Quality of care combined with mindfulness-based stress reduction intervention in patients undergoing arterial interventional embolization for liver tumors.

Patients undergoing transarterial chemoembolization (TACE) for liver cancer often experience psychological distress that can hinder recovery. A randomized trial with 84 patients compared a combination of nursing quality-sensitive indicators and mindfulness-based stress reduction (MBSR) against routine care with MBSR alone. After four weeks, the group receiving the combined intervention showed significantly higher scores on measures of emotional attention, clarity, and repair, as well as greater optimism, support-seeking, bravery, perceived nursing service quality, and satisfaction. They also had lower scores on self-dependence, conservatism, resignation, and avoidance coping. The findings suggest that integrating nursing quality indicators with MBSR reduces psychological stress, encourages positive coping, and improves nursing quality and patient experience.

Study at a glance

Abstract

Although transarterial chemoembolization (TACE) is an effective treatment for liver cancer, clinical practice has shown that many patients experience significant psychological distress following the procedure, which can hinder postoperative recovery and prognosis. Therefore, effective and evidence-based interventions are urgently needed to address this issue. To evaluate the impact of nursing quality-sensitive indicators combined with mindfulness-based stress reduction (MBSR) interventions in patients undergoing TACE. A total of 84 patients who underwent TACE from June 2022 to March 2024 were enrolled in the study. They were randomly assigned to either the observation group (n = 42), which received nursing quality-sensitive indicator-based care combined with MBSR intervention, or the control group (n = 42), which received routine care combined with MBSR intervention. Psychological stress response levels [assessed using the Trait Meta-Mood Scale (TMMS)], coping strategies [measured with the Jalowiec Coping Scale (JCS)], quality of care [evaluated using the Perceived Nursing Service Quality (PNSQ) scale], and overall patient satisfaction were compared between the two groups. After 4 weeks, the observation group demonstrated significantly higher TMMS scores, as well as increased optimism, support-seeking, bravery, PNSQ scores, and satisfaction (P < 0.05). In contrast, scores for self-dependence, conservatism, resignation, and avoidance in the JCS were significantly lower in the observation group than in the control group (P < 0.05). The combination of nursing quality-sensitive indicators and MBSR intervention in TACE patients not only reduces psychological stress and encourages a more positive attitude toward illness but also enhances nursing quality and improves the overall patient experience.