Effect of nursing intervention based on feedforward control concept combined with FMEA on elderly patients with lung cancer undergoing chemotherapy
Objective To explore the effect of feedforward control concept combined with failure mode and effect analysis(FMEA)nursing intervention on cancer-related fatigue and psychological fear in elderly pa-tients with lung cancer undergoing chemotherapy.Methods A total of 108 elderly patients with lung cancer undergoing chemotherapy admitted to the General Hospital of Jinshui District Zhengzhou City from August 2020 to April 2023 were selected and divided into control group and study group according to the order of ad-mission,with 54 cases in each group.The control group received routine nursing intervention,and the study group received nursing intervention based on feedforward control concept combined with FMEA.The modified Piper fatigue scale(RPFS)score,psychological fear,simple illness perception questionnaire(B-IPQ)score,lung function[forced expiratory volume in the first second(FEVi),forced vital capacity(FVC),percentage of FEV1 in predicted value(FEVi％perd)]and complications were compared between the two groups.Results There was no significant difference in RPFS score,psychological fear,B-IPQ score and lung function index between the two groups before intervention(P＞0.05).After intervention,the scores of each dimension and total score of RPFS in the two groups were lower than those before intervention,and those in the study group were lower than the control group,differences being significant(P＜0.05).After intervention,the psychological fear of the two groups was better than that before intervention,and the study group was better than the control group,the difference was statistically significant(P＜0.05).After intervention,the scores of each dimension and total score of B-IPQ in the two groups were higher than those before intervention,and those in the study group were higher than the control group,the differences were statistically significant(P＜0.05).After inter-vention,the levels of FEV1,FVC and FEV1％perd in the two groups were higher than those before interven-tion,and those in the study group were higher than the control group,differences being significant(P＜0.05).There were significant differences being found in the comparison of the incidence of gastrointestinal reactions and pulmonary infection between the two groups(P＜0.05).Conclusion Nursing intervention based on feed-forward control concept combined with FMEA can effectively improve cancer-related fatigue and psychological fear in elderly patients with lung cancer undergoing chemotherapy,improve their ability to perceive and con-trol the disease,and better protect lung function and reduce the incidence of complications.
Feedforward control conceptFailure mode and effect analysisLung cancerChemo-therapyCancer-related fatigue
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维普
