Effect of the Internet+ 5A nursing model on patients with middle- and late-stage digestive tract tumors pain

Abstract

BACKGROUND

Patients diagnosed with middle- and late-stage digestive tract tumors often experience persistent pain, which seriously affects their quality of life (QoL) and treatment adherence. Although traditional nursing models of pain management rely primarily on regular assessments by medical personnel and simple pharmacological interventions, they lack attention to patients’ individualized needs and continuous nursing support. However, the development of “Internet+” technologies and the 5A (Ask, Assess, Advise, Assist, And Arrange) nursing model, along with their application medical care, has gradually attracted attention.

AIM

To explore the effect of the Internet+ 5A nursing model on patients experiencing middle- and late-stage digestive tract tumor pain.

METHODS

One hundred patients experiencing pain from middle- and late-stage digestive tract tumors were prospectively divided into two groups: control [routine pain management (n = 50)] and observation [Internet+ 5A nursing model (n = 50)]. The Numerical Rating Scale (NRS), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), Chinese Version of the Self-Management Efficacy Scale for Cancer Patients (C-SUPPH), and Chinese Version of the American Pain Society Patient Outcome Questionnaire (APS-POQ-C) scores were compared between the groups.

RESULTS

After 1 month of nursing intervention, the NRS score of the observation group was significantly lower than that of the control group (P < 0.05). Both groups exhibited significant improvements in all items of the EORTC QLQ-C30 scale (P < 0.05); however, the observation group exhibited higher scores in cognitive, role, emotional, physical, and social functions (P < 0.05). After one month of treatment, the increases in all C-SUPPH scores in the observation group were greater than those in the control group (P < 0.05). Moreover, the observation group had lower scores for pain intensity, activity interference, sleep interference, emotion, and adverse reactions related to pain treatment drugs on the APS-POQ-C scale, with a higher score for pain management perception than the control group (P < 0.05).

CONCLUSION

The Internet+ 5A nursing model reduces pain intensity in patients with middle- and late-stage digestive tract tumors, improves enhances QoL, thereby supporting its implementation in clinical practice.

Keywords: Internet+; 5A nursing model; Middle- and late-stage digestive tract tumors; Pain; Numerical Rating Scale; European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30; Chinese Version of the Self-Management Efficacy Scale for Cancer Patients; Chinese Version of the American Pain Society Patient Outcome Questionnaire

Core Tip: This study investigates the effect of the Internet+ 5A nursing model on patients with middle- and late-stage digestive tract tumors pain. A prospective study of 100 patients demonstrated that the intervention group, compared to the control group receiving routine care, yielded superior outcomes. Specifically, it significantly reduced pain intensity (Numerical Rating Scale), and enhanced overall quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30). The model also boosted self-management efficacy and improved various patient-reported outcomes. The Internet+ 5A nursing model is concluded to be effective and merits clinical application.