关键词: 吞咽障碍；护理门诊；高级临床护理实践角色发展及评价模式；肿瘤护理

Abstract: Objective: To explore the operational model and management strategies of an oncology dysphagia nursing clinic, and to evaluate its effects on patients' outcomes. Methods: Based on the model of Participatory, Evidence-based, Patient-centered Process for APN role development, implementation, and evaluation (PEPPA), a needs analysis was conducted among oncology dysphagia patients and healthcare providers. Guided by this framework, an online-offline integrated oncology dysphagia nursing clinic was launched in June 2023. Certified practitioners performed standardized screening, developed comprehensive rehabilitation plans, and tracked patients' outcomes, achieving integrated specialized care encompassing dysphagia screening, assessment, planning, implementation, follow-up, and referral. The quality improvement strategies included establishing clinic protocols, forming a multidisciplinary team, enhancing institutional support, and strengthening reporting. Key outcomes monitored were oral intake recovery rates and aspiration pneumonia incidence. Results: Post-implementation, 41 patients (80.4%) achieved oral intake functional recovery, with significant improvement in swallowing function compared to that of baseline (P<0.05). Aspiration pneumonia incidence during home care was 2.0% (1/51). Conclusion: The oncology dysphagia nursing clinic effectively promotes functional recovery in cancer patients with swallowing disorder and advanced specialized oncology nursing practices.

Key words: swallowing disorders; nursing clinic; PEPPA model; oncology nursing