title: Effects of acupressure on fatigue and depression in hepatocellular carcinoma patients treated with transcatheter arterial chemoembolization: a quasi-experimental study.
abstract: This study was to examine the effects of acupressure on fatigue and depression in HCC patients undergoing TACE. A quasiexperimental study design was used. Patients were evaluated at five time points: before treatment (T1) and 2, 3, 4, and 5 days after treating TACE (T2, T3, T4, and T5). Fatigue and depression were assessed by a VAS fatigue scale and a VAS depression scale at each time point. TFRS and BDI were administered at T1 and T5. Patients' fatigue and depression were significantly higher at T5 than at T1 in two groups. Fatigue and depression increased in both the experimental and control groups' patients over the five days of hospitalization during which TACE and chemotherapy were administered. The experimental group had significantly less fatigue than the control group, with lower subscale scores on physical, psychosocial, daily, and overall fatigue. There were no differences between the groups on depression. At posttest, the experimental group experienced lower physical, psychosocial, daily, and overall fatigue than the control group. Acupressure can improve fatigue in HCC patients during treatment with TACE but did not alleviate depression. Discharge planning should include home care for management of fatigue and depression.
authors: Department of Nursing, Chang Gung Medical Foundation, Chang Gung Memorial Hospital, Linkou District 33305, Taiwan.
authors: Su-Chen
authors: SC
authors: Lan
authors: Department of Nursing, Chang Gung Medical Foundation, Chang Gung Memorial Hospital, Linkou District 33305, Taiwan ; Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan ; School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City 11219, Taiwan.
authors: Yueh-E
authors: YE
authors: Lin
authors: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan.
authors: Shu-Ching
authors: SC
authors: Chen
authors: Administration Center of Nursing Department, Chang Gung Memorial Hospital, Taoyuan City 33378, Taiwan.
authors: Yu-Fang
authors: YF
authors: Lin
authors: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan.
authors: Yu-Jen
authors: YJ
authors: Wang