Application of three-dimensional quality assessment model of structure-process-outcome in continuous nursing of elderly patients with lung cancer after operation
10.3760/cma.j.issn.1674-2907.2019.27.020
- VernacularTitle:结构-过程-结果三维质量评估模式在老年肺癌患者术后延续性护理中的应用
- Author:
Lihui PEI
1
;
Yuxia CHAI
;
Yueqin WANG
;
Qian CHEN
;
Yinglan JIA
Author Information
1. 郑州大学第一附属医院急诊内科,郑州 450000
- Keywords:
Lung neoplasms;
? Quality of life;
? Structure-process-outcome;
? Three-dimensional quality assessment model;
? Continuous care;
? Sense of self-efficacy
- From:
Chinese Journal of Modern Nursing
2019;25(27):3523-3527
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application of three-dimensional quality assessment model of structure-process-outcome in continued nursing care for elderly patients with lung cancer after operation. Methods? By purposive sampling, 48 elderly patients discharged after radical resection of lung cancer from January to December 2016 were taken as control group and received routine continuous nursing care. Another 51 elderly patients discharged after radical resection of lung cancer from June 2017 to June 2018 were taken as the observation group. Continuous nursing program based on structure-process-outcome quality assessment model was applied for the observation group. The effect of intervention was assessed by using Strategies Used by People to Promote Health (SUPPH) and Quality of Life Questionnaire-30(QLQ-30). Results? At 6 months after discharge, the scores of each dimension of SUPPH scale in the observation group were statistically higher than those in the control group (P＜ 0.05). In the observation group the scores of "physical function", "role function", "social function" and "overall health" of QLQ-30 scale were higher than the control group, the scores of "fatigue", "pain", "insomnia", "lack of appetite", "constipation", and "diarrhea" were all lower than the control group with statistical significance (P＜0.05). Conclusions? The continuous nursing care based on the three-dimensional quality assessment model of structure-process-outcome for elderly patients with lung cancer can help to improve their sense of self-efficacy and quality of life.
