Volume 22 Issue 2
Feb.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(2): 340-343
ZHOU Yu, TONG Zongpei, WANG Li, ZHOU Junfeng, LI Qing. Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer[J]. Chinese Journal of General Practice, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398
Citation: ZHOU Yu, TONG Zongpei, WANG Li, ZHOU Junfeng, LI Qing. Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer[J]. Chinese Journal of General Practice, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398
shu

Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer

doi: 10.16766/j.cnki.issn.1674-4152.003398
  • 1.

    Department of General Surgery, Chuzhou Combined Hospital of Traditional Chinese and Western Medicine, Chuzhou, Anhui 239000, China

Funds:

 AHWJ2022c052

  • Received Date: 2023-10-20
    Available Online: 2024-03-27
    Abstract
  •   Objective  To explore the preventive effect of failure mode and effect analysis (FMEA) model in breast cancer patients, and its impact on cancerous wounds and postoperative recovery.  Methods  A total of 86 patients with breast cancer treated at Chuzhou Integrated Traditional and Western Medicine Hospital from January 2021 to August 2023 were selected and included as study subjects. According to the random number table method, the patients were simply randomly divided into control group (n=43, routine care intervention) and FMEA group (n=43, FMEA model preventive care intervention). The two groups were compared before and after the intervention in terms of cancer wound healing, pain status, functional recovery of the affected limb, anxiety status and nursing satisfaction.  Results  After intervention, the colour normality of exudate in the FMEA group was significantly higher than that in the control group (χ2=4.674, P=0.031), while the odour of exudate was significantly lower than that in the control group [(2.14±0.67) grade vs. (2.58±0.74) grade, t=2.890, P=0.005], but the exudate volume had no significant difference (P>0.05). On the 1st, 3rd, 7th day after intervention, the VAS scores in both groups were gradually decreased (P < 0.05), and the above scores in the FMEA group at different time points were significantly lower than those in the control group (P < 0.05). After intervention, the angle of movement of the affected limb was significantly increased in both groups (P < 0.05), and the above indicators were significantly higher in the FMEA group (P < 0.05). The state anxiety inventory (SAI) score and trait anxiety inventory (TAI) score in both groups were declined significantly after intervention (P < 0.05), and the two scores were significantly lower in the FMEA group compared to control group (P < 0.05). Nursing satisfaction in the FMEA group was significantly higher than in the control group [93.02% (40/43) vs. 76.74% (33/43), χ2=4.440, P=0.035].  Conclusion  FMEA model prevention can effectively promote the recovery of post operative cancer wound and upper limb function, relieve the pain status and anxiety status of patients.

     

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