Application of health education model based on combination of problem-based learningand case-based studyin liver cancer patients treated with TACE

Abstract

Objective To evaluate the efficacy of problem-based learning (PBL) and case-based study (CBS) in health education for patients with hepatocellular carcinoma treated by transcatheter arterial chemoembolization (TACE) . Methods Using convenience sampling method, 200 patients with hepatocellular carcinoma treated by TACE in the Department of Invasive Treatment, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College from October 2017 to August 2018 were selected as the study subjects. According to the admission time, they were divided into control group and intervention group with 100 cases each. The control group was given routine health education, while the intervention group was given PBL combined with CBS health education on the basis of routine health education. Anxiety level and mastery level of education contents were compared between the two groups. Results There was no significant difference in level of anxiety between the two groups at admission (P>0.05) . When discharged from hospital, compared with the control group, the anxiety level of intervention group was lower and the mastery of education contents was higher, and the differences were statistically significant (P< 0.05) . Conclusions PBL combined with CBS in the health education for patients with liver HCC treated with TACE embodied the individualized nursing for patients and can effectively reduce the patients' anxiety degree and improve their mastery level towards the relevant knowledge, hence improve their quality of life as well as the disease outcome and recovery. Key words: Liver neoplasm; Transcatheter arterial chemoembolization; Problem-based learning; Case-based approach