The Role of Palliative Care in the Management of Patients with Advanced Hepatocellular Carcinoma: A Single Institution Experience

Ayman, A; Ah, Azza; Yasser, K; Rasul, Kakil Ibrahim; Jonas, F; Ab, Asma Mohammed; Mi, Zeinab

doi:10.4172/2573-4598.1000112

Cited by 2 publications

(2 citation statements)

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“…It was reported that between 15-20% of patients with HCC arrive at the doctor's office when they are in an advanced disease stage and are apt to have a survival time of only 3-4 months after diagnosis [3]. Of these patients with advanced HCC, 94% die while in hospital [4]. Due to poor prognosis, major hepatology societies recommend integrating early supportive and palliative care for patients with HCC [1].…”

Section: Introductionmentioning

confidence: 99%

“…Anxiety and depression are reflective conditions regarding adaptation to the illness and may indicate the patient is having difficulty coping effectively with stress. Patients with advanced HCC have significant psychological distress [4]. A recent systematic review reported that 40% of patients with metastatic HCC have anxiety and depression [6] with HCC progression associated with depression [7].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma

et al. 2023

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Psychological distress is commonly reported in patients with advanced cancer. Family is considered a psychological supporter for patients during their cancer journey. This study aimed to examine the effect of a nurse-led family involvement program on anxiety and depression in patients with advanced hepatocellular cancer. This is a quasi-experimental study with a two-group, pre–post-test design. Forty-eight participants were recruited at a male medical ward in a university hospital in Southern Thailand, and assigned to either the experimental or the control group. The experimental group received the nurse-led family involvement program, while the control group received only conventional care. Instruments included a demographic data form, clinical data form, and the Hospital Anxiety and Depression Scale. Data analyses were performed using descriptive statistics, chi-square, Fisher’s exact test, and t-test. The results revealed that the mean scores of anxiety and depression in the experimental group at post-test were significantly lower than on the pretest and significantly lower than those of the control group. The results indicate that a nurse-led family involvement program has a short-term effect on the reduction of anxiety and depression in male patients with advanced HCC. The program can be useful for nurses to encourage family caregivers to engage in patient care during hospitalization.

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Section: Introductionmentioning

confidence: 99%