Observation of the Preventive Effect of Failure Mode and Effects Analysis (FMEA) Combined with Traditional Chinese Medicine (TCM) Characteristic Nursing on Pressure Injuries in Patients with Kidney Disease
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Keywords

Failure mode and effects analysis
Traditional Chinese medicine characteristic nursing
Kidney disease
Pressure injuries

DOI

10.26689/ijgpn.v4i1.14047

Submitted : 2026-02-11
Accepted : 2026-02-26
Published : 2026-03-13

Abstract

Objective: To explore the practical effect of Failure Mode and Effects Analysis (FMEA) combined with traditional Chinese medicine (TCM) characteristic nursing in preventing pressure injuries in patients with kidney disease, providing a referenceable practical basis for clinical nursing work. Methods: From January 2023 to June 2024, 120 patients with kidney disease in the nephrology department of the hospital were selected and randomly divided into a control group and an intervention group, with 60 cases in each group. The control group received routine pressure ulcer prevention nursing, while the intervention group received additional FMEA management mode and TCM characteristic nursing. The incidence of pressure ulcers, injury staging, nutritional status, skin scores, and nursing satisfaction were compared between the two groups. Results: The incidence of pressure injuries in the control group was 20.00%, while that in the intervention group was only 5.00%. Moreover, the injuries in the intervention group were milder and occurred later on average, with statistically significant differences between the two groups (P<0.05). In terms of nursing satisfaction, the intervention group reached 96.67%, significantly higher than the 83.33% in the control group, with this difference also passing statistical testing (P<0.05). Conclusion: The combined application of FMEA and TCM characteristic nursing can effectively reduce the risk of pressure injuries in patients with kidney disease, improve their nutritional and skin status, and enhance nursing satisfaction, demonstrating high clinical promotion value.

References

Li XY, Pei XL, Yao WH, et al., 2024, Research Progress on the Application of Traditional Chinese Medicine Nursing Interventions in Stage 1 and Stage 2 Pressure Injuries. Beijing Journal of Traditional Chinese Medicine, 43(4): 434–437.

Liang H, Wang JN, Zhang Y, et al., 2024, Quality Evaluation and Content Analysis of Guidelines for Pressure Injury Management in Bedridden Patients. Journal of Nursing, 31(16): 50–55.

Zhang M, Yu H, Chen MR, 2024, Research Progress on Treatment Methods for Pressure Injury Wounds. Chinese Journal of Plastic Surgery, 40(11): 1255–1262.

Xu XQ, Wang SJ, 2021, Wound Care for an Alzheimer’s Disease Patient with Diabetic Nephropathy and Unstageable Sacrococcygeal Pressure Injury: A Case Report. Journal of Enhanced Recovery After Surgery, 4(4): 181–183.

Shi JY, Chen HS, Wang XL, et al., 2025, Barriers to Implementing Clinical Practice Guidelines for Managing Patients with Pressure Injuries in China: A Qualitative Study Using the Theoretical Domains Framework. BMC Nursing, 24(1): 1–10.

Li J, Cao YQ, Zhang K, et al., 2025, Impact of FMEA-based Proactive Nursing Combined with Individualized Functional Exercise on Hip Function in Patients Following Hip Replacement. Perioperative Medicine, 14(1): 1–11.

Chen Q, Chen SY, Zhang L, 2025, Impact of FMEA-based Nursing Intervention Combined with Early Rehabilitation Training on the Prognosis of Mechanically Ventilated Patients in Cardiac Intensive Care Units. Medicine, 104(12): e41735.

Hong XL, Cao RG, 2023, Application of Comprehensive Assessment, Personalized Nursing Care Combined with Infrared Irradiation Intervention in Patients with Diabetic Nephropathy Complicated by Stage III Pressure Injuries. Medical Equipment, 36(20): 120–123.