The Impact of Multidisciplinary Educational Team-Based  Clinical Nursing Pathway on the Psychological Resilience, Treatment Adherence, Pain Management and Quality of Life in Cancer Patients

Xue  Wang; Hui  Wang; Jing  He; Xia  Li; Yanhong  Cang

doi:10.18502/ijph.v53i4.15567

Xue Wang Jiangsu College of Nursing, Jiangsu, China
Hui Wang Department of Nursing, Huai’an Second People’s Hospital (The Affiliated Huaian Hospital of Xuzhou Medical University), Jiangsu, China
Jing He Department of Nursing, Huai’an Second People’s Hospital (The Affiliated Huaian Hospital of Xuzhou Medical University), Jiangsu, China
Xia Li Department of Orthopedics, Huai’an Second People’s Hospital (The Affiliated Huaian Hospital of Xuzhou Medical University), Jiangsu, China
Yanhong Cang Department of Nursing, Huai’an Second People’s Hospital (The Affiliated Huaian Hospital of Xuzhou Medical University), Jiangsu, China

DOI: https://doi.org/10.18502/ijph.v53i4.15567

Keywords: Cancer; Treatment adherence; Pain management; Psychological resilience; Quality of life

Abstract

Background: We aimed to investigate the impact of multidisciplinary educational team-based clinical nursing pathway on the psychological resilience, treatment adherence, pain management and quality of life in cancer patients.

Methods: From 2019 to 2020, eighty two cancer patients were selected and randomly divided into the control group and the observational group. Both groups were treated with routine oncology nursing and the multidisciplinary educational team-based clinical nursing pathway, respectively. Psychological resilience, pain management and qualify of life were assessed by the Chinese version of the Connor-Davidson resilience scale, revised American Pain Society Patient Outcome Questionnaire and the Nottingham health profile, respectively. Treatment adherence was semi-quantitatively classified as “good”, ”fair” and “bad”.

Results: Patient’s psychological resilience, compliance, pain outcome and quality of life were similar between the control group and the observational group on admission. Patient’s psychological resilience, compliance and pain outcome in the observational group were significantly superior to those in the control group one day prior to discharge and 2 months post-discharge (all P<0.05). The scores of energy, emotions, sleep and mobility were significantly different between the observational group and the control group one day prior to discharge and 2 months post-discharge (all P<0.05). Significant improvements were observed with regard to the scores of energy, sleep and mobility in the control group 2 months post-discharge, whereas the scores of energy, emotions, sleep and mobility improved dramatically in the observational group (all P<0.05).

Conclusion: Compared with routine oncology nursing, multidisciplinary educational team-based clinical nursing pathway could improve patient’s psychological resilience, treatment adherence, pain management and quality of life.