THE EFFECTS OF KNOWLEDGE-ATTITUDE-PRACTICE MODEL NURSING BASED ON MATT TOOL ON DRUG COMPLIANCE, HHI SCORE, AND LIVING QUALITY OF LUNG CANCER PATIENTS UNDERGOING CHEMOTHERAPY

Linfei Wang¹, Jingxiong Zhang², Yan Xu¹, Qingming Xue¹, Wen Meng^{1, *}

¹Department of Thoracic Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medical, Hangzhou 310006, China - ²Department of General Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medical, Hangzhou 310006, China

Objective: To explore the effects of knowledge-attitude-practice (KAP) model nursing based on MOATT tool on drug compliance, Herth Hope Index (HHI) score, and living quality of lung cancer patients undergoing chemotherapy. 

Methods: 95 patients with lung cancer treated in the hospital from January 2017 to December 2019 were chosen as the subjects; they were grouped into two according to the random number table technique. Forty-seven subjects in the control group received routine nursing, while 48 subjects in the study group received the KAP model nursing on the basis of the MOATT tool. The drug compliance, HHI score, living quality, and self-management efficacy before and after the intervention were compared in the groups. 

Results: After the intervention, the scores of Morisky Medication Adherence Scale-8 items (MMAS-8) of the groups were higher than those before the intervention (P<0.05), and the MMAS-8 scores of the study group were higher compared to the control (P<0.05). After the intervention, the HHI scores of the groups were higher than those before the intervention (P<0.05), and the HHI score of the study group was higher compared to the control group (P<0.05). After the intervention, the scores of each dimension and the total score of Functional Assessment of Cancer Therapy-Lung (FACT-L) of the groups were higher than those before the intervention (P<0.05), and the scores of each dimension and the total score of FACT-L of the study group were higher than those of the control group (P<0.05). After the intervention, the score of each dimension and the total score of cancer self-management efficacy scale of the groups were higher than those before the intervention (P<0.05), and the score of each dimension and the total score of cancer self-management efficacy scale of the study group were higher compared to the control (P<0.05). 

Conclusion: The KAP model nursing on the basis of the MOATT tool can significantly improve the drug compliance, living quality, hope level, and self-management efficiency of lung cancer patients undertaking chemotherapy.