Chen Qin, Chen Siyu, Zhang Lian
Department of Cardiology CCU, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Medicine (Baltimore). 2025 Mar 21;104(12):e41735. doi: 10.1097/MD.0000000000041735.
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.
本研究旨在评估基于失效模式与效应分析（FMEA）的护理干预联合早期康复训练对心脏重症监护病房（CICU）机械通气患者预后的影响。一项回顾性队列研究纳入了2023年1月至2024年6月在CICU接受气管插管和机械通气的100例患者。观察组（n = 50）接受基于FMEA的护理干预及早期康复训练，而对照组（n = 50）接受标准护理及早期康复训练。结果表明，与对照组相比，观察组的肌肉力量水平显著更高，ICU获得性肌无力的发生率更低，气管插管相关并发症更少，机械通气时间更短，住院时间更短（P < 0.05）。此外，观察组的护理满意度显著更高（P = 0.027）。总之，基于FMEA的护理干预与早期康复训练相结合显著改善了CICU机械通气患者的预后，减少了并发症，并提高了患者对护理的满意度。
