Intraoperative thermostatic nursing and failure mode and effects analysis enhance gastrectomies’ care quality

Table 1 Comparison of the clinical data between the two groups

Index		Conversation (n = 115)	Control (n = 115)	χ2/t/Z	P value
Gender, n (%)	Male	75 (65.22)	76 (66.09)	0.019	0.890
	Female	40 (34.78)	39 (33.91)
Age (years)		49.69 ± 10.69	49.35 ± 10.22	0.247	0.805
Course of disease (months)		8.41 ± 0.98	8.50 ± 0.91	0.722	0.471
Body quality (kg)		64.21 ± 6.25	64.37 ± 6.11	0.196	0.845
Disease type, n (%)	Upper stomach cancer	59 (51.30)	58 (50.43)	0.035	0.972
	Central stomach cancer	32 (27.83)	34 (29.57)
	Lower stomach cancer	24 (20.87)	23 (20.00)
Degree of education, n (%)	Junior high school and below	26 (22.61)	28 (24.35)	0.396	0.692
	Senior school	40 (34.78)	41 (35.65)
	Specialist and above	49 (42.61)	46 (40.00)
Domicile, n (%)	Urban	78 (67.83)	75 (65.22)	0.176	0.675
	Countryside	37 (32.17)	40 (34.78)

Table 2 Comparison of two groups, mean ± SD

Group	Case	Intraoperative bleeding (mL)	After the temperature (°C)	Get out of bed time (day)	Length of stay (day)
Conversation	115	174.21 ± 8.14	36.56 ± 0.44	2.31 ± 0.45	7.14 ± 0.65
Control	115	175.98 ± 8.11	36.49 ± 0.32	3.25 ± 0.63	8.67 ± 0.71
t value		1.652	1.380	13.020	17.045
P value		0.100	0.169	< 0.001	< 0.00

Table 3 Comparison of the stress response between the two groups, mean ± SD

Group	Case	Alarm heighten reaction		Avoidance reaction		The traumatic experience repeatedly reproduces the response
		Before	After	Before	After	Before	After
Conversation	115	6.04 ± 0.78	12.77 ± 1.20a	9.14 ± 0.92	15.69 ± 1.78a	5.16 ± 0.74	9.49 ± 0.94a
Control	115	6.20 ± 0.71	15.87 ± 1.34a	9.37 ± 0.88	17.74 ± 1.40a	5.20 ± 0.69	11.88 ± 1.45a
t value		1.627	18.481	1.937	9.708	0.424	14.832
P value		0.105	< 0.001	0.054	< 0.001	0.672	< 0.001

^aP < 0.05.

Table 4 Comparison of the postoperative recovery of gastrointestinal function between the two groups, mean ± SD

Group	Case	Time of first postoperative defecation (hour)	Time of first feeding (hour)	First exhaust time (hour)	Time of bowel song recovery (hour)
Observation	115	126.04 ± 6.88	84.52 ± 4.05	80.14 ± 5.23	34.69 ± 1.26
Control	115	131.69 ± 6.58	98.41 ± 4.66	86.77 ± 5.41	40.05 ± 1.44
t value		6.364	24.126	9.449	30.040
P value		< 0.001	< 0.001	< 0.001	< 0.001

Table 5 Comparison of the quality of care between the two treatment groups, mean ± SD

Group	Case	Basic nursing	Manipulative skill; operator skill	Attitude towards customers	Nursing safety
Observation	115	19 ± 1.0	20 ± 1.0	21 ± 2.0	20 ± 2.0
Control	115	16 ± 1.0	17 ± 1.0	18 ± 1.0	17 ± 1.0
t value		22.749	22.749	14.387	14.387
P value		< 0.001	< 0.001	< 0.001	< 0.001

Table 6 Comparison of adverse events between the two groups, n (%)

Group	Case	Pressure injury	Intraoperative hypothermia	Surgical infection	Total incidence
Observation	115	2 (1.74)	0 (0.00)	1 (0.87)	3 (2.61)
Control	115	6 (5.22)	0 (0.00)	4 (3.48)	10 (8.70)
χ2					3.995
P value					0.046