Shared Decision-making in Patients with Primary Liver Cancer During Perioperative Period

Ying ZHANG; Jing GUO; Tao FENG; Yan ZHOU; Yao HUANG; Xiao-feng DENG; LU ZHENG

doi:10.12259/j.issn.2095-610X.S20210832

Volume 42 Issue 8

Aug. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(8): 177-180

Ying ZHANG, Jing GUO, Tao FENG, Yan ZHOU, Yao HUANG, Xiao-feng DENG, LU ZHENG. Shared Decision-making in Patients with Primary Liver Cancer During Perioperative Period[J]. Journal of Kunming Medical University, 2021, 42(8): 177-180. doi: 10.12259/j.issn.2095-610X.S20210832

Citation:

Ying ZHANG, Jing GUO, Tao FENG, Yan ZHOU, Yao HUANG, Xiao-feng DENG, LU ZHENG. Shared Decision-making in Patients with Primary Liver Cancer During Perioperative Period[J]. Journal of Kunming Medical University, 2021, 42(8): 177-180. doi: 10.12259/j.issn.2095-610X.S20210832

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Shared Decision-making in Patients with Primary Liver Cancer During Perioperative Period

doi: 10.12259/j.issn.2095-610X.S20210832

Dept. of Hepatobiliary Surgery，The 2nd Affiliated Hospital of Military Medical University，Chongqing 400037，China

Received Date: 2021-06-05
Available Online: 2021-08-04
Publish Date: 2021-08-04

Abstract

Abstract

Objective To investigate the effect of the shared decision-making in patients with primary liver cancer during perioperative period. Methods A total of 120 patients with primary liver cancer who underwent laparoscopic hepatectomy from November 1, 2020 to April 30, 2021 were selected and randomly divided into control group （n = 60） and experimental group （n = 60）. The patients in the control group were treated with routine health intervention mode during perioperative period, while the patients in the experimental group were treated with the patient-nurse shared decision-making mode. The psychological pain degree （distress thermometer, DT）, the hospital anxiety and depression degree （HADS）, postoperative self-care ability (ADL), compliance behavior, length of hospital stay, patient satisfaction and follow-up visit rate were compared between the two groups. Results There was no significant difference in the psychological state and self-care ability between the experimental group and the control group （P > 0.05）; Postoperative self-care ability, patient compliance behavior, length of hospital stay, medical satisfaction, follow-up visit rate were significantly better than the control group, the difference was statistically significant （P < 0.05）. Conclusion Shared decision-making for primary liver cancer patients undergone laparoscopic hepatectomy is beneficial in reducing psychological distress, relieving patients’ anxiety depression, improving postoperative life self-care ability and improving the medical behavior, shortening the length of hospital stay, which is both safe and efficient for patients’ recovery, and is worthy of clinical promotion and reference.
- Shared decision-making model,
- Primary liver cancer,
- Perioperative period of laparoscopic hepatectomy

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References(20)

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