Construction and application research of a discharge preparation plan for patients with head and neck cancer undergoing tracheotomy
10.3761/j.issn.0254-1769.2025.15.006
- VernacularTitle:头颈癌气管切开患者出院准备计划方案的构建及应用研究
- Author:
Xin ZHAO
1
;
Yu WU
;
Hui ZHU
;
Zuhong LI
;
Lina ZHU
;
Yueqi WANG
;
Qianqian FENG
;
Hui LI
Author Information
1. 250021 济南市 山东第一医科大学附属省立医院耳鼻喉科
- Publication Type:Journal Article
- Keywords:
Tracheotomy;
Transtheoretical Model;
Discharge Preparation Plan;
Mindfulness Awareness;
Self-Care Ability;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(15):1829-1836
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a discharge preparation plan for patients with head and neck cancer undergo-ing tracheotomy and explore its application effect to provide a reference for improving the at-home self-care ability of tracheostomy patients with head and neck cancer.Methods The discharge preparation plan for patients with head and neck cancer undergoing tracheotomy was constructed through literature analysis and expert consultation.A total of 160 patients with tracheotomy for head and neck cancer who were hospitalized in the Department of Oto-laryngology and Head and Neck Surgery of a tertiary A general hospital in Jinan City,Shandong Province from May 2023 to February 2025 were selected by convenience sampling method as the study subjects,and were divided into an experimental group and a control group by block randomization method,with 80 cases in each group.The ex-perimental group received a discharge preparation plan for patients undergoing tracheotomy for head and neck can-cer,while the control group received routine nursing and health education.Data from admission to 1 month after discharge were collected.The levels of mindfulness awareness,self-care ability,and discharge readiness were compared between 2 groups of patients before and after intervention.Results The constructed discharge preparation plan in-cludes 5 stages(pre-contemplation,contemplation,preparation,action,and maintenance).There were no sample dropouts in either group of patients.The experimental group had higher levels of mindfulness awareness,self-care ability and discharge readiness scores than the control group,and the differences were statistically significant(P＜0.001).Conclusion The discharge preparation plan for patients with head and neck cancer undergoing tra-cheotomy is scientifically reasonable,safe,and feasible,which can effectively improve patients' discharge preparation and mindfulness level,and enhance their self-care ability.
