IJGPNInternational Journal of General Practice Nursing2981-94152981-9423Bio-Byword Scientific Publishing Pty. Ltd.10.26689/ijgpn.v4i1.14044ArticleThe Impact of PDCA Continuous Quality Improvement on Managing Elderly Patients with Dysphagiahttps://artdesignp.com/journal/IJGPN/4/1/10.26689/ijgpn.v4i1.14044ZhouTing,WangXiaodan2026412026-03-12Objective: To investigate the effect of PDCA continuous quality improvement on the management of elderly patients with dysphagia. Methods: Sixty elderly patients with dysphagia admitted to a hospital between June 2024 and May 2025 were selected and randomly divided into a control group (n=30) and an observation group (n=30) using the mean score method. The control group received routine clinical management. The observation group additionally implemented the Plan-Do-Check-Act (PDCA) continuous quality improvement management. The incidence of aspiration, improvement rate of swallowing function, and patient satisfaction were compared between groups. Results: After intervention, the aspiration incidence in the observation group was 6.67%, significantly lower than the control group’s 30.300% (P<0.05). The overall improvement rate in swallowing function in the observation group was 96.67%, significantly higher than the 73.33% in the control group (P<0.05); The overall satisfaction rate in the observation group was 100%, significantly higher than the 73.33% in the control group (P<0.05). Conclusion: Applying the PDCA cycle to the clinical management of elderly patients with dysphagia effectively reduces aspiration risk, promotes recovery of swallowing function, and significantly enhances patient and family satisfaction, demonstrating positive value for widespread implementation.

Yan XJ, Chen JH, 2025, Application of Aspiration Risk Assessment-guided Rehabilitation Training Combined with Anxiety-identification Nursing in Elderly Patients with Dysphagia Following Intracerebral Hemorrhage. Medical Theory and Practice, 38(20): 3556–3558.

Chen YX, Lin YL, Huang QW, et al., 2025, Scope Review of Longitudinal Studies on Dysphagia in Community-dwelling Older Adults. Military Nursing, 42(10): 79–82.

Ma J, Wang YX, Hu HJ, et al., 2025, Factors Influencing Frailty in Elderly Individuals with Post-Stroke Dysphagia in Nursing Homes and Construction of a Risk Prediction Model. Modern Health Preservation, 25(17): 1335–1341.

Zhao XN, Fu Y, Yang J, et al., 2025, Impact of PDCA Continuous Quality Improvement Management on Blood Collection Room Efficiency in Oncology Hospitals. Heilongjiang Medicine, 38(4): 965–967.

Sun L, Kang TT, Zhao D, et al., 2025, Practice of PDCA Management Model in Nursing Care for Patients with Dysphagia Following Acute Cerebral Infarction. Jiangsu Health Management, 36(4): 512–515.

Liu JL, Wen XY, Zhang HY, et al., 2025, Application Effectiveness of Evidence-Based Nursing in Rehabilitation Training for Elderly Patients with Dysphagia. Contemporary Medical Forum, 23(23): 151–153.

Wang Q, Zhou Q, 2023, Application Value of the FOCUS-PDCA Continuous Quality Improvement Program in Nursing Care for Elderly Cerebral Infarction Patients with Dysphagia. Journal of Modern Chinese-Western Medicine Integration, 32(21): 3063–3066.

Ji YH, Chang ZW, 2021, Effects of PDCA Nursing Intervention on Stigma and Quality of Life in Stroke Patients with Dysphagia. Contemporary Chinese Medicine, 28(35): 227–230.

Li ZJ, Zhao YH, Yu MX, et al., 2024, Interpretation of Guidelines and Expert Consensus on Dysphagia in the Elderly from a Full-Cycle Rehabilitation Perspective. Chinese Medical Journal, 59(11): 1194–1196.

Zhang L, Xu TT, 2024, Application Effectiveness of Failure Mode and Effects Analysis in Preventing Aspiration Pneumonia Among Patients with Post-Stroke Dysphagia Undergoing Intermittent Oral-to-Esophageal Tube Feeding. Clinical Medical Research and Practice, 9(4): 171–174.