Randomized Controlled Trial
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2025; 17(6): 105826
Published online Jun 27, 2025. doi: 10.4240/wjgs.v17.i6.105826
Quality of care combined with mindfulness-based stress reduction intervention in patients undergoing arterial interventional embolization for liver tumors
Yi Lu, Ming-Yang Xu, Li Lu, Zhi-Wei Gu, Ai-Qin Yin, Yin-Feng Yin
Yi Lu, Li Lu, Zhi-Wei Gu, Ai-Qin Yin, Department of Catheter Room of Interventional, Taixing People's Hospital, Taixing 225400, Jiangsu Province, China
Ming-Yang Xu, Department of Neurology, Taixing People’s Hospital, Taixing 225400, Jiangsu Province, China
Yin-Feng Yin, Department of Outpatient, Taixing People’s Hospital, Taixing 225400, Jiangsu Province, China
Co-first authors: Yi Lu and Ming-Yang Xu.
Co-corresponding authors: Ai-Qin Yin and Yin-Feng Yin.
Author contributions: Lu Y and Xu MY contributed equally to this work; Lu Y and Xu MY designed the study; Lu Y, Xu MY, Lu L, Gu ZW, Yin AQ, and Yin YF contributed to the analysis of the manuscript; Lu Y, Xu MY, Lu L, Gu ZW, Yin AQ, and Yin YF contributed to the data and writing of this article; All authors have read and approved the final manuscript. Lu Y and Xu MY are jointly responsible for data collection and research design and have made equal contributions to this article (co-first authors). Yin AQ and Yin YF, as co-corresponding authors, provided research direction guidance by clarifying the study's innovative points and clinical translational value. They also led the critical data analysis, independently verifying the reproducibility of core results to ensure robustness. This dual role underscores their pivotal contribution to both the conceptual advancement and methodological rigor of the research.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Taixing People's Hospital, No. ZX-2022-22-2025.
Clinical trial registration statement: Clinical trials registered in www.researchregistry.com: Researchregistry11090.
Informed consent statement: All study participants and their legal guardians provided written informed consent prior to study enrolment.
Conflict-of-interest statement: The authors report no relevant conflicts of interest.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ai-Qin Yin, Department of Catheter Room of Interventional, Taixing People's Hospital, No. 1 Changzheng Road, Taixing 225400, Jiangsu Province, China. myxu1986@foxmail.com
Received: February 7, 2025
Revised: March 8, 2025
Accepted: May 6, 2025
Published online: June 27, 2025
Processing time: 112 Days and 2 Hours
Abstract
BACKGROUND

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.

AIM

To evaluate the impact of nursing quality-sensitive indicators combined with mindfulness-based stress reduction (MBSR) interventions in patients undergoing TACE.

METHODS

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.

RESULTS

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).

CONCLUSION

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.

Keywords: Sensitive indicators of nursing quality; Mindfulness stress intervention; Interventional embolization of liver tumor; Quality of nursing; Psychological stress

Core Tip: The intervention of nursing quality-sensitive indicators combined with mindfulness-based stress reduction can positively impact patients' psychological stress response and coping strategies. Additionally, it can enhance nursing practices and improve overall care quality, particularly for patients undergoing transarterial chemoembolization.