Objective To explore effect of multidisciplinary collaborative nursing model in managing skin complications related to implantable venous access ports (IVAPs) during chemotherapy in cancer patients.
Methods A total of 120 patients with malignant tumors receiving chemotherapy at Beijing Friendship Hospital Affiliated to Capital Medical University, were selected and divided into intervention group and control group, with 60 patients in each group. The control group received the standard nursing care for IVAPs, while the intervention group received a 6-month multidisciplinary collaborative nursing intervention in addition to the standard care. The IVAPs utilization rate, infection rate, psychological status, and hope level scores were compared between the two groups.
Results The IVAP utilization rate was significantly higher in the intervention group (100.0%) than in the control group (66.6%). The infection rate was significantly lower in the intervention group (0%) than in the control group (20.4%). After the intervention, the scores of Self-Rating Anxiety Scale (SAS) (31.63±4.79) and the Self-Rating Depression Scale (SDS) (40.40±7.32) were significantly lower in the intervention group than in the control group (35.14±6.21) and (44.58±6.48), respectively. The intervention group also scored significantly higher on the positive action dimension (12.25±1.48), the intimate relationship dimension (12.73±1.49), and the total score (37.08±3.63) of the hope level scale compared to the control group (11.36±0.88), (12.08±1.51), and (35.52±3.39), respectively.
Conclusion The multidisciplinary collaborative nursing model can significantly increase the utilization rate of IVAPs, reduce the infection rate, improve patients' psychological status, and enhance their hope level.
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