Objective To investigate the relationship between the liver pain and the short-term curative effect in patients with primary hepatocellular carcinoma(HCC)after transcatheter arterial chemoembolization(TACE).Methods According to the degree of liver pain,118 HCC patients after the initial TACE treatment were divided into two groups:group A(with no complaint of serious liver pain)and group B (complaining of severe liver pain).Short-term curative effects at the fourth and sixth week after initial TACE were compared between the two groups,and the factors related to the liver pain after TACE were analyzed.Results Four to six weeks after the initial TACE,CT scan was performed in all patients.Based on the RECIST criteria the short-term curative effects were evaluated.The CR,PR,SD,PD of group A and B were 0%.1.45%.88.41%,10.14%and 0%,14.29%.81.63%,4.08%,respectively.The difference in OR(CR +PR)between two groups was statistically significant(P=0.0087).The postoperative liver pain was probably related to the preoperative tumor blood supply pattern,the tumor capsule.the cirrhosis and the type of iodized oil deposit.The type of iodized oil deposit showed a negative correlation with the grade of liver pain (r=-0.539,P＜0.001).Conclusion The liver pain occurred after TACE is a useful suggestive sign,which indicates that a good curative result will be obtained.It is of clinical significance to make a full understanding of the relationship between the liver pain and the therapeutic effect.

Objective To investigate the gap between the needs and actual perception of the quality of care for patients with interventional therapy, and explore the factors that affect the quality of nursing services. Methods A total of 264 cases of liver cancer patients with interventional therapy in 4 Class Ⅲ Grade A hospitals from April 2016 to April 2017 were recruited using random cluster sampling method and investigated by service quality (SERVQUAL) questionnaires. Results In the service quality gap model, patients' expectation scores of nursing service quality in 5 dimensions including tangible, reliability, responsiveness, assurance, and empathy were (4.34±0.49),(4.35±0.55),(4.45±0.26), (4.54±0.32), and (4.45±0.44). Patients' perceived scores of nursing service quality in those 5 dimensions were (4.11±0.35),(4.23±0.54),(4.32±0.17),(4.34±0.26), and (4.23±0.35), which were lower than expectation scores. The differences were statistically significant between two scores (t=-8.898, -3.578, -9.824, -11.206, -9.050; P< 0.01). Logistic regression analysis showed that patients with other chronic diseases and operation history were the common factors that affect the actual perception and demand scores of patients before and after interventional therapy in 5 dimensions of the SERVQUAL model. Conclusions The hospital should strengthen the training and management of nursing staff of nursing intervention, and take a series of measures from multi-level and multi-angle to improve the quality of nursing intervention before and after the treatment and increase patient's satisfaction.