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
World journal of gastrointestinal surgery June 27, 2025 DOI: 10.4240/wjgs.v17.i6.105826 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 84 |
| Population | Patients undergoing transarterial chemoembolization (TACE) for liver cancer |
| Interventions | nursing quality-sensitive indicator-based care mindfulness-based stress reduction (MBSR) |
| Duration | 4-week intervention |
| Topics | Meditation |
| Keywords | Mindfulness stress intervention Psychological stress Quality of nursing Patient satisfaction Better recovery Psychological states Positive coping strategies |
| Citations | 4 |
| Key findings | The combination of nursing quality-sensitive indicators and mindfulness-based stress reduction intervention significantly improved psychological stress responses, coping strategies, perceived nursing quality, and patient satisfaction compared to routine care with mindfulness-based stress reduction alone. |
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.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |