ArticlePerioperative medicine (London, England)2025
Impact of FMEA-based proactive nursing combined with individualized functional exercise on hip function in patients following hip replacement.
Article in Perioperative medicine (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-pharmacological interventions to reduce postoperative anxiety in total hip arthroplasty: a systematic review.BMC musculoskeletal disorders · 2026Pooled it
- Impact of proactive risk-prevention nursing interventions on the recovery of ICU patients with ventilator-associated pneumonia.Frontiers in medicine · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveThis study aimed to investigate the impact of failure mode and effects analysis (FMEA)-based proactive nursing combined with individualized functional exercise on hip function in patients undergoing total hip arthroplasty (THA).
methodsThis was a prospective, single-center, randomized controlled trial. Using a consecutive sampling approach, 100 patients who underwent THA at the Affiliated Hospital of Xuzhou Medical University between October 2022 and January 2024 were enrolled and randomly assigned (random number table method) to either a control group (n = 50) or an intervention group (n = 50). The control group received routine nursing plus standard functional exercise, whereas the intervention group received FMEA-based proactive nursing combined with individualized functional training in addition to routine care. Both groups were followed continuously for 3 months. The primary outcome was hip function, assessed using the Harris hip score (HHS) before and after the intervention. Secondary outcomes included the time to first ambulation, pain during ambulation, and length of hospital stay. Psychological status (anxiety and depression) and quality of life were evaluated before and after the intervention using the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and the Short Form-36 questionnaire (SF-36). Postoperative complications were recorded, and nursing satisfaction at discharge was assessed using the Newcastle Satisfaction with Nursing Scale (NSNS).
resultsAfter nursing care, HHS in both the control and intervention groups were higher than before care. Post-intervention, the intervention group showed significantly higher scores than the control group in function (34.62 ± 2.97 vs 27.94 ± 2.87), range of motion (3.64 ± 0.63 vs 2.28 ± 0.45), pain (28.98 ± 4.29 vs 23.52 ± 3.83), and deformity (2.78 ± 0.55 vs 2.02 ± 0.25) (P < 0.05). Patients in the intervention group ambulated for the first time earlier than those in the control group (29.12 ± 3.29 h vs 42.20 ± 4.16 h), with lower pain scores during activity (4.46 ± 0.86 vs 6.06 ± 1.27) and shorter hospital stays (11.40 ± 1.93 days vs 14.84 ± 2.71 days) (P < 0.05). SF-36 scores in both groups improved after nursing care, with the intervention group demonstrating higher post-care scores in physical function (70.92 ± 6.50 vs 60.06 ± 5.88), mental health (67.88 ± 6.17 vs 58.92 ± 5.71), social function (70.92 ± 6.66 vs 62.84 ± 6.11), and bodily pain (67.82 ± 6.68 vs 59.64 ± 5.24) compared with the control group (P < 0.05). Anxiety and depression scores (SAS and SDS) decreased in both groups after nursing care, with the intervention group showing lower scores than the control group (SAS 39.02 ± 3.66 vs 46.88 ± 4.52; SDS 38.98 ± 3.89 vs 49.58 ± 4.05) (P < 0.05). The incidence of postoperative complications was lower in the intervention group (6.00%) than in the control group (22.00%) (P < 0.05), and nursing satisfaction was higher (98.00 vs 82.00%) (P < 0.05).
conclusionFMEA-based proactive nursing combined with individualized functional exercise accelerates recovery, improves hip function, reduces pain and negative emotions, enhances quality of life, and lowers complication rates while increasing patient satisfaction.
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