Effects of eight-step process and four-track cross check quality control in postoperative care for patients with glioma

Abstract

Objective To explore the effects of eight-step process and four-track cross check quality control in postoperative care for patients with glioma. Methods Totally 126 patients with glioma who received surgery in the Second Affiliated Hospital of Hainan Medical University from December 2015 to December 2018 were selected for this prospective study, and divided into the observation group (n=63) and the control group (n=63) according to the random number table. Patients in the observation group received nursing intervention based on the eight-step process combined with the four-track cross check quality control, while patients in the control group received routine nursing after operation. The incidence of adverse nursing events and postoperative complications, rehabilitation indicators, psychological status (SAS, SDS) , cancer-related fatigue (CRF) and quality of life scores were compared between the two groups. Results The incidence of adverse nursing events in the observation group was 7.94% (5/63) , lower than 20.63% (13/63) in the control group (P<0.05) . The incidence of complications in the observation group was 11.11% (7/63) , lower than 25.40% (16/63) in the control group (P<0.05) . The first feeding time, ureteral removal time, the first time to get out of bed, and the length of hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05) . After intervention, the Self-Anxiety Scale (SAS) and Self-Depression Scale (SDS) scores of both groups decreased (P<0.05) , and the SAS and SDS scores of the observation group were lower than those of the control group (P<0.05) . The physical, emotional, and cognitive fatigue scores in the CRF scale of both groups were reduced (P<0.05) , and the scores of the observation group were lower than those of the control group (P<0.05) . After intervention, the physical, cognitive, emotional and social function as well as overall health status scores in the quality of life scale of both groups increased (P<0.05) , and the physical, emotional, social function and overall health status scores of the observation group were higher than those of the control group, with statistically significant differences (P<0.05) . Conclusions The eight-step process combined with the four-track cross check quality control for postoperative care of patients with glioma can reduce the incidence of adverse nursing events and complications, alleviate negative emotions of patients, ameliorate CRF, and improve their quality of life. Key words: Neuroglioma; Neurosurgery; Postoperative complication; Cancer-related fatigue; Quality of life; Eight-step process; Four-track cross check quality control