Impact of FMEA-based nursing intervention combined with early rehabilitation training on the prognosis of mechanically ventilated patients in cardiac intensive care units

基于失效模式及影响分析(FMEA)的护理干预结合早期康复训练对心脏重症监护病房机械通气患者预后的影响

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Abstract

This study aimed to assess the effects of failure mode and effect analysis (FMEA)-based nursing intervention combined with early rehabilitation training on the outcomes of mechanically ventilated patients in the cardiac intensive care unit (CICU). A retrospective cohort design included 100 patients who underwent tracheal intubation and mechanical ventilation in the CICU from January 2023 to June 2024. The observation group (n = 50) received FMEA-based nursing intervention alongside early rehabilitation training, while the control group (n = 50) received standard nursing care with early rehabilitation training. Results demonstrated that the observation group had significantly better muscle strength levels, lower incidence of ICU-acquired weakness, fewer tracheal intubation-related complications, shorter durations of mechanical ventilation, and reduced hospital stays compared to the control group (P < .05). Additionally, nursing satisfaction was significantly higher in the observation group (P = .027). In conclusion, the combination of FMEA-based nursing intervention and early rehabilitation training notably improves the prognosis of mechanically ventilated patients in the CICU, minimizes complications, and enhances patient satisfaction with nursing care.

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