持续质量改进护理模式对鼻咽癌放疗患者张口锻炼依从性和困难程度的影响

Effect of Continuous quality Improvement Nursing mode on Compliance and Difficulty of Open-mouth Exercise in Nasopharyngeal Carcinoma Radiotherapy Patients

目的 探讨持续质量改进护理模式对鼻咽癌放疗患者张口锻炼依从性和困难程度的影响。方法 选取2019年1月至2020年6月于抚州市第一人民医院接受放疗干预的鼻咽癌患者60例作为研究对象,采用随机数字表法分为对照组与观察组,各30例。对照组患者放疗期间予以针对张口功能障碍的常规康复训练,观察组在对照组基础上实施持续质量改进护理模式干预,比较两组的护理效果。结果 干预前两组自我效能感评分比较差异无统计学意义(P>0.05);干预后观察组自我效能感评分显著高于对照组,差异有统计学意义(P<0.05)。观察组的张口锻炼依从性显著高于对照组,差异有统计学意义(P<0.05)。观察组轻度张口困难患者例数显著高于对照组,差异有统计学意义(P<0.05)。结论 为鼻咽癌放疗患者辅以持续质量改进护理模式干预有助于提高患者的自我效能感,提升张口锻炼认可度,使患者更好地回归到正常生活中。

Objective To explore the effect of continuous quality improvement nursing mode on the compliance and difficulty degree of open-mouth exercise in patients with nasopharyngeal carcinoma.Methods Sixty patients with nasopharyngeal carcinoma who received radiotherapy intervention in Fuzhou First People's Hospital from January 2019 to June 2020 were selected as the study objects,and were divided into control group and observation group by random number table method,with 30 cases in each group.The control group was given routine rehabilitation training for gap-mouth dysfunction during radiotherapy,and the observation group was combined with continuous quality improvement nursing mode intervention on the basis of the control group,and the nursing effect of the two groups was compared.Results There was no significant difference in self-efficacy scores between the two groups before intervention(P>0.05).After intervention,the self-efficacy score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The compliance of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The number of patients with mild mouth difficulty in observation group was significantly higher than that in control group,with statistical significance(P<0.05).Conclusion Providing continuous quality improvement nursing intervention for nasopharyngeal carcinoma radiotherapy patients can help improve their self-efficacy,increase their recognition of mouth opening exercise,and better return to normal life.