Application of a Temporal Self-regulation Theory-guided Nursing Program in the Perioperative Care of Hepatic Arterial Infusion Chemotherapy for Liver Cancer

Xueting HONG; Ruodan CHEN; Xiuyan WANG; Lanxi QIU; Zhenlian SHEN; Ni JIANG

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Xueting HONG, Ruodan CHEN, Xiuyan WANG, Lanxi QIU, Zhenlian SHEN, Ni JIANG. Application of a Temporal Self-regulation Theory-guided Nursing Program in the Perioperative Care of Hepatic Arterial Infusion Chemotherapy for Liver Cancer[J]. Journal of Kunming Medical University.

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Application of a Temporal Self-regulation Theory-guided Nursing Program in the Perioperative Care of Hepatic Arterial Infusion Chemotherapy for Liver Cancer

Xueting HONG^{1, 2},
Ruodan CHEN^{1, 2},
Xiuyan WANG²,
Lanxi QIU²,
Zhenlian SHEN^{1, 2},
Ni JIANG^{2
,
,}

1.
School of Nursing，Kunming Medical University，Kunming Yunnan 650500
2.
Department of Minimally Invasive Interventional Medicine，The Third Affiliated Hospital of Kunming Medical University/Yunnan Cancer Hospital/Peking University Cancer Hospital Yunnan，KunmingYunnan 650118，China

Received Date: 2025-11-20

Abstract

Abstract

Objective To evaluate the efficacy of a Temporal Self-Regulation Theory （TST）-guided nursing program in the perioperative period of Hepatic Arterial Infusion Chemotherapy （HAIC）. Methods Using convenience sampling, 121 HAIC patients admitted to the Minimally Invasive Intervention Department of a tertiary hospital in Yunnan Province （December 2024 - August 2025） were enrolled. Participants were divided into a control group （n = 60） receiving routine care and an intervention group （n = 61） receiving routine care plus the TST-guided program. Health-promoting behaviors, adverse reaction incidence, comfort, and quality of life during the perioperative period were compared between the two groups. Results The intervention group demonstrated significantly higher total scores on the Health-Promoting Lifestyle Profile-II （HPLP-II R） compared to the control group （t =-10.448, P < 0.001）. Dimension analysis revealed that, except for the interpersonal relations dimension, scores for health responsibility （t =-6.321）, stress management（t = -6.957）, nutrition （t =-6.887）, physical activity （t =-3.678）, and spiritual growth （t =-8.989） were significantly higher in the intervention group （all P < 0.001）. Postoperatively, the intervention group had a significantly lower incidence of adverse reactions （χ² = 4.774, P < 0.05）. Furthermore, the intervention group reported significantly higher comfort levels （ GCQ total score; t = -8.429, P < 0.001） and significantly better quality of life （EORTC QLQ-C30 total score; t = 4.874, P < 0.001） than the control group. Conclusion The TST-guided nursing program effectively enhances perioperative health-promoting behaviors, reduces adverse reactions, and improves both comfort and quality of life in patients undergoing HAIC during the perioperative period.
- Hepatocellular carcinoma,
- Hepatic arterial infusion chemotherapy,
- Temporal self-regulation theory,
- Perioperative period,
- Nursing

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References(38)

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