Nurses' comfort care of transarterial chemoembolization patients based on their perceptions around postembolization syndrome and symptom interference

Kim, Myoung Soo; Kang, Minkyeong; Park, Ji Won; Ryu, Jung Mi

doi:10.1002/nop2.1529

Cited by 6 publications

(2 citation statements)

References 50 publications

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“…The present investigation delineates the symptomatology experienced by liver cancer patients undergoing TAE, emphasizing distressing manifestations such as pain, fever, fatigue, insomnia and abdominal distension. With the exception of fever, these symptoms peak on the first day post-TAE (T1) and exhibit a gradual attenuation throughout the treatment trajectory, aligning with antecedent research outcomes[ 8 , 14 ]. The temporal dynamics of symptom distress underscored in this observation are pivotal for healthcare teams, facilitating a comprehensive comprehension of postoperative comfort and pain management imperatives.…”

Section: Discussionmentioning

confidence: 99%

Influence of transcatheter arterial embolization on symptom distress and fatigue in liver cancer patients

Yang,

Wang

et al. 2024

World J Gastrointest Oncol

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BACKGROUND Hepatocellular carcinoma (HCC) is a prevalent malignancy, and transcatheter arterial embolization (TAE) has emerged as a pivotal therapeutic modality. However, TAE may induce symptom distress and fatigue, adversely affecting the quality of life of patients. AIM To investigate symptom distress, fatigue, and associated factors in HCC patients undergoing TAE. METHODS We used a cross-sectional design and purposive sampling to enroll HCC patients who underwent TAE at our institution from January to December 2022. Questionnaires were utilized to collect data on symptom distress and fatigue scores from the first to the third day after TAE. RESULTS Our study revealed a significant reduction in fatigue and symptom distress among patients after TAE. Pain, fatigue, insomnia, fever and abdominal distension were the most common symptoms troubling patients during the first 3 d post-TAE. Marital status, presence of family support, physical functional status, age, and symptom distress were identified as predictors of fatigue in patients. CONCLUSION Healthcare professionals should educate HCC patients on symptom distress and fatigue, offering personalized relief strategies to lessen their psychological burden.

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Section: Discussionmentioning

confidence: 99%

Influence of transcatheter arterial embolization on symptom distress and fatigue in liver cancer patients

Yang,

Wang

et al. 2024

World J Gastrointest Oncol

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“…Those undergoing TACE often suffer from fatigue, depression, anxiety, reduced functional abilities, and sleep disorders. [ 4 , 5 ] Routine nursing care focuses more on physiological care and technical operations, paying less attention to patients’ psychological needs and emotional support. Therefore, there is a need to optimize the nursing mode to improve the quality and effectiveness of nursing care.…”

Section: Introductionmentioning

confidence: 99%

The impact of preoperative interview and prospective nursing on perioperative psychological stress and postoperative complications in patients undergoing TACE intervention for hepatocellular carcinoma

Gao,

Chen,

Qin

et al. 2024

Medicine

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TACE has become one of the main methods for the treatment of liver cancer. The study aimed to investigate the effects of preoperative interview and prospective nursing in patients with hepatic carcinoma undergoing transcatheter chemoembolization (TACE). Eighty-six patients with hepatocellular carcinoma who underwent TACE intervention treatment at our hospital between 2020 and 2023 were selected and randomly assigned to 2 groups using computerized randomization. The control group (n = 43) received routine nursing care, while the study group (n = 43) received preoperative interviews in combination with prospective nursing during the procedure. The patients’ heart rate, mean arterial pressure, and blood pressure variations were recorded, along with their mood changes after intervention. The postoperative pain and satisfaction levels were compared between the 2 groups of patients, and the incidence of postoperative complications was observed. The heart rate, systolic blood pressure, and diastolic blood pressure of the 2 groups of patients were compared 1 day before the operation (P > .05). Compared to 1 day before the operation, there was no significant change for the study group at 10 minutes after entering the room. However, the control group showed an increase. Both groups showed an increase in heart rate, systolic blood pressure, and diastolic blood pressure after the operation, with the study group having lower values than the control group (P < .05). The levels of tension, fatigue, anxiety, energy, anger, depression, self-esteem, and POMS index were compared between the 2 groups before intervention (P > .05). After intervention, there were significant differences between the 2 groups(P < .05). Immediately after the operation, the NRS scores of the 2 groups of patients were compared (P > .05). Compared to the control group, the study group showed a decrease in NRS scores at 12, 24, and 48 hours after the operation (P < .05). The nursing satisfaction rate of the study group patients was 97.67% (42/43), which was higher than the nursing satisfaction rate of the control group of 76.74% (33/43) (P < .05). Compared to routine nursing, preoperative visits and prospective nursing interventions can effectively alleviate patients’ psychological stress reactions, relieve pain, reduce the incidence of complications, and improve patients’ satisfaction with nursing care.

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Nurses' comfort care of transarterial chemoembolization patients based on their perceptions around postembolization syndrome and symptom interference

et al. 2022

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Aim Post‐embolization syndrome is a common adverse event following trans‐arterial chemoembolization, which negatively impacts the daily life of the patients involved. This study examined whether perceptions around post‐embolization syndrome and symptom interference among nurses affect their comfort care performance toward patients who have undergone this procedure. Design A descriptive cross‐sectional study. Methods One hundred and fifty registered nurses were surveyed from September to November 2020. Perceived post‐embolization syndrome, symptom interference, and comfort care (including physical, psychospiritual, sociocultural, and environmental dimensions) were measured. Data were analyzed using t‐tests, analysis of variance, Pearson's correlation, and a multivariate analysis of variance. Results There were no individual effects found of perceived post‐embolization syndrome or symptom interference on nurses' comfort care performance. However, statistically significant interaction effects were found in terms of their sociocultural and environmental care. Conclusion Nurses who recognized both high post‐embolization syndrome and symptom interference among their patients were found to provide greater sociocultural and environmental care. As such, nurses should improve their early symptom and symptom interference detection protocols based on current care guidelines and provide physical, psychospiritual, sociocultural, and environmental comfort care.

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Nurses' comfort care of transarterial chemoembolization patients based on their perceptions around postembolization syndrome and symptom interference

Cited by 6 publications

References 50 publications

Influence of transcatheter arterial embolization on symptom distress and fatigue in liver cancer patients

Influence of transcatheter arterial embolization on symptom distress and fatigue in liver cancer patients

The impact of preoperative interview and prospective nursing on perioperative psychological stress and postoperative complications in patients undergoing TACE intervention for hepatocellular carcinoma

Nurses' comfort care of transarterial chemoembolization patients based on their perceptions around postembolization syndrome and symptom interference

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