Abstract: PURPOSE: To evaluate the application effect of home nursing model of tracheotomy based on "4C" concept in discharged patients with oral and maxillofacial head and neck tumors with tracheotomy tubes. METHODS: A total of 133 patients with tracheotomy and their caregivers who were discharged from the Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from August 2022 to March 2023 were selected by convenience sampling method and divided into the control group(n=67) and the experimental group(n=66) according to the hospital ward. The control group was treated with routine discharge nursing and follow-up, and the experimental group was treated with home nursing model of tracheotomy based on "4C" concept. Caregiver ability, caregiver burden and incidence of adverse events at home were compared 2 weeks, 1 month and 3 months after discharge. SPSS 26.0 software package was used for data analysis. RESULTS: The age of patients in the control group was (57.42±14.50) years, and the age of caregivers was (50.88±14.54) years. The age of the patients in the experimental group was (56.92±13.89) years, and age of the caregivers was (53.77±13.47) years. At 2 weeks, 1 month and 3 months after discharge, the scores of caregiving ability and caregiving burden of the the experimental group were significantly lower than those of the control group(P<0.01). The incidence of airway-related complications in the experimental group was significantly lower than that in the control group 3 months after discharge(P<0.01). CONCLUSIONS: Home nursing model of tracheotomy based on "4C" concept can improve the caring ability of caregivers of discharged patients with oral and maxillofacial head and neck tumors with tubes, reduce the burden of care, and the incidence of airway-related complications at home.

Key words: Tracheotomy, Home care, Oral and maxillofacial head and neck tumors, Family caregivers, Caring ability, Care burden, Complications