Application of experience-based co-design in home enteral nutrition for patients with head and neck cancer after operation

doi:10.19438/j.cjoms.2023.04.008

Abstract

Abstract: PURPOSE: To explore the effect of experience-based co-design (EBCD) in home enteral nutrition (HEN) for patients with head and neck cancer (HNC) after operation. METHODS: A total of 41 patients with HNC collected in our hospital from May to September 2021 were selected as the control group, and provided with routine enteral nutrition health education and discharge instruction. Meanwhile, another 41 patients with HNC collected from October 2021 to March 2022 were included in the experimental group, and were given EBCD-based HEN as the basis of the scheme in the control group. The nutritional status, self-management efficacy and quality of life of patients in the two groups were compared before discharge as well as 1 month and 3 months after discharge. SPSS 20.0 software package was used for data analysis. RESULTS: Three months after discharge, the PG-SGA score of the patients in the experimental group was better than that of the patients in the control group, and the levels of hemoglobin, serum albumin and total serum protein were significantly higher in the experimental group than those of the control group (P<0.05). Furthermore, the self-management efficacy and quality of life scores of the patients in the experimental group were better than those in the control group at 1 month and 3 months after discharge. There were significant differences in the intervention effect, time effect and interaction effect between the two groups(P<0.05). CONCLUSIONS: HEN based on EBCD contributes to the improvement of the service quality of HEN according to the experience of HEN patients, which effectively improves the nutritional status, quality of life and self-management efficiency of these patients.

Key words: Experience-based co-design, Head and neck cancer, Home enteral nutrition, Self-management efficiency

CLC Number:

R739.8

CHEN Yue, MAO Yan. Application of experience-based co-design in home enteral nutrition for patients with head and neck cancer after operation[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(4): 366-371.

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