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

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.