Effect of behavioral stage change theory on postoperative rehabilitation and quality of life in male patients with primary hepatocellular carcinoma resection: a retrospective study
This study aimed to examine the impact of the Transtheoretical model (TTM)-based nursing model on the self-management and psychological well-being of men diagnosed with primary hepatocellular carcinoma. From existing case records, a retrospective analysis was conducted on the clinical data of 96...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2024-12-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/files/article/20241230-456/pdf/JOMH2024081501.pdf |
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| Summary: | This study aimed to examine the impact of the Transtheoretical
model (TTM)-based nursing model on the self-management and
psychological well-being of men diagnosed with primary
hepatocellular carcinoma. From existing case records, a
retrospective analysis was conducted on the clinical data of 96 male patients
with primary liver cancer. Based on the different care methods recorded, the
study included 48 patients in the observation group and 48 patients in the
control group. All patients underwent hepatocellular carcinoma resection and were
expected to survive for more than 3 months. Control group participants received
standard treatment, whereas observation group participants underwent a patient
self-management intervention based on the TTM nursing model. Both groups were
assessed for postoperative rehabilitation, self-management capacity, anxiety and
depression levels, psychological well-being, quality of life, tumor-related
illness and satisfaction of both groups. After nursing intervention, in the
observation group, the time to get out of bed, bowel sound recovery time, first
exhaustion time and first defecation time were significantly shorter compared to
the control group (p < 0.05). Self-care agency scale (ESCA) scores in
the observation group were significantly greater than in the control group
(p < 0.05). Self-rating anxiety scale (SAS), Self-rating depression
scale (SDS) scores and quality of life were significantly lower in the
observation group. As compared to the control group, the observation group
exhibited a considerably decreased incidence of cancer-related symptoms,
including fever, jaundice, abdominal pain and gastrointestinal hemorrhage
(p < 0.05). The observation group was more satisfied overall than the
control group. Behavioral stage change theory collaborative nursing model has
shown promising results in enhancing self-care abilities and reducing negative
feelings in male patients with primary liver cancer. Therefore, further promotion
and implementation of this intervention is recommended. |
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| ISSN: | 1875-6867 1875-6859 |