Perioperative medicine & outcomes
Impact of failure mode and effects analysis (FMEA)-based proactive nursing combined with individualized functional exercise on hip function in patients following hip replacement
Authors' conclusion
FMEA-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.
Study context
- Population
- Patients undergoing Total Hip Arthroplasty (THA) at the Affiliated Hospital of Xuzhou Medical University, October 2022–January 2024
- Participants
- 100 patients
- Comparison
- Control vs Intervention
- Controln = 50reference
- Interventionn = 50
- Primary endpoint
- Hip function (Harris hip score, HHS) before and after intervention
- Follow-up
- 3 months
Methodological detailsprospective, single-centre
- Prospective
- Single-centre
Primary result
As reported in the abstract
HHS subscores post-intervention
- Function: Intervention 34.62 ± 2.97 vs Control 27.94 ± 2.87 (P < 0.05)
- Range of motion: Intervention 3.64 ± 0.63 vs Control 2.28 ± 0.45 (P < 0.05)
- Pain: Intervention 28.98 ± 4.29 vs Control 23.52 ± 3.83 (P < 0.05)
- Deformity: Intervention 2.78 ± 0.55 vs Control 2.02 ± 0.25 (P < 0.05)
- Harris hip score (HHS) higher than before care in both groups
Secondary outcomes
Time to first ambulation
P < 0.05
Hospital LOS
P < 0.05
Nursing satisfaction (NSNS) at discharge
P < 0.05
| Outcome | Control | Intervention | P value |
|---|---|---|---|
| Pain during activity | 6.06 ± 1.27 | 4.46 ± 0.86 | P < 0.05 |
SF-36 post-care
- Physical function: Intervention 70.92 ± 6.50 vs Control 60.06 ± 5.88 (P < 0.05)
- Mental health: Intervention 67.88 ± 6.17 vs Control 58.92 ± 5.71 (P < 0.05)
- Social function: Intervention 70.92 ± 6.66 vs Control 62.84 ± 6.11 (P < 0.05)
- Bodily pain: Intervention 67.82 ± 6.68 vs Control 59.64 ± 5.24 (P < 0.05)
Anxiety and depression (SAS, SDS) post-care
- SAS: Intervention 39.02 ± 3.66 vs Control 46.88 ± 4.52 (P < 0.05)
- SDS: Intervention 38.98 ± 3.89 vs Control 49.58 ± 4.05 (P < 0.05)
Safety
Postoperative complications
P < 0.05
Original publication
Impact of FMEA-based proactive nursing combined with individualized functional exercise on hip function in patients following hip replacement. Perioper Med (Lond). Published 27 October 2025. doi:10.
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