Effects of self-management intervention on pain and quality of life in liver cancer patients underwent TACE

Abstract

Objective To explore the effects of self-management intervention on pain and quality of life in liver cancer patients underwent transcatheter arterial chemoembolization (TACE). Methods Totally 97 liver cancer patients underwent TACE in our hospital from March 2013 to March 2016 were selected by convenience sample method and were divided into the observation group (n=49) and the control group (n=48). Patients of two groups were given self-management intervention and routine nursing intervention respectively. Strategies used by people to promote health (SUPPH), NRS-10 and functional assessment of cancer therapy-general (FACT-G) were used to evaluate the self-management, pain and life quality of patients before intervention, 7 d after intervention, 1 and 3 months after intervention were compared between two groups. Results Self-management in two groups before intervention had no significant difference (P>0.05), however, after intervention, self-management in the observation group was obviously increased, and was significantly higher than that of the control group (P 0.05). As for the pain degree, there was no difference in two groups before and after intervention (P>0.05), and after intervention, the pain degree were reduced in two groups, in addition, the data in the observation group was lower than that in the control group (P 0.05), but after intervention, the improvement of life quality in the observation group was higher than that in the control group (P<0.05). Conclusions Self-management intervention can improve self-management, reduce pain and improve life quality of liver cancer patients underwent TACE, so it is worthy of clinical application. Key words: Liver cancer; Self-management intervention; Pain; Quality of life; Transcatheter arterial chemoembolization