Impact of nausea-free management program based on shared decision-making on nausea and vomiting after transarterial chemoembolization in liver cancer patients
- VernacularTitle:基于共享决策理念的无呕管理方案对肝癌患者经肝动脉栓塞化疗后恶心呕吐的影响
- Author:
Weiwei LI
1
;
Xiangyun QIAN
;
Ji ZHANG
;
Hui LU
Author Information
- Keywords: liver cancer; transarterial chemoembolization; shared decision-making; vomiting free management program; nausea; vomiting; self-decision-making efficacy; quality of life
- From: Journal of Clinical Medicine in Practice 2025;29(7):113-117,126
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the impact of nausea and vomiting management program based on shared decision-making on post-transarterial chemoembolization(TACE)nausea and vomiting in liver cancer patients.Methods A shared decision-making aid was designed,and nausea and vomi-ting management program was developed.A total of 100 liver cancer patients who underwent TACE treatment in the Department of Interventional Radiology at Nantong Third People's Hospital from Janu-ary to December 2023 were selected as study subjects.The control group(admitted from January to June 2023)received routine TACE perioperative nursing care,while the experimental group(admit-ted from July to December 2023)implemented the nausea and vomiting management program in addi-tion to routine care.The incidence and severity of nausea and vomiting within 24 hours post-surgery,as well as the vomiting-related functional living index,quality of life,and self-efficacyin decision-making before and after the intervention were compared between the two groups.Results Within 24 hours post-surgery,the incidence and severity of nausea and vomiting in the experimental group were lower than those in the control group,with statistically significant differences(P＜0.05).After the in-tervention,the total and dimensional scores of the Quality of Life in Liver Cancer(QOL-LC)scale and the vomiting-related functional living index in the experimental group were higher than those in the control group(P＜0.05).Additionally,the self-decision-making efficacy score in the experimental group was higher after the intervention than before intervention and higher than that in the control group(P＜0.05).Conclusion The nausea and vomiting management program based on shared decision-making can effectively reduce the incidence and severity of post-TACE nausea and vomiting in liver cancer patients,and improve their quality of life,vomiting-related functional living index,and self-decision-making efficacy.
