Wang XY, Zhao YL, Wen SS, Song XY, Mo L, Xiao ZW. Intraoperative thermostatic nursing and failure mode and effects analysis enhance gastrectomies’ care quality. World J Gastrointest Surg 2024; 16(12): 3764-3771 [DOI: 10.4240/wjgs.v16.i12.3764]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xian-Yong Wang, Yi-Lei Zhao, Xiao-Yu Song, Lu Mo, Zhi-Wei Xiao, Operating Room, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
Sha-Sha Wen, Department of Psychosomatic Medicine, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
Author contributions: Wang XY designed the study; Wang XY, Zhao YL, Song XY, Mo L and Xiao ZW were involved in acquisition, analysis, and interpretation of data; Wang XY and Zhao YL were involved in data verification and writing of the manuscript; all authors have read, critically reviewed, and approved the final manuscript; all authors were responsible for the decision to submit the manuscript for publication.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of the Affiliated Hospital of Southwest Medical University.
Informed consent statement: All study participants and their legal guardians provided written informed consent prior to study enrolment.
Conflict-of-interest statement: The authors report no relevant conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: September 12, 2024 Revised: October 12, 2024 Accepted: October 22, 2024 Published online: December 27, 2024 Processing time: 76 Days and 1.4 Hours
Abstract
BACKGROUND
Utilizing failure mode and effects analysis (FMEA) in operating room nursing provides valuable insights for the care of patients undergoing radical gastric cancer surgery.
AIM
To evaluate the impact of FMEA on the risk of adverse events and nursing-care quality in patients undergoing radical surgery.
METHODS
Among 230 patients receiving radical cancer surgery between May 2019 and May 2024, 115 were assigned to a control group that received standard intraoperative thermoregulation, while the observation group benefited from FMEA-modeled operating room care. Clinical indicators, stress responses, postoperative gastrointestinal function recovery, nursing quality, and the incidence of adverse events were compared between the two groups.
RESULTS
Significant differences were observed in bed and hospital stay durations between the groups (P < 0.05). There were no significant differences in intraoperative blood loss or postoperative body temperature (P > 0.05). Stress scores improved in both groups post-nursing (P < 0.05), with the observation group showing lower stress scores than the control group (P < 0.05). Gastrointestinal function recovery and nursing quality scores also differed significantly (P < 0.05). Additionally, the incidence of adverse events such as stress injuries and surgical infections varied notably between the groups (P < 0.05).
CONCLUSION
Incorporating FMEA into operating room nursing significantly enhances patient care by improving safety, expediting recovery, and reducing healthcare-associated risks.
Core Tip: Reasonable and effective nursing interventions can markedly enhance the quality of care for surgical patients, reduce the risk of adverse events, and improve anesthesia recovery, postoperative gastrointestinal function, and overall postoperative outcomes. These interventions are particularly beneficial in alleviating traumatic stress responses in patients undergoing radical gastric cancer surgery.
