| Objective1.To explore the effect of self-management education on cancer-related fatigue level,self-efficacy and quality of life in patients with liver cancer undergoing TACE,and provide reference for clinical nursing work.2.The self-management education for patients with liver cancer who underwent TACE was carried out to relieve their cancer-related fatigue and improve their self-efficacy,thereby improving their quality of life.MethodsThis study is a randomised and controlled trial.A convenience sampling method was used to select 70 patients with liver cancer who received transcatheter arterial chemoembolization for the first time in a grade three and first class hospital in Dalian.The patients were divided into the experimental group and the control group by using random number table,35 patients in each group.The patients in the control group were given routine nursing.And the patients in experimental group received self-management education on the basis of routine nursing for 3 months.In this study,the scales of the cancer-related fatigue,the health promotion strategy and the quality of life core were used to evaluate patients'cancer-related fatigue level,self-efficacy and quality of life on the first day as well as first and third months after admission.The SPSS 19 statistical software was used for statistical analysis.Descriptive statistics,t test,X~2 test,nonparametric Mann-Whitney rank sum test and repeated analysis of variance were used to describe and compare the two groups of patients.ResultsOverall,64 patients completed the study after three months of intervention.The results were given below:1.Comparison of cancer-related fatigue:After the intervention,the level of cancer-related fatigue of patients in the experimental group decreased,while the cancer-related fatigue level of patients in the control group increased.There was a significant difference between the two groups in total score and dimensions of cancer related fatigue(F=42.876~270.185,P<0.05).The results of group comparison showed that the scores of cancer-related fatigue and all dimensions of patients in the experimental group were significantly lower than patients who where in the control group at the 1 and 3 months after intervention(t=-19.486~-4.634,P<0.05).2.Comparison of self-efficacy:After the intervention,the total scores of the two groups'self-efficacy and the scores of all dimensions were increased.The change of the score in the experimental group was better than that in the control group(F=3.802~70.414,P<0.05).Comparisons between groups showed that the scores of patients in experimental group after the intervention of 1 and 3 months of self-efficacy were higher than patients who where in the control group in the same period of time,except the self-decision dimension,there were significant differences in the comparison results of two groups of patients'self-efficacy scores(t=5.267~11.974,P<0.05).After the intervention of self-decision for a month,the experimental group patients'scores were higher,but the difference was not as statistically significant as the control group's one(P>0.05).3 months after the intervention,the comparation result of self-decisions'scores between patients in the experimental groups and patients in the control groups was statistically significant(t=2.979,P<0.05).3.Comparison of quality of life:After the intervention,the scores of overall health status of both the experimental group and the control group decreased,but the decrease of the scores in the experimental group was smaller than the control group's(F=9.155,P<0.05).The results of group comparison showed that,after 3 months of intervention,the comparation result of the total health status scores between the two groups was significantly different(t=5.255,P<0.05).By the analysis of variance of repeated measurement results,the two groups were significant in emotional function,role function,social function and symptoms of tiredness part of the difference(F=5.867~20.590,P<0.05).Comparison between groups showed that,after 3 months of intervention,the score differences were statistically significant(t=2.811~4.728,P<0.05).Conclusion1.Self-management education can effectively reduce the level of cancer-related fatigue in patients undergoing transcatheter arterial chemoembolization.2.Self-management education can improve the self-efficacy of patients undergoing transcatheter arterial chemoembolization.3.Self-management education can improve the quality of life of patients undergoing percutaneous transcatheter arterial chemoembolization,especially in emotional function,role function and social function.4.The application of self-management education to patients undergoing transcatheter arterial chemoembolization is significant and suitable for clinical application. |
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