The effect of progressive rehabilitation nursing in FMEA mode on postoperative recovery of elderly hypertensive intracerebral hemorrhage
FMEA模式的渐进性康复护理对老年高血压脑出血术后恢复的效果

摘要

目的 失效模式与效应分析在分步式康复护理干预对老年高血压脑出血术后患者恢复的临床效果。方法 选取2024年1月-2025年1月期间，本研究纳入我院60例接受手术治疗的老年高血压脑出血患者作为观察对象。分组方式采用随机数字表法，对照组接受常规护理流程，观察组在此基础上引入FMEA指导的分步式康复护理策略。比较两组的护理满意度得分、并发症出现比例以及康复训练依从性。结果 观察组在护理满意度测评中得分优于对照组（p＜0.05）；相较于对照组，观察组在肺部感染、深静脉血栓、压疮等术后并发症的发生例数均呈现减少趋势（p＜0.05）；观察组在康复训练总依从率上显著优于对照组，两组间差异具有统计学意义（p＜0.05）。结论 结合FMEA的阶梯化康复护理干预体系可有效改善高血压导致的老年颅内出血术后患者神经功能和日常生活活动能力，降低并发症发生率，可有效提升护理满意度，具备临床推广价值。

Abstract

Objective To analyze the clinical effect of failure mode and effect analysis on the recovery of elderly hypertensive intracerebral hemorrhage patients after stepwise rehabilitation nursing intervention.
Methods Sixty elderly hypertensive intracerebral hemorrhage patients who underwent surgical treatment in our hospital from January 2024 to January 2025 were selected as the observation subjects for this study. The grouping method adopts a random number table method. The control group receives routine nursing procedures, while the observation group introduces a step-by-step rehabilitation nursing strategy guided by FMEA on this basis. Compare the nursing satisfaction scores, incidence of complications, and compliance with rehabilitation training between the two groups.
Results The observation group scored better than the control group in the nursing satisfaction evaluation (p<0.05); Compared with the control group, the observation group showed a decreasing trend in the incidence of postoperative complications such as pulmonary infection, deep vein thrombosis, and pressure ulcers (p<0.05); The observation group showed a significantly better overall compliance rate in rehabilitation training compared to the control group, and the difference between the two groups was statistically significant (p<0.05).
Conclusion   The stepwise rehabilitation nursing intervention system combined with FMEA can effectively improve the neurological function and daily living activities of elderly patients with intracranial hemorrhage caused by hypertension after surgery, reduce the incidence of complications, and effectively enhance nursing satisfaction. It has clinical promotion value.