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Impact of discriminant factors on the comfort-care of nurses caring for trans-arterial chemoembolisation patients

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Abstract

Purpose

This study was conducted to identify the levels of comfort-care provided by trans-arterial chemoembolisation (TACE) nurses and examine the discriminant factors thereof.

Methods

Nurses (n = 146) with experience in caring for TACE patients, participated in this study. The data were collected using an online self-rated questionnaire and analysed with descriptive statistics and discriminant analysis. The discriminating factors included perception of post-embolisation syndrome and symptom interference, caring attitude, barriers to pain and nausea/vomiting management, and supportive care competence.

Results

The participants were classified into three groups, depending on the level of their comfort-care: “low” (n = 27), “moderate” (n = 88), and “high” (n = 31) comfort-care groups. One function significantly discriminated between the low and high comfort-care groups and correctly classified 79.3% of the participants in the cross-validation run. Supportive care competence (0.864), caring attitude (0.685), perception of symptom interference (0.395), perception of post-embolisation syndrome (0.321), and barriers to nausea/vomiting management (− 0.343) were significant discriminant factors of comfort-care.

Conclusion

A low proportion of the participants provided high levels of comfort-care, which was determined by five discriminant factors. The study’s findings imply that the development of supportive care competence, authentic human caring attitude, early detection of patients’ symptoms and symptom interference, and the development of manuals and guidelines for removing barriers for nausea and vomiting are needed to improve the comfort-care of nurses caring for TACE patients.

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Data availability

Not applicable. The datasets generated during and/or analysed during the current study are not publicly available due to [REASON(S) WHY DATA ARE NOT PUBLIC] but are available from the corresponding author on reasonable request.

Code availability

Not applicable.

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Funding

This work was supported by the National Research Foundation of Korea (NRF) funded by the Korea government Ministry of Science and ICT (MSIT) (No. 2020R1A2C1010378).

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Authors and Affiliations

  1. Department of Nursing, Pukyong National University, Yongso-ro 45, Busan, 48513, Korea

    Myoung Soo Kim & Ju-Yeon Uhm

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  1. Myoung Soo Kim
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  2. Ju-Yeon Uhm
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Myoung Soo Kim. The first draft of the manuscript was written by Ju-Yeon Uhm, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Ju-Yeon Uhm.

Ethics declarations

Ethical approval

This study was conducted after review and approval by the institutional review board (IRB No:1041386–202009-HR-53–01). On the survey’s first web-page, the purpose of the study, research methods, voluntary participation, assurance of anonymity, and the possibility of withdrawal from participation were explained to participants in detail. Informed consent was then obtained online from participants prior to the initiation of the survey.

Consent to participate

Informed consent was obtained from all individual participants included in the study.

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Not applicable.

Competing interests

The authors declare no competing interests.

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Kim, M.S., Uhm, JY. Impact of discriminant factors on the comfort-care of nurses caring for trans-arterial chemoembolisation patients. Support Care Cancer 30, 7773–7781 (2022). https://doi.org/10.1007/s00520-022-07221-0

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