A Menu-based Nursing Intervention Using the Health Action Process Approach Model on the Stress Response and Postoperative Rehabilitation after Liver Cancer Surgery

Abstract

We investigated the effects of a menu-based nursing intervention using the health actionprocess approach (HAPA) model on patient stress response and postoperative rehabilitation after livercancer surgery. Methods: We randomly assigned 120 patients with liver cancer to intervention (N=60)or control groups (N=60). Intervention patients received a menu-based nursing intervention using theHAPA model; control patients received routine care. We measured physiological and psychological stressresponses using C-reactive protein (CRP) and cortisol (Cor) levels and the Hamilton anxiety rating scale(HAMA) and the Hamilton depression rating scale (HAMD). Results: Intervention group HAMA and theHAMD scores were lower than the control group’s (p < .05). Postoperative intervention group CRP andCor levels were lower than control group levels at 1 and 3 days (p < .05). Those in the intervention grouphad a shorter time until their first exhaust and meal and a shorter hospital stay than those in the controlgroup (p < .05). Self-management ability and quality of life scores of the intervention group were higherthan for the control group (p < .05). Conclusion: The menu-based nursing intervention using the HAPAmodel can reduce postoperative stress response and complications and accelerate postoperative recovery.