Effects of the Educative Supportive Nursing Program on Dietary Self Care and Serum Albumin of Patients with Hepatocellular Carcinoma
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Abstract
Malnutrition frequently occur in patients with hepatocellular carcinoma (HCC) and it is a major cause of postponement of treatment. The aim of this two-group quasiexperimental research was to examine the effects of the educative supportive nursing program on the dietary self-care and serum albumin levels of patients with HCC. The samples were hospitalized patients with HCC admitted at the male medical units of a tertiary care hospital in Southern Thailand. Forty patients with HCC were recruited and equally random into the experimental group and the control group. The experimental group was engaged in the educative supportive nursing program. The control group received usual nursing care. Data were analyzed using paired t-test and independent t-test. Results showed that: (1) after receiving the program, the mean score of the dietary self-care of the experimental group was statistically significant higher than before receiving the program (t= -22.87, p<0.001); (2) after receiving the program, the mean score of the serum albumin of the experimental group was statistically significant higher than before receiving the program (t= -6.30, p<0.001); (3) after receiving the program, the mean score of the dietary self-care of the experimental group was statistically significant higher than the control group (t= -12.95, p<0.001); and (4) after receiving the program, the mean score of serum albumin level of the experimental group was not statistically significant difference when compared with the control group. The results showed that the program could help to improve the dietary self-care of patients with HCC. Further study should be conducted in a longer period
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