The Effect of Nursing Management of Patients Undergoing Interventional Therapy for Liver Cancer Compared with Standard Care on Patient-Reported Outcomes

Abstract

Background: 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 received IT at First Affiliated Hospital of ****** University from April to August 2019 were apportioned to either an intervention or control group ( n = 70 each). 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.

Pre- and post-operative comprehensive nursing care versus conventional nursing care: An evaluation of quality of life, postoperative pain, adverse effects, and treatment satisfaction of patients who underwent surgeries and interventional therapies for liver cancer

“…The results of the overall personal satisfaction score of liver cancer patients in the current study are consistent with those of a pilot study, [2] a retrospective analysis, [9] and an observational study. [13] Pre-and post-operative comprehensive nursing care is superior to conventional nursing care in liver cancer patients who underwent surgeries following interventional therapies including chemotherapies and radiotherapies for liver cancer. Fever, bleeding, urinary retention, gastrointestinal disturbance, and hepatic and renal impairments were reported in patients of the NNC cohort.…”

“…The results of outcome measures of patients in the current study were consistent with those of a cross-sectional study, [ 12 ] a systematic review, [ 10 ] and a observational study. [ 13 ] Generally, preferred therapies for liver cancer are surgical resection followed by chemoradiotherapies and frequent doses of chemoradiotherapies are required for prognosis improvement of liver cancer after surgery. [ 14 ] This improves the survival of patients but the quality of life of patients becomes worse during follow-up and between 2 doses of chemotherapies.…”

“…The results of post-operative pain of the current study were not consistent with those of a observational study. [ 13 ] The small sample size of an observational study [ 13 ] is responsible for contradictory results. Conventional nursing failed to decrease adverse effects and rehospitalization due to any reason(s) in the follow-up period.…”

Effect of comprehensive nursing care for the liver cancer patients undergoing interventional therapy in China: A systematic review and meta‐analysis

“…Following duplicates removal and primary screening, 87 full‐text articles were retrieved. These studies underwent secondary full text screening and a total of 10 studies were included as they satisfied the eligibility criteria (Figure 1) (Gou et al, 2019; Hu et al, 2022; Jing et al, 2020; Li & Zhou, 2018; Luan & Wang, 2019; Pang et al, 2019; Wang et al, 2021; Yuan et al, 2022; Zhang & Li, 2022; Zhang et al, 2021).…”