Quality of Life among Hepatocellular Carcinoma Patients Who Receive Initial Transcatheter Arterial Chemoembolization
Quality of life is an important indicator of quality in nursing care for hepatocellular carcinoma patients, who have received Transcatheter Arterial Chemoembolization (TACE). This descriptive research aimed to compare the quality of life among hepatocellular carcinoma patients, before and after receiving initial TACE. Data were collected at a university hospital in southern Thailand, from November 2017 to October 2018. Sixty-five hepatocellular carcinoma patients were recruited. Research instruments included the EORTC QLQ-C30 and HCC18. Cronbach’s alphas for the EORTC QLQ-C30 and HCC18 questionnaires were 0.79 and 0.80, respectively. Data were analyzed using descriptive statistics and paired t-test.
Initial scores before receiving TACE were of a moderate level ( =3.49, S.D.=0.43), while after receiving TACE for 4 weeks, the mean score was at a high level ( =5.34, S.D.=0.42). Mean scores of global health status, post-TACE at 4 weeks, were significantly and statistically higher than pre- TACE scores (p<0.001).
The results suggest that TACE improves the quality of life and global health status among hepatocellular carcinoma patients, particularly through emotional-functioning dimensions. In order to improve the quality of life in hepatocellular carcinoma patients receiving TACE, it is essential for nurses to provide information and consultancy continuously.
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