Zhang Xuejuan, Lai Min, Wu Donghan, Luo Pidan, Fu Shuixi
Department of Digestive Medicine, Sanya People's Hospital Sanya 572000, Hainan, China.
Department of Oncology, Hainan Cancer Hospital Haikou 570312, Hainan, China.
Am J Transl Res. 2021 Jun 15;13(6):6638-6645. eCollection 2021.
This paper explored and analyzed the effect of 5A nursing intervention on living quality and self-care efficacy of patients undergoing postoperative chemotherapy after hepatocellular carcinoma surgery.
A total of 97 patients with hepatocellular carcinoma hospitalized from March 2017 to June 2019 were chosen as subjects and separated to the control group (n=47) and observation group (n=50) based on the admission time. The control-group received a conventional nursing care mode, and the observation-group was given the 5A nursing care mode in addition to the conventional care mode in the control group. Self-care efficacy, SF-36 quality of life, cancer-related fatigue degree and satisfaction with nursing work of patients pre- and post-intervention were compared between the two groups.
The self-care efficacy of the two groups post-intervention was critically higher than during pre-intervention (P<0.05), and the index of the observation group was significantly higher than that of the control group (P<0.05). The scores in each dimension of life quality in both groups after intervention were remarkably higher than those for pre-intervention (P<0.05), and the index in observation group was notably higher than that in the control group (P<0.05). Cancer-related fatigue degree of the two groups of patients during post-intervention was critically higher than those in pre-intervention (P<0.05), while during post-intervention, the index in control group was notably higher than in observation group (P<0.05). The satisfaction degree of nursing skills, service attitude, health training and hospital condition in the observation group were significantly higher than those in the control group (P<0.05).
The model of 5A nursing intervention can ameliorate the self-care efficacy and living quality of patients undergoing chemotherapy after hepatocellular carcinoma surgery. The intervention can also help alleviate cancer-related fatigue during treatment, and improve the satisfaction degree of patients with nursing care, which is worthy of clinical promotion and application.
探讨并分析5A护理干预对肝癌手术后接受化疗患者生活质量及自我护理效能的影响。
选取2017年3月至2019年6月住院的97例肝癌患者作为研究对象，根据入院时间分为对照组（n = 47）和观察组（n = 50）。对照组采用常规护理模式，观察组在对照组常规护理模式基础上给予5A护理模式。比较两组患者干预前后的自我护理效能、SF - 36生活质量、癌因性疲乏程度及对护理工作的满意度。
两组干预后的自我护理效能均显著高于干预前（P < 0.05），且观察组指标显著高于对照组（P < 0.05）。两组干预后的生活质量各维度得分均显著高于干预前（P < 0.05），且观察组指标显著高于对照组（P < 0.05）。两组患者干预后的癌因性疲乏程度均显著高于干预前（P < 0.05），但干预后对照组指标显著高于观察组（P < 0.05）。观察组在护理技术、服务态度、健康宣教及医院环境方面的满意度显著高于对照组（P < 0.05）。
5A护理干预模式可改善肝癌手术后化疗患者的自我护理效能和生活质量，减轻治疗期间的癌因性疲乏，提高患者对护理工作的满意度，值得临床推广应用。
