ArticleJournal of multidisciplinary healthcare2026
Application of the Plan-Do-Check-Act Cycle in Reducing the Incidence of Dysphagia in Oral Cancer Patients After Radical Surgery.
Article in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: The incidence of postoperative dysphagia in oral cancer patients is high, significantly impacting their quality of life. This study aimed to investigate the efficacy of a PDCA cycle in reducing the incidence of postoperative dysphagia in oral cancer patients. Methods: A non-synchronous pre-post control design was employed. From January to June 2024, 120 patients undergoing radical surgery for oral cancer were assigned to the control group, receiving routine care. While 120 patients admitted between July and December 2024 formed the observation group, receiving multidisciplinary swallowing rehabilitation management based on the Plan-Do-Check-Act (PDCA) cycle. Primary outcomes comprised the incidence of moderate-to-severe dysphagia at 1, 2, and 4 weeks post-surgery. Secondary outcomes included length of hospital stay, hospital costs, and nasogastric tube retention duration. Results: There were no statistically significant differences between the two groups in terms of demographic and clinical characteristics. The proportions of patients with moderate to severe dysphagia 12.5% and 10%, preoperatively (P > 0.05). The observation group exhibited significantly lower rates of moderate-to-severe dysphagia at 2 weeks (50% vs.72.5%) and 4 weeks (27.5% vs 60%) postoperatively compared to the control group (p < 0.05). The observation group exhibited significantly reduced hospital stays (15.73 ± 6.217 vs 20.63 ± 2.713), lower hospital costs (4.30± 1.930 vs 5.16 ± 1.889), and shorter nasogastric tube retention times (13.07 ± 1.465 vs 15.08 ± 1.612) (p < 0.05). Conclusion: The PDCA cycle management model, through systematic and standardized multidisciplinary collaboration, effectively reduces the incidence of moderate-to-severe dysphagia in oral cancer patients postoperatively. It promotes recovery of swallowing function, shortens hospital stays, and reduces medical costs, thereby serving as an effective method for improving the quality of dysphagia management following oral cancer surgery.
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