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The application of the PDCA cycle in the nutritional management of patients with nasopharyngeal carcinoma

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Abstract

Objective

This study is to explore the effect of the Plan-Do-Check-Act (PDCA) cycle on the nutritional management of patients with nasopharyngeal carcinoma (NPC).

Methods

A total of 100 NPC patients were randomly divided into a control group and a PDCA group, with 50 patients in each group. The control group adopted a routine nutritional management strategy, and the PDCA group adopted a PDCA cycle management strategy. The body weight, body mass index (BMI), hemoglobin, serum prealbumin, serum albumin, the Patient-Generated Subjective Global Assessment (PG-SGA) score, the Nutrition Risk Screening 2002 (NRS-2002) score, the incidence rate of nutritional risk, the grade of malnutrition, and the grade of oral mucositis were compared between the two groups.

Results

The body weight, BMI, and serum prealbumin in the PDCA group were higher than those in the control group, and the difference was statistically significant (p < 0.05). The NRS2002 score and PG-SGA score in the PDCA group were lower than those in the control group, and the differences were statistically significant (p < 0.05). The incidence of nutritional risk, the grade of malnutrition, and the grade of oral mucositis were less in the PDCA group than those in the control group (p < 0.05). There was no significant difference in hemoglobin and serum albumin between the two groups (p > 0.05).

Conclusion

The PDCA cycle can improve body weight, BMI, and serum prealbumin in NPC patients. It can reduce the NRS2002 score, the PG-SGA score, the incidence of nutritional risk, the severity of malnutrition, and the severity of oral mucositis in NPC patients.

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Acknowledgements

The authors thank all participants for their time and assistance.

Funding

The study is financially supported by the Guangxi Medical University 2022 Innovation and Entrepreneurship Training Program Project (No. 202210598019) and the Self-raised Scientific Research Fund of the Health and Family Planning Commission of the Guangxi Zhuang Autonomous Region (No. Z2016345).

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Author notes

  1. Xiaofen Zeng and Xueling Huang contributed equally to this work. 

Authors and Affiliations

  1. Department of Radiotherapy, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China

    Xiaofen Zeng, Xueling Huang, Jinlian Liao, Liucong Wu, Jieying Liu, Hualin Wu & Rongsa Wei

  2. Nursing College of Guangxi Medical University, Nanning, Guangxi, China

    Pengpeng Wang

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  1. Xiaofen Zeng
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  2. Xueling Huang
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Contributions

Study design: Xiaofen Zeng, Xueling Huang, Pengpeng Wang, Jinlian Liao. Data collection and analysis: Xiaofen Zeng, Xueling Huang, Liucong Wu, Jieying Liu, Hualin Wu, Rongsa Wei. Manuscript preparation, drafting and revising: Pengpeng Wang, Xiaofen Zeng, Xueling Huang, Jinlian Liao, Liucong Wu. All authors reviewed the manuscript.

Corresponding author

Correspondence to Pengpeng Wang.

Ethics declarations

Ethics approval and consent to participate

The Medical Ethics Committee of the First Affiliated Hospital of Guangxi Medical University approved this study (NO. 2022-KT-Gui Wei-005). Participation was voluntary, and the subjects provided a written consent. The subjects had the right to refuse participation at all phases of the study.

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All authors consent for publication.

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The authors declare no competing interests.

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Zeng, X., Huang, X., Wang, P. et al. The application of the PDCA cycle in the nutritional management of patients with nasopharyngeal carcinoma. Support Care Cancer 31, 251 (2023). https://doi.org/10.1007/s00520-023-07724-4

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