摘要
目的探讨PDCA循环健康教育对鼻咽癌放疗患者张口锻炼依从性的影响。方法将287例鼻咽癌放疗患者根据其入院顺序分为对照组和干预组。对照组采用常规的张口功能锻炼健康教育方法,干预组采用PDCA循环健康教育方法,在放疗开始时实施干预。观察放疗后和出院3个月两组患者的张口功能锻炼依从性和张口困难发生率。结果放疗后和出院后3个月干预组患者的张口功能锻炼依从性显著高于对照组,张口困难程度显著低于对照组(P<0.05,P<0.01)。结论采用PDCA循环的健康教育能有效提高鼻咽癌放疗患者的张口锻炼依从性,降低张口困难的程度,促进患者康复。
Objective To explore the effect of health education guided by the PDCA cycle on compliance with mouth-opening exercise in patients with nasopharyngeal carcinoma after radiotherapy.Methods Totally,287 patients with nasopharyngeal carcinoma undergoing radiotherapy were divided into two groups according to their admission orders.The control group was given routine health education on mouth-opening exercise,while the observation group received health education on mouth-opening exercise at the beginning of radiotherapy based on the PDCA cycle.The compliance with mouth-opening exercise and the incidence of difficulty in mouth-opening were compared between the two groups both at the end of radiotherapy and 3months after discharge.Results Both at the end of radiotherapy and 3months after discharge,the observation group showed significantly higher compliance with mouth-opening exercise and lower rate of difficulty in mouth-opening compared to the control group（P〈0.05,P〈0.01）.Conclusion The health education based on the PDCA cycle can effectively improve compliance with mouth-opening exercise in patients with nasopharyngeal carcinoma after radiotherapy,decrease the incidence of difficulty in mouth-opening,and promote recovery and quality of life.
基金
广东省医学科研基金立项课题(A2013503)
关键词
鼻咽癌
放疗
PDCA循环
健康教育
张口锻炼
张口困难
nasopharyngeal carcinoma
radiotherapy
PDCA cycle
health education
mouth-opening exercise
difficulty in mouth-opening
