Tumor patients are at a higher risk of falls compared to other patients due to the disease itself and treatment side effects. This study aimed to explore the application effect of the Teach-back health education model combined with the PDSA (Plan-Do-Study-Act) cycle in reducing the incidence of falls among tumor patients during hospitalization.
Methods: This study adopted a non-concurrent pre-post intervention experimental design, selecting tumor patients as the research subjects. The intervention group received the Teach-back health education model integrated with the PDSA cycle for systematic implementation. In the "Plan" phase, educational objectives and content were clarified, and targeted educational materials were designed. In the "Do" phase, the educational steps were implemented through a complete process of "Preparation-Education-Teach-back-Feedback-Reinforcement," with detailed core actions for each step. In the "Study" phase, the accuracy of patients' teach-back content was assessed to analyze gaps in understanding. In the "Act" phase, educational strategies were promptly adjusted and optimized based on feedback, forming a continuous improvement loop. The control group received conventional health education. The intervention effect was evaluated by comparing indicators such as fall incidence and patient satisfaction between the two groups.
Results: After implementing Teach-back health education combined with the PDSA cycle, the fall incidence rate in the intervention group was 0.067‰, which was lower than the control group's rate of 0.366‰, with the difference being statistically significant (P < 0.05). Patient satisfaction in the intervention group (99.918%) was significantly higher than that in the control group (99.740%), with the difference being statistically significant (P < 0.05).
Conclusion: The Teach-back health education model combined with the PDSA cycle can effectively improve tumor patients' mastery of fall prevention knowledge, reduce the incidence of falls during hospitalization, enhance patient satisfaction and safety management levels, demonstrating clinical application value.