地提高患者的健康知识水平和依从性,减少术后癫痫发生情况,建议临床推广。
Objective To explore the effect of failure mode and effects analysis(FMEA)in health education on secondary epilepsy after operation for intracranial tumors.Methods From June 2013 to June2018,200 patients who underwent operation for intracranial tumors at Baoji Gaoxin People’s Hospital were selected as the research subjects.According to the digital random table method,they were randomly divided into an observation group and a control group with 100 patients in each group.The observation group received FMEA-guided health education.The control group received routine health education.Patients’knowledge on health after the intervention,incidence of compliance and seizures were compared between the two groups.Results Scores of health knowledge at admission,before the surgery and after the surgery and the overall health knowledge were higher in the observation group than in the control group(all P<0.05).The compliance rate was 83.0%in the observation group which was higher than 60.0%in the control group(P<0.05).The incidence of complications was 16.0%in the observation group,which was lower than36.0%of the control group(P<0.05).Conclusion FMEA-guided health education can significantly improve health knowledge and compliance,and reduce the incidence of postoperative epilepsy in patients undergoing surgery for intracranial tumors.
作者
温玉环
崔娜
容新莉
WEN Yu-huan;CUI Na;RONG Xin-li(Department of Neurosurgery,Baoji Gaoxin People's Hospital,Baoji 721000,China)
出处
《中国肿瘤临床与康复》
2019年第12期1513-1516,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
失效模式与效应分析
颅内肿瘤
癫痫
健康教育
Failure mode and effects analysis
Intracranial neoplasms
Epilepsy
Health education
