ArticleJournal of multidisciplinary healthcare2026
Impact of LEARNS Model-Based Health Education on Swallowing Safety and Psychological Well-Being in Postoperative Esophageal Cancer Patients.
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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Abstract
Objective: This study aims to evaluate the effects of health education grounded in the LEARNS model on the swallowing safety and psychological well-being of patients following radical esophageal cancer surgery. Methods: A randomized controlled trial was conducted. A convenience sampling method was employed to select 60 patients who underwent radical esophageal cancer surgery between July and December 2023 from a Grade III-A general hospital in Wuhan. Participants were randomly assigned to either a control group (n=30), which received standard health education, or an intervention group (n=30), which received LEARNS model-based health education. Primary outcomes included swallowing function and oral feeding ability; secondary outcomes comprised psychological status and satisfaction with health education. Outcomes were assessed one month post-discharge, and satisfaction was evaluated on the day of discharge. Results: Following the intervention, the intervention group demonstrated statistically significant improvements in swallowing function (SSA score: 21.86±4.13 vs 23.34±2.42, P<0.05), oral intake ability (FOIS score: 7.25±1.07 vs 6.92±1.44, P<0.05), psychological distress (DT score: 5.45±1.94 vs 6.38±1.30, P<0.05), and satisfaction with health education (total score: 21.90±1.86 vs 17.40±3.38, P<0.05) compared to the control group. Conclusion: The LEARNS-based health education approach may improve swallowing function, oral feeding ability, psychological status, and education satisfaction in postoperative esophageal cancer patients during short-term follow-up. These findings should be interpreted with caution due to the single-center design and limited sample size.
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