Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2022; 10(23): 8196-8204
Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8196
Three-dimensional psychological guidance combined with evidence-based health intervention in patients with liver abscess treated with ultrasound
Ya-Nan Shan, Ying Yu, Yi-Han Zhao, Lian-Lian Tang, Xiao-Min Chen
Ya-Nan Shan, Ying Yu, Yi-Han Zhao, Department of Infectious Diseases, First Hospital of Qinhuangdao, Qinhuangdao 066000, Hebei Province, China
Lian-Lian Tang, Xiao-Min Chen, Nursing Department, First Hospital of Qinhuangdao, Qinhuangdao 066000, Hebei Province, China
Author contributions: Shan YN, Yu Y, and Chen XM designed the research study; Shan YN, Zhao YH and Tang LL performed the research; Yu Y contributed new reagents and analytic tools; Shan YN and Yu Y analyzed the data and wrote the manuscript; and all authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Qinhuangdao First Hospital Institutional Review Board.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All authors have nothing to disclose.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
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: Xiao-Min Chen, Master Degree Candidate, Professor, Director, Nursing Department, First Hospital of Qinhuangdao, No. 258 Wenhua Road, Haigang District, Qinhuangdao 066000, Hebei Province, China. chenxiaomin2021@yeah.net
Received: April 19, 2022
Peer-review started: April 19, 2022
First decision: May 11, 2022
Revised: May 23, 2022
Accepted: June 30, 2022
Article in press: June 30, 2022
Published online: August 16, 2022
Processing time: 103 Days and 22.6 Hours
Abstract
BACKGROUND

Liver abscess is a common clinical liver disease mainly caused by suppurative bacteria or amoebae, with early clinical signs of chills, high fever, jaundice, and other symptoms. Establishing its early diagnosis is difficult, which may lead to misdiagnosis.

AIM

To observe the effects of psychological guidance combined with evidence-based health intervention in patients with liver abscess treated with ultrasound.

METHODS

A total of 120 patients with bacterial liver abscess admitted to our hospital from May 2018 to February 2021 were selected and divided into groups according to their intervention plan.

RESULTS

After the intervention, Self-Rating Depression Scale, Self-Rating Anxiety Scale, Self-Perceived Burden Scale (SPBS), and quality of life scores (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, mental health) were lower than before the intervention in the two groups. The observation group had lower negative sentiment, SPBS, and quality of life scores than the control group. In the observation group, 31 and 24 patients had good and general compliance, respectively, with a compliance rate of 91.67%, which was significantly higher than that in the control group. The observation group had significantly lower total incidence of incision infection, abdominal abscess, hemorrhage, and severe abdominal pain than the control group.

CONCLUSION

Three-dimensional psychological guidance combined with evidence-based health intervention in treating liver abscess can reduce patients’ burden and negative emotions, improve patient compliance and quality of life, and reduce complications.

Keywords: Three-dimensional psychological guidance, Evidence-based health intervention, Ultrasound intervention, Liver abscess, Negative emotions, Compliance

Core Tip: Patients have poor compliance during interventional treatment of liver abscess. This article uses three-dimensional psychological guidance combined with evidence-based health intervention to increase the patient’s degree of cooperation in treatment.