The Effect of Nursing Management of Patients Undergoing Interventional Therapy for Liver Cancer Compared with Standard Care on Patient-Reported Outcomes
Restricted accessResearch articleFirst published online July, 2022
The Effect of Nursing Management of Patients Undergoing Interventional Therapy for Liver Cancer Compared with Standard Care on Patient-Reported Outcomes
To investigate the efficacy of individualized symptom management based on patients’ self-reports during interventional therapy (IT) for liver cancer.
Methods:
Patients with liver cancer who recieved IT from April to August 2019 were assigned to either the intervention (n=70) or control group (n=70). The control group received routine nursing care and the intervention group received a nursing management program. The severity of specific symptoms, as measured by the Karnofsky Performance Scale (KPS), and satisfaction with nursing care, were analyzed.
Results:
Compared to the control group, patients given individualized management experienced significantly less severe pain, nausea, anxiety, and fatigue (p < .05). The scores for KPS and satisfaction with care were both significantly improved in the intervention group than in the control group (p < .05).
Conclusion:
This high-quality nursing management program predicated on patients’ self-reports is worthy of clinical application and popular adoption.
AbedJ.DolanL.JonesJ.DinniwellR. (2019). Impact of self-reported exercise on recounted levels of fatigue and anxiety in early-stage breast cancer radiation therapy patients. Journal of Medical Imaging and Radiation Sciences, 50(2), 227–233. https://doi.org/10.1016/j.jmir.2018.12.001
2.
AlexanderK.GoldbergJ.Korc-GrodzickiB. (2016). Palliative care and symptom management in older patients with cancer. Clinics in Geriatric Medicine, 32(1), 45–62. https://doi.org/10.1016/j.cger.2015.08.004
3.
AnwanwanD.SinghS. K.SinghS.SaikamV.SinghR. (2020). Challenges in liver cancer and possible treatment approaches. Biochimica et Biophysica Acta (BBA)—Reviews on Cancer, 1873(1), 188314. https://doi.org/10.1016/j.bbcan.2019.188314.
4.
AzzaniM.RoslaniA. C.SuT. T. (2015). The perceived cancer-related financial hardship among patients and their families: A systematic review. Support Care Cancer, 23(3), 889–898. https://doi.org/10.1007/s00520-014-2474-y
5.
BaschE.BarberaL.KerriganC. L.VelikovaG. (2018). Implementation of patient-reported outcomes in routine medical care. American Society of Clinical Oncology, 38, 122–134. https://doi.org/10.1200/edbk_200383
6.
BrayF.FerlayJ.SoerjomataramI.SiegelR. L.TorreL. A.JemalA. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/caac.21492
7.
CarrascoS.SymesL. (2018). Patient use of electronic methods to self-report symptoms: An integrative literature review. Oncology Nursing Forum, 45(3), 399–416. https://doi.org/10.1188/18.Onf.399-416
8.
ChanS. L.YeoW. (2012). Targeted therapy of hepatocellular carcinoma: Present and future. Journal of Gastroenterology and Hepatology, 27(5), 862–872. https://doi.org/10.1111/j.1440-1746.2012.07096.x
9.
ChaoY.WuC. Y.KuoC. Y.WangJ. P.LuoJ. C.KaoC. H.. . .LiC. P. (2013). Cytokines are associated with postembolization fever and survival in hepatocellular carcinoma patients receiving transcatheter arterial chemoembolization. Hepatology International, 7(3), 883–892. https://doi.org/10.1007/s12072-012-9409-9
10.
ChenK.FengY.YuanY.LiY.SunL. (2020). Analysis of the application effect of pain nursing in patients with liver cancer intervention (in Chinese). Clinical Study, 28(09), 182–183.
11.
ChoJ. H.KooJ. Y.KimK. O.LeeS. H.JangB. I.KimT. N. (2018). On-demand versus half-dose continuous therapy with esomeprazole for maintenance treatment of gastroesophageal reflux disease: A randomized comparative study. Medicine (Baltimore), 97(43), e12732. https://doi.org/10.1097/md.0000000000012732
FallerH.BrählerE.HärterM.KellerM.SchulzH.WegscheiderK.. . .MehnertA. (2015). Performance status and depressive symptoms as predictors of quality of life in cancer patients. A structural equation modeling analysis. Psychooncology, 24(11), 1456–1462. https://doi.org/10.1002/pon.3811
14.
GivenB.GivenC.AzzouzF.StommelM. (2001). Physical functioning of elderly cancer patients prior to diagnosis and following initial treatment. Nursing Research, 50(4), 222–232. https://doi.org/10.1097/00006199-200107000-00006
15.
GouY.YiJ.JiangM.CaoC. (2019). Analysis on effects of comprehensive nursing care applied in interventional therapy for patients with liver cirrhosis and liver cancer. Iranian Journal of Public Health, 48(3), 494–500.
16.
HanK.KimJ. H. (2015). Transarterial chemoembolization in hepatocellular carcinoma treatment: Barcelona clinic liver cancer staging system. World Journal of Gastroenterology, 21(36), 10327–10335. https://doi.org/10.3748/wjg.v21.i36.10327.
JingJ. L. S.GuoyunZ. (2020). A study on the efficacy of high-quality nursing on alleviating adverse reactions and cancer pain, and its effect on QOL of patients with liver cancer after interventional surgery. International Journal of Clinical and Experimental Medicine, 13, 925–932.
19.
KeaneM. G.PereiraS. P. (2013). Improving detection and treatment of liver cancer. Practitioner, 257(1763), 21–26, 22–23.
20.
KirchnerT.MarquardtS.WernckeT.KirsteinM. M.BrunkhorstT.WackerF.. . .RodtT. (2019). Comparison of health-related quality of life after transarterial chemoembolization and transarterial radioembolization in patients with unresectable hepatocellular carcinoma. Abdominal Radiology (NY), 44(4), 1554–1561. https://doi.org/10.1007/s00261-018-1802-y
21.
LiuX.BaeckerA.WuM.ZhouJ. Y.YangJ.HanR. Q.. . .ZhangZ. F. (2019). Raw garlic consumption and risk of liver cancer: A population-based case-control study in eastern china. Nutrients, 11(9). https://doi.org/10.3390/nu11092038
22.
LiuZ.SuoC.MaoX.JiangY.JinL.ZhangT.ChenX. (2020). Global incidence trends in primary liver cancer by age at diagnosis, sex, region, and etiology, 1990-2017. Cancer, 126(10), 2267–2278. https://doi.org/10.1002/cncr.32789
23.
LuanL.WangL. (2019). Observation of nursing effect for patients with primary liver cancer before and after transcatheter arterial embolization. Pakistan Journal of Pharmaceutical Sciences, 32(5(Special)), 2455–2458.
24.
LundtA.JentschkeE. (2019). Long-term changes of symptoms of anxiety, depression, and fatigue in cancer patients 6 months after the end of yoga therapy. Integrative Cancer Therapies, 18, 1534735418822096. https://doi.org/10.1177/1534735418822096
25.
NajafiS.HaghighatS.Raji LahijiM.RazmPooshE.ChamariM.AbdollahiR.. . .ZarratiM. (2019). Randomized study of the effect of dietary counseling during adjuvant chemotherapy on chemotherapy induced nausea and vomiting, and quality of life in patients with breast cancer. Nutrition and Cancer, 71(4), 575–584. https://doi.org/10.1080/01635581.2018.1527375
26.
OthmanE. H.ShatnawiF.AlrajabiO.AlshraidehJ.A. (2020) Reporting nursing interventions classification and nursing outcomes classification in nursing research: A systematic review. International Journal of Nursing Knowledge, 31(1), 19–36. https://doi.org/10.1111/2047-3095.12265
27.
PrichardD.NortonC.BharuchaA. E. (2016). Management of opioid-induced constipation. The British Journal of Nursing, 25(10), S4–5, s8–11. https://doi.org/10.12968/bjon.2016.25.10.S4
28.
RaoulJ. L.FornerA.BolondiL.CheungT. T.KloecknerR.de BaereT. (2019). Updated use of TACE for hepatocellular carcinoma treatment: How and when to use it based on clinical evidence. Cancer Treatment Reviews, 72, 28–36. https://doi.org/10.1016/j.ctrv.2018.11.002
29.
Romero-GarcíaM.de la Cueva-ArizaL.Benito-AracilL.Lluch-CanutT.Trujols-AlbetJ.Martínez-MomblanM. A.. . .Delgado-HitoP. (2018). Nursing intensive-care satisfaction scale [nicss]: Development and validation of a patient-centred instrument. Journal of Advanced Nursing, 74(6), 1423–1435. https://doi.org/10.1111/jan.13546
30.
SavardJ.IversH.SavardM. H.MorinC. M. (2015). Cancer treatments and their side effects are associated with aggravation of insomnia: Results of a longitudinal study. Cancer, 121(10), 1703–1711. https://doi.org/10.1002/cncr.29244
31.
ShimJ. H.ParkJ. W.ChoiJ. I.KimH. B.LeeW. J.KimC. M. (2009). Does postembolization fever after chemoembolization have prognostic significance for survival in patients with unresectable hepatocellular carcinoma?Journal of Vascular and Interventional Radiology, 20(2), 209–216. https://doi.org/10.1016/j.jvir.2008.10.021
32.
ThoroddsenA. (2005). Applicability of the nursing interventions classification to describe nursing. Scandinavian Journal of Caring Sciences, 19(2), 128–139. https://doi.org/10.1111/j.1471-6712.2005.00332.x.
33.
XieZ. R.LuoY. L.XiaoF. M.LiuQ.MaY. (2015). Health-related quality of life of patients with intermediate hepatocellular carcinoma after liver resection or transcatheter arterial chemoembolization. Asian Pacific Journal of Cancer Prevention, 16(10), 4451–4456. https://doi.org/10.7314/apjcp.2015.16.10.4451
34.
Yıldız ÇeltekN.SürenM.DemirO.Okanİ. (2019). Karnofsky performance scale validity and reliability of turkish palliative cancer patients. Turkish Journal of Medical Sciences, 49(3), 894–898. https://doi.org/10.3906/sag-1810-44
35.
ZhangJ.YangL.WangX.DaiJ.ShanW.WangJ. (2020). Inpatient satisfaction with nursing care in a backward region: A cross-sectional study from northwestern China. BMJ Open, 10(9), e034196. https://doi.org/10.1136/bmjopen-2019-034196
36.
ZhangQ.WanR.LiuC. (2020). The impact of intense nursing care in improving anxiety, depression, and quality of life in patients with liver cancer: A systematic review and meta-analysis. Medicine (Baltimore), 99(34), e21677. https://doi.org/10.1097/md.0000000000021677
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