The Application Effect of Nursing Interventions Based on Failure Mode and Effect Analysis in Non-invasive Positive Pressure Ventilation Therapy for Patients with Chronic Obstructive Pulmonary Disease Complicated by Type II Respiratory Failure

Lingling Liu, Yan Peng, Daidi Tang

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¹ Department of Respiratory Medicine, Suzhou BenQ Hospital, Suzhou 215011, Jiangsu, China,

JCNR 2026 , 10(4), 156–163; https://doi.org/10.26689/jcnr.v10i4.14829

© 2026 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

Objective: To investigate the application effect of nursing intervention based on Failure Mode and Effects Analysis (FMEA) in Non-Invasive Positive Pressure Ventilation (NPPV) treatment for patients with Chronic Obstructive Pulmonary Disease (COPD) complicated by Type II respiratory failure. Methods: Eighty patients with COPD complicated by Type II respiratory failure admitted from January 2024 to December 2025 were selected and randomly divided into a control group receiving conventional nursing and a study group receiving FMEA-based nursing intervention, with 40 cases in each group. Blood gas indicators, the incidence of adverse events, and quality of life scores were compared between the two groups after intervention. Results: After intervention, the blood gas indicators in the study group [PaO₂ (69.58 ± 5.21) mmHg, PaCO₂ (46.83 ± 4.56) mmHg, SaO₂ (93.87 ± 2.75) %] were significantly better than those in the control group [PaO₂ (63.12 ± 5.07) mmHg, PaCO₂ (52.15 ± 4.89) mmHg, SaO₂ (90.36 ± 2.89) %] (p < 0.05). The incidence of adverse events in the study group was significantly lower than that in the control group (p < 0.05). After intervention, the scores of all dimensions of the St. George’s Respiratory Questionnaire (SGRQ) in the study group were significantly lower than those in the control group (p < 0.05), indicating a more significant improvement in quality of life. Conclusion: The FMEA-based nursing intervention constructed in this study can effectively improve blood gas indicators during NPPV treatment for patients with COPD complicated by Type II respiratory failure, reduce the incidence of adverse events, and significantly improve patients’ quality of life, providing a widely applicable prospective risk prevention and control plan for specialized nursing management in clinical NPPV treatment.

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