标题：基于FMEA模型的康复护理对糖尿病足患者的干预效果

      作者：徐旭 1，康格平 2，马晨巍 1，王小洁 1，张雅惠 1，钱静 1    西安医学院第二附属医院手术麻醉科 1、内分泌科 2，陕西 西安 710038

      卷次： 2023年34卷20期

      【摘要】 目的 探讨基于失效模式与效应分析(FMEA)模型的康复护理对糖尿病足患者的干预效果。方法 选取 2019年 6月至 2021年 6月于西安医学院第二附属医院诊治的 120例糖尿病足患者为研究对象，依据随机数表法分为对照组和研究组各 60例。对照组患者采用常规护理，研究组患者采用基于FMEA模型的康复护理。护理至患者出院时，比较两组患者护理后归转状况、护理前后巴氏(Barthel)指数、糖化血红蛋白、空腹血糖及护理后糖尿病足知晓率。结果 研究组患者的糖尿病足转归情况明显优于对照组，差异有统计学意义(P<0.05)；护理前，两组患者的Barthel指数、糖化血红蛋白、空腹血糖比较差异均无统计学意义(P>0.05)；护理后，研究组患者的Barthel指数为(82.93±13.37)分，明显高于对照组的(75.42±14.04)分，糖化血红蛋白、空腹血糖分别为(6.28±1.27)%、(6.31±1.34) mmol/L，明显低于对照组的(8.12±1.57)%、(8.35±1.48) mmol/L，差异均有统计学意义(P<0.05)；研究组患者对病因、血糖控制、危害、足部检查、足部日常护理、修剪趾甲、选择鞋袜的知晓率为73.33%、96.67%、81.67%、85.00%、88.33%、98.33%、96.67%，明显高于对照组的 46.67%、78.33%、53.33%、63.33%、73.33%、76.67%、78.33%，差异均有统计学意义(P<0.05)。结论 基于FMEA模型的康复护理应用于糖尿病足可改善患者归转状况及生活质量，同时能提高其对糖尿病足的知晓率。
      【关键词】 糖尿病足；失效模式与效应分析；康复护理；归转状况；空腹血糖；知晓状况
      【中图分类号】 R473.5 【文献标识码】 A 【文章编号】 1003—6350（2023）20—3024—04

Intervention effect of rehabilitation nursing based on failure mode and effect analysis model on patients withdiabetic foot.
XU Xu 1, KANG Ge-ping 2, MA Chen-wei 1, WANG Xiao-jie 1, ZHANG Ya-hui 1, QIAN Jing 1. Department ofAnesthesiology and Surgery 1, Department of Endocrinology 2, the Second Affiliated Hospital of Xi'an Medical College, Xi'an710038, Shaanxi, CHINA
【Abstract】 Objective To explore the intervention effect of rehabilitation care based on failure mode and effectanalysis (FMEA) model on diabetic foot patients. Methods A total of 120 diabetic foot patients who were diagnosedand treated in the Second Affiliated Hospital of Xi'an Medical College from June 2019 to June 2021 were selected as theresearch objects. According to the random number table method, they were divided into a control group and a studygroup, with 60 patients in each group. The patients in the control group were treated with routine nursing, and the pa-tients in the study group were treated with rehabilitation nursing based on FMEA model, until discharge. The conversionstatus after nursing, Barthel index, glycosylated hemoglobin, fasting blood glucose before and after nursing, and diabeticfoot awareness rate after nursing were compared between the two groups. Results The outcome of diabetes foot in thestudy group was significantly better than that in the control group (P<0.05). Before nursing, there were no significant dif-ferences in Barthel index, glycosylated hemoglobin, and fasting blood glucose between the two groups (P>0.05). Afternursing, the Barthel index in the study group was (82.93±13.37) points, which was significantly higher than (75.42±14.04) points in the control group (P<0.05); the glycosylated hemoglobin and fasting blood glucose were (6.28±1.27)%and (6.31±1.34) mmol/L, which were significantly lower than (8.12±1.57)% and (8.35±1.48) mmol/L in the controlgroup (P<0.05). The awareness rates of etiology, blood sugar control, hazards, foot examination, daily foot care, toenailtrimming, and choice of footwear in the study group were 73.33%, 96.67%, 81.67%, 85.00%, 88.33%, 98.33%, 96.67%,which were significantly higher than 46.67%, 78.33%, 53.33%, 63.33%, 73.33%, 76.67%, 78.33% in the control group(P<0.05). Conclusion Rehabilitation care based on FMEAmodel applied to diabetic foot can improve the patient's con-version status and quality of life, and at the same time can increase their awareness of diabetic foot.
      【Key words】 Diabetic foot; Failure mode and effect analysis; Rehabilitation care; Conversion status; Fastingblood glucose; Awareness status