Effect of PDCA cycle health education on rehabilitation exercise compliance and self-management ability of patients with nasopharyngeal carcinoma radiotherapy#br#
1.Department of Outpatient, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China;
2.Department of Otorhinolaryngology, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China;
3.Special Care Team of Nursing Department, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China; 4.Department of Nephrology, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China;
5.Department of Ophthalmology, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China
Abstract：Objective To explore the effects of plan-do-check-action (PDCA) cyclic health education on rehabilitation exercise compliance and self-management ability of patients with nasopharyngeal carcinoma radiotherapy. Methods A total of 100 patients with nasopharyngeal carcinoma treated by the First Affiliated Hospital of Air Force Military Medical University from January 2019 to January 2020 were selected, according to the random number table method, they were divided into control group (general nursing intervention) and observation group (PDCA cycle health education), with 50 cases in each group. The rehabilitation exercise compliance, self-management ability, and the incidence of mouth opening difficulty were compared between the two groups. Results The compliance rate of mouth opening training, nasal flushing, neck exercise, and oral care in observation group was higher than that in control group (P ＜ 0.05); after nursing intervention, the self-management ability of both groups was higher than that before intervention, and the self-management ability of observation group was higher than that of control group (P ＜ 0.05). The incidence of mouth opening difficulty in observation group was lower than that in control group (P ＜ 0.05). Conclusion The health education model of PDCA cycle plays a significant role in improving rehabilitation exercise compliance and self-management ability of nasopharyngeal carcinoma radiotherapy patients, and can promote the rehabilitation of patients.
[1] Chen YF，Chang Ellen T，Liu ZW，et al. Residence characteristics and risk of nasopharyngeal carcinoma in southern China：A population-based case-control study [J]. Environment International，2021，151（4）：1189-1197.
[2] 李丹荔，杨文芳.认知干预对鼻咽癌放疗患者自我管理效能感及不良反应影响研究[J].临床研究，2021，29（3）：177-179.
[3] 李新歌，黄水莲，岳蕊蕊.鼻咽癌放射治疗患者出院后阶段性康复锻炼依从性及影响因素分析[J].中国医刊，2020， 55（6）：693-696.
[4] Paudyal R，Chen L，Oh JH，et al. Nongaussian Intravoxel Incoherent Motion Diffusion Weighted and Fast Exchange Regime Dynamic Contrast-Enhanced-MRI of Nasopharyngeal Carcinoma：Preliminary Study for Predicting Locoregional Failure [J]. Cancers，2021，13（5）：870-895.
[5] Yan C. Research on Engineering Quality Management Based on PDCA Cycle [J]. IOP Conference Series，2019，490（6）：907-1101.
[6] Mathew N. A process model for implementing information systems security governance [J]. Information Computer Security，2018， 26（1）：552-573.
[7] 张沛，张涛.Karnofsky活动状态评分在肝癌介入治疗患者护理中的应用效果及对患者肝功能指标的影响[J].临床医学研究与实践，2020，5（4）：154-156.
[8] Kańciak. In search of EU law in the domain of cyberspace protection-the proposal based on the Cyber-PDCA model [J]. Journal of Cyber ST，2017，1（2）：778-786.
[9] 朱丽君，朱丽霞，黄芳.功能锻炼全程实用型引导模式在鼻咽癌放疗患者中的应用[J].中国乡村医药，2021，28（8）：59-60.
[10] Fatma M，Faiyaz F，Mohamed A. Eliminating the use of intravenous glass bottles using a FOCUS-PDCA model and providing a practical stability reference guide [J]. Int J Pharm Pract，2016，24（4）：68-87.
[11] 黄春兰，刘华之，侯良.鼻咽癌患者放疗常见并发症的预防及护理干预观察[J].中国当代医药，2017，24（11）：177-179.
[12] 郑小雅，刘同欣，王方正，等.微信公众平台对鼻咽癌放疗患者治疗及护理依从性的影响[J].中国现代医生，2017， 55（2）：156-160.
[13] Xiaoxia X，Chufen C，Yueying L. Application of PDCA Circulation in Improving the Hand Hygiene Compliance of the Medical Staffs in Department of Burn Surgery [J]. Hougner Protocols，2015，1（4）：227-284.
[14] 雷秀红，谭玲玲，郑雅，等.鼻咽癌放化疗患者疾病感知与生活质量现状及相关性分析[J].中外医学研究，2021， 19（12）：177-180.
[15] Gao N. Application of PDCA circulation in security Service Quality Management [J]. Management Sci，2015， 4（1）：6551-6575.
[16] Xuemei L. Application of PDCA Circulation Management in Restlessness Nursing of Patients inRecovery Period of Anesthesia [J]. Nursing Science，2019，8（2）：41-47.
[17] 桓雪贞，钟乐，李文琼.鼻咽癌放疗病人放疗期生命质量评价及其影响因素调查[J].全科护理，2021，19（12）：1692-1694.
[18] 李萌.综合护理对鼻咽癌放化疗患者身心健康的影响[J].继续医学教育，2021，35（4）：85-86.
[19] 李利铭，王娟.回访式健康宣教在晚期鼻咽癌深部热疗患者中的应用[J].黑龙江医学，2021，45（8）：890-891， 894.
[20] 陈春丽.系统营养干预对鼻咽癌放疗患者营养状况及放疗毒副反应的影响[J].中国临床护理，2021，13（4）：217-220.
[21] 李瑾，胡清荣.身心康复训练对鼻咽癌放疗患者自我管理效能的影响[J].甘肃医药，2021，40（4）：374-375.
[22] Kashamida T，Aigerim S，Abay U，et al. Enhancing eco-economic efficiency of mineral deposit exploration to achieve sustainable development in the mining industry of Kazakhstan [J]. Progress in Industrial Ecology，2021， 14（3/4）：1877-1884.
[23] 许芳芳.重症监护病房医院感染管理中PDCA循环模式的运用[J].国际护理医学，2020，2（3）.
[24] He W，Deng L，Zeng X，et al. PDCA Circulation in the Prevention of Clinical Rust Effect Observation [J]. American Journal of Nursing Science，2020，9（3）：2257-2263.
[25] 崔伟燕，吴军，袁小英，等.医护康一体化管理模式干预鼻咽癌放疗患者张口困难效果研究[J].护理实践与研究，2020，17（22）：97-99.
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