Analysis of the Impact of Operating Room Management Based on FMEA and Disaster Vulnerability Analysis on the Postoperative Clinical Effect of Elderly Lung Cancer Patients

ZHANG Xilian

doi:10.14033/j.cnki.cfmr.2025.01.020

Abstract：Objective:To explore the effect of operating room management based on failure mode and effect analysis (FMEA) and disaster vulnerability analysis on the postoperative clinical effect of elderly lung cancer patients. Method:A total of 94 elderly patients with lung cancer undergoing elective radical surgery treated in Jinan Hospital of Integrative Medicine from September 2021 to September 2023 were prospectively selected and divided into 47 cases in the study group and 47 cases in the control group according to random number table method. Patients in the control group received routine operating room management,and patients in the study group received operating room management based on FMEA and disaster vulnerability analysis. Surgery-related indicators,negative emotion[Hamilton anxiety rating scale (HAMA) score,Hamilton depression rating scale (HAMD) score],Kolcaba general comfort questionnaire (GCQ) score,postoperative complications were compared between the two groups. Result:The first time of getting out of bed,eating time,residence time of thoracic drainage tube and hospital stay in the study group were better than those in the control group,and the differences were statistically significant (P<0.05). HAMD scores and HAMA scores after nursing in both groups were lower than before nursing,and the differences were statistically significant (P<0.05). The HAMD scores,HAMA scores and differences of the study group were better than those of the control group,and the differences were statistically significant (P<0.05). The scores of GCQ scale after nursing were higher than before nursing in both groups,the score of GCQ scale in the study group was higher than that in the control group,and the differences were statistically significant (P<0.05). There was no significant difference in the incidence of pulmonary air leakage,pleural effusion and anastomotic bleeding between the study group and the control group (P>0.05),but the incidence of postoperative incision infection and total postoperative complications in the study group were lower than those in the control group,the differences were statistically significant (x2=3.859,8.689,P<0.05). Conclusion:Operating room management based on FMEA and disaster vulnerability analysis for elderly patients with lung cancer after surgery has good clinical results,which can effectively relieve negative emotions,improve comfort,reduce the risk of postoperative incision infection and complications,and promote early postoperative recovery.