Reducing Pain and Fatigue Through Self-Care Ability Support Program among People with Hepatocellular Carcinoma Receiving Transarterial Chemoembolization: A Pretest-Posttest with Repeated-Measures Design.
Transcatheter arterial chemoembolization is an effective treatment for intermediate-stage liver cancer. Despite its effectiveness, this treatment often brings about common complications, such as pain and cancer-related fatigue, requiring self-management at home. In Thailand, where liver cancer preva...
| Publicado en: | Pacific Rim International Journal of Nursing Research Vol. 29; no. 3; pp. 527 - 543 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Thailand Nursing & Midwifery Council
Jul-Sep2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188270413&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188270413 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19068107 B7IM jtl: Pacific Rim International Journal of Nursing Research issn: 19068107 maglogo: N pubinfo: dt: Jul-Sep2025 vid: 29 iid: 3 pid: 26313 pub: Thailand Nursing & Midwifery Council artinfo: ui: 188270413 188270413 188270413 10.60099/prijnr.2025.273074 188270413 ppf: 527 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Reducing Pain and Fatigue Through Self-Care Ability Support Program among People with Hepatocellular Carcinoma Receiving Transarterial Chemoembolization: A Pretest-Posttest with Repeated-Measures Design. aug: au: Kaewjaladvilai, Orathai Chaiviboontham, Suchira Sumdaengrit, Bualuang affil: Master's student, Master of Nursing Science Program (Adult and Gerontological Nursing), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand sug: subj: Carcinoma, Hepatocellular Drug Therapy Chemoembolization, Therapeutic Adverse Effects Cancer Pain Prevention and Control Cancer Fatigue Prevention and Control Self-Management Methods Orem Self-Care Model Treatment Outcomes Human Male Female Adult Middle Age Aged Aged, 80 and Over Cancer Patients Thailand Academic Medical Centers Thailand Comparative Studies Descriptive Statistics Purposive Sample Pretest-Posttest Design Repeated Measures Analysis of Variance Correlational Studies Questionnaires Clinical Assessment Tools Conceptual Framework Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Transcatheter arterial chemoembolization is an effective treatment for intermediate-stage liver cancer. Despite its effectiveness, this treatment often brings about common complications, such as pain and cancer-related fatigue, requiring self-management at home. In Thailand, where liver cancer prevalence is high, structured support is essential to enhance self-care and improve patients' ability to manage symptoms. Guided by Orem's Self-Care Theory, this one-group, pretest-posttest intervention program aimed to assess the potential of a self-care ability support program for reducing pain and cancer-related fatigue among people with hepatocellular carcinoma undergoing transcatheter arterial chemoembolization. Thirty participants being treated at a university hospital in central Thailand were selected through purposive sampling when receiving treatment from October 2022 to January 2023. Data were collected utilizing the Personal Information Questionnaire, the Self-Care Agency Questionnaire, the Pain Numeric Rating Scale, and the Thai version of the Revised Piper Fatigue Scale. Data analysis involved descriptive statistics, repeated measures ANOVA, and paired t-tests. The results indicated that following participation in the program, there was a notable increase in the average self-care ability score among the participants. Moreover, there was a significant decrease in back pain and abdominal pain scores post-transcatheter arterial chemoembolization from moderate levels on day 1 to mild or no pain by day 21. Additionally, cancer-related fatigue peaked at a moderate level on day 7 before significantly decreasing to a low level by day 21. The findings suggested that the self-care ability support program has the potential benefit of enhancing self-care ability to reduce pain and fatigue among patients with hepatocellular carcinoma undergoing transcatheter arterial chemoembolization. Nurses can integrate this program into their practice. However, further randomized control trials with multi-site studies are recommended to confirm its effectiveness before being integrated into practice. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|