Application of three-dimensional quality assessment model of structure-process-outcome in continuous nursing of elderly patients with lung cancer after operation

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. Key words: Lung neoplasms; Quality of life; Structure-process-outcome; Three-dimensional quality assessment model; Continuous care; Sense of self-efficacy