Failure mode and effects analysis nursing model improves recovery and quality of life post-laparoscopic extended radical colectomy for colorectal cancer

Table 1 Baseline data and demographic information, mean ± SD/n (%)

Indicator	CC group (n = 122)	FMEA group (n = 103)	t/χ2	P value
Age	47.82 ± 3.74	48.29 ± 3.58	0.947	0.344
Gender			0.105	0.746
Female	32 (26.23)	29 (28.16)
Male	90 (73.77)	74 (71.84)
BMI	22.18 ± 2.21	22.23 ± 2.13	0.171	0.864
Smoking history	49 (40.16)	39 (37.86)	0.124	0.725
Alcohol history	56 (45.9)	47 (45.63)	0.002	0.968
Educational attainment			0.169	0.919
Elementary school and below	27 (22.13)	25 (24.27)
Middle school	62 (50.82)	50 (48.54)
University and above	33 (27.05)	28 (27.18)
Residence location			0.224	0.636
Urban	83 (68.03)	67 (65.05)
Rural	39 (31.97)	36 (34.95)
TNM tumor stage			0.047	0.977
I	45 (36.89)	37 (35.92)
II	41 (33.61)	36 (34.95)
III	36 (29.51)	30 (29.13)
Resection site			0.249	0.883
Right hemicolectomy	63 (51.64)	55 (53.40)
Left hemicolectomy	37 (30.33)	32 (31.07)
Sigmoidectomy	22 (18.03)	16 (15.53)
Extent of resection			0.002	0.962
Standard radical resection	98 (80.33)	83 (80.58)
Extended radical resection	24 (19.67)	20 (19.42)
Hypertension	27 (22.13)	28 (27.18)	0.772	0.380
Cardiovascular disease	12 (9.84)	11 (10.68)	0.043	0.835
Diabetes mellitus	13 (10.66)	14 (13.59)	0.456	0.499
Hemoglobin level	13.17 ± 1.76	13.33 ± 1.85	0.641	0.522
Blood glucose level	96.34 ± 6.53	95.47 ± 6.18	1.019	0.309

BMI: Body mass index; TNM: Tumor-node-metastasis; CC: Conventional care; FMEA: Failure mode and effects analysis.

Table 2 Postoperative gastrointestinal function recovery, mean ± SD

Indicator	CC group (n = 122)	FMEA group (n = 103)	t	P value
Surgical duration (mins)	149.67 ± 15.23	147.49 ± 13.77	1.118	0.265
Length of hospital stay (days)	4.66 ± 0.42	4.49 ± 0.38	3.202	0.002
Time to first flatus (hours)	19.09 ± 1.93	18.58 ± 1.86	2.014	0.045
Time to first bowel movement (hours)	49.35 ± 3.84	48.16 ± 3.68	2.369	0.019
Time to liquid diet tolerance (days)	1.86 ± 0.37	1.75 ± 0.35	2.178	0.030
Time to solid diet tolerance (days)	3.95 ± 0.46	3.78 ± 0.41	2.913	0.004
Time to bowel sound recovery (hours)	25.07 ± 2.78	23.93 ± 2.66	3.120	0.002

CC: Conventional care; FMEA: Failure mode and effects analysis.

Table 3 Preoperative comfort assessment, mean ± SD

Indicator	CC group (n = 122)	FMEA group (n = 103)	t	P value
Physiological comfort	15.27 ± 2.53	15.34 ± 2.42	0.231	0.818
Psychological comfort	18.21 ± 2.13	18.66 ± 2.08	1.590	0.113
Social comfort	19.59 ± 2.46	19.71 ± 2.39	0.340	0.734
Environmental comfort	21.39 ± 2.59	21.34 ± 2.41	0.168	0.867
Total score	74.47 ± 5.80	75.05 ± 4.66	0.816	0.415

CC: Conventional care; FMEA: Failure mode and effects analysis.

Table 4 Postoperative comfort assessment, mean ± SD

Indicator	CC group (n = 122)	FMEA group (n = 103)	t	P value
Physiological comfort	21.37 ± 2.42	22.26 ± 2.31	2.793	0.006
Psychological comfort	23.56 ± 2.75	24.29 ± 2.59	2.034	0.043
Social comfort	21.09 ± 2.16	21.74 ± 2.07	2.285	0.023
Environmental comfort	23.24 ± 2.37	23.37 ± 2.41	0.406	0.685
Total score	89.27 ± 4.87	91.66 ± 4.71	3.723	< 0.001

CC: Conventional care; FMEA: Failure mode and effects analysis.

Table 5 Activities of daily living, mean ± SD

Indicator	CC group (n = 122)	FMEA group (n = 103)	t	P value
Before treatment	55.97 ± 3.92	55.88 ± 3.81	0.173	0.863
After treatment	66.71 ± 3.35	67.93 ± 3.19	2.775	0.006

CC: Conventional care; FMEA: Failure mode and effects analysis.

Table 6 Patient care satisfaction, n (%)

Indicator	CC group (n = 122)	FMEA group (n = 103)	χ2	P value
Very satisfied	58 (47.54)	63 (61.17)	4.170	0.041
Generally satisfied	55 (45.08)	36 (34.95)	2.380	0.123
Dissatisfied	9 (7.38)	4 (3.88)	1.252	0.263

CC: Conventional care; FMEA: Failure mode and effects analysis.