Application and Effect Evaluation of the Integrated “5A and 3+3” Management Model in the Safe Medication Use for Chemotherapy Patients
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Keywords

Intravenous chemotherapy
Safe medication
Adverse drug reactions
“5A” management
“3 3” management

DOI

10.26689/jcnr.v8i9.8361

Submitted : 2024-08-28
Accepted : 2024-09-12
Published : 2024-09-27

Abstract

Objective: To explore the application and effect evaluation of the integrated “5A and 3+3” management model in ensuring safe medication use for chemotherapy patients. Methods: A total of 100 intravenous chemotherapy patients admitted to the oncology department of Shaanxi Provincial People’s Hospital were randomly divided into two groups using a random number list method. Both groups received conventional nursing management during chemotherapy, while the study group additionally received the integrated “5A and 3+3” safety management model. The nursing intervention effects between the two groups were compared. Results: After the intervention, the study group showed higher levels of self-management ability, compliance, and nursing satisfaction compared to the control group. The overall incidence of adverse events during hospitalization was lower in the study group, with statistically significant differences (P < 0.05). The knowledge scores of medical staff in the study group, related to the prevention and treatment of chemotherapy drug side effects, daily symptom management, and daily life management, were higher than those in the control group, with statistically significant differences (P < 0.05). Conclusion: Implementing the integrated “5A and 3+3” model in the safe medication management of intravenous chemotherapy patients can effectively enhance patients’ self-management abilities and compliance, improve medical staff’s ability to safely administer chemotherapy drugs, reduce adverse events caused by chemotherapy, and increase patient satisfaction.

References

Galal HSM, Mohamed ZAE, Azer SZ, et al., 2023, Effect of Designing Nursing Training Program on Nurses to Minimize Patients’ Complications of Chemotherapy Extravasation. Assiut Scientif Nur J, 11(37): 97–107. https://doi.org/10.21608/asnj.2023.208982.1582

Karius DL, Colvin CM, 2021, Managing Chemotherapy Extravasation Across Transitions of Care: A Clinical Nurse Specialist Initiative. J Infus Nurs, 44(1): 14–20. https://doi.org/10.1097/NAN.0000000000000411

Bauters T, Clottens N, Albert-Mari MA, 2024, Extravasation of Monoclonal Antibodies Commonly Used in Oncology: Classification, Management and the Role of the Pharmacist. J Oncol Pharm Pract, 30(3): 488–492. https://doi.org/10.1177/10781552231178674

Elsayed DM, Badran H, El Zaafarany M, et al., 2024, Enhancement of Oncology Nurses’ Competency Regarding Management of Intravenous Chemotherapy Extravasation. Mans Nurs J, 11(1): 439–446. https://doi.org/10.21608/mnj.2024.350496

Gao S, Yan K, Xia L, 2023, Design and Application of An Intelligent Module for Safe Administration of Intravenous Chemotherapy Based on HFMEA Model. China Clinical Research, 36(2): 316–320.

Xu Y, Yang J, 2022, The Effect of 5A Nursing Combined with Psychological Nursing on the Immune Function, Cancer-Related Fatigue and Complications of Patients Undergoing Radical Resection of Colorectal Cancer. Cell Mol Biol (Noisy-le-grand), 68(1): 169–176. https://doi.org/10.14715/cmb/2022.68.1.21

Chen F, Liu Y, Bian J, 2023, Clinical Efficacy of PD-1 Inhibitor Treatment in Patients with Hepatocellular Carcinoma and The Predictive Value of ECOG-PS Score Combined with Child-Pugh Grading for Tumor Hyperprogression. Guangxi Medicine, 45(15): 1800–1806.

He X, Xu J, Liu D, et al., 2023, A Study on the Impact of Symptom Management-Based Nursing Support Model on Chemotherapy Patients with Breast Cancer Implanted in Infusion Port. Journal of Nurse Advancement, 38(24): 2308–2312 + 2326.

Li X, Jia S, 2023, Application Effect of Daytime Chemotherapy Ward in Hematological Oncology Patients and Its Impact on Chemotherapy Compliance and Work Quality. Laboratory Medicine and Clinics, 20(2): 252–255.

Qiao M, Li D, Hui N, et al., 2020, Effect of Self-Management Education on Self-Management Ability, Chemotherapy Adherence and Complications in Patients Undergoing Transperipheral Venous Puncture Central Venous Cannulation Chemotherapy for Breast Cancer. Cancer Progress, 18(24): 2582–2585.

Zhang L, Heng Y, Hu H, 2019, Research Progress on Factors Influencing Adherence to Oral Chemotherapeutic Agents in Oncology Patients. Journal of Nurse Advancement, 34(5): 422–425.

Bayram SB, Gulnar E, Akbayturk N, et al., 2023, Incidence of Infiltration and Phlebitis and Risk Factors Among Chemotherapy Patients: An Observational Prospective Cohort Study. Journal of Nursology, 26(1): 18–26. https://doi.org/10.5152/JANHS.2023.2287143

Han B, Wei M, Tang S, et al., 2023, Analysis of the Current Situation of Nurses’ Medication Safety Competence and Its Influencing Factors in Secondary and Above Medical Institutions. China Nursing Management, 23(7): 979–983.

Liu P, Feng Q, Cai P, et al., 2023, Current Status and Influencing Factors of Clinical Nurses’ Medication Safety Competence. Nursing Research, 37(17): 3106–3110.

Yu F, Jia S, Li H, et al., 2023, Pathway Analysis of the Current Status and Influencing Factors of Clinical Nurses’ Medication Safety Competence. Journal of Nursing, 38(14): 59–62 + 80.

Keivan S, Shariati A, Miladinia M, et al., 2023, Role of Self-Management Program Based on 5A Nursing Model in Quality of Life Among Patients Undergoing Hemodialysis: A Randomized Clinical Trial. BMC Nephrol, 24(1): 58. https://doi.org/10.1186/s12882-023-03108-2

Elsobky FA, Darweesh HAM, Alzahrani SHA, et al., 2022, The Impact of a Self-Management Program Based on the 5 A’s Model on Type 1 Diabetes in School-Aged Children. Ann Nutr Metab, 78(4): 197–206. https://doi.org/10.1159/000524590