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題 名 | Efficacy of a Stress Management Program for Patients with Hepatocellular Carcinoma Receiving Transcatheter Arterial Embolization=壓力處置措施對接受經導管動脈栓塞術肝癌病患的成效 |
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作 者 | 林美良; 曾旭明; 黃秀梨; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 97:2 1998.02[民87.02] |
頁 次 | 頁113-117 |
分類號 | 416.246 |
關鍵詞 | 壓力處置; 經導管動脈栓塞術; 肝癌病患; Transcatheter arterial embolization; Health education; Muscle relaxation; Back massage; Hepatocellular carcinoma; |
語 文 | 英文(English) |
英文摘要 | Transcatheter arterial embolization (TAE), a common treatment for patients with unresectable hepatocellular carcinoma (HCC), can provoke severe physical discomfort and psychologic stress. The purpose of this study was to investigate the effect of a combination of health education, muscle relaxation, and back massage on reducing physical and psychologic stress in HCC patients receiving TAE. A quasiexperimental design was used. Forty patients with HCC (30 men and 10 women) with a mean age of 57 ± 12 years were recruited and randomly assigned to the control or experimental group. The effectiveness of the stress management program was evaluated using a knowledge questionnaire, a worry inventory, a state-trait anxiety inventory, and a physical distress scale. After completing the stress management program, the experimental group had a greater mean increase in knowledge score than the control group (5.1 vs 0.8, p<0.0001) and a greater mean decrease in worry score (-8.2 vs 1.1, p<0.0001). The mean decrease in the anxiety score in the experimental group was also significantly greater than in the control group before TAE (-5.8 vs 3.2, p<0.001) and 2,4,6, and 7 days after TAE (-8.2 vs 7.1, p<0.001; -8.7 vs 3.2, p<0.001; -9.8 vs -2.1, p<0.05; -11 vs -0.9, p<0.05). The patients in the experimental group had a smaller mean increase in physical distress score than the control group at 2,4,6, and 7 days after TAE (34.7 vs 50.2, 20.9 vs 29.6,10.6 vs 18.2, 3.9 vs 11.2, all p<0.05). This stress management program effectively reduces the stress of HCC patients undergoing TAE. |
本系統中英文摘要資訊取自各篇刊載內容。