The Development of Nursing Service System for Primary Liver Cancer Patients Receiving Transarterial Chemoembolization (TACE) at National Cancer Institute
Keywords:Nursing service system, Transarterial chemoembolization, Liver cancer
Background: Transarterial Chemoembolization (TACE) is the current standard of care for patients with intermediate stage of hepatocellular carcinoma. The quality of nursing care makes a vital difference in patient outcomes and safety.
Objective: This research and development study aimed to develop a nursing service system for primary liver cancer patients receiving TACE at National Cancer Institute.
Method: The systemic concepts based on the Ludwing Von Bertalanffy to applied with case management. The study was conducted during July 2019 to March 2020, and was divided into 3 phases: situation analysis, care model development, and outcome evaluation. The sample consisted of 2 groups, including 81 registered nurses, along with 68 cancer patients who had TACE. Data was analyzed by using content analysis, frequency, percentage, means, standard deviation, and Paired t-test.
Result: The results showed that the nursing service system consisted of: 1) Nursing practice guideline for patients receiving TACE 2) Interventional radiology nurse team 3) Mentor nurse team 4) Multidisciplinary care team of intervention radiology. After the development of the nursing service system, the increase rate of new patients treated within 4 weeks was 94.12% and the average length of stay in hospitals decreased significantly (5.85 to 4.34 days; p < 0.001). More than 80% of patients with complications after receiving TACE were detected and reported to physicians by nurses. And nurses satisfied with the guideline was more than 80%.
Conclusion: A nursing service system for primary liver cancer patients receiving TACE improves in clinical and nursing outcomes.
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