降低肝动脉化疗栓塞患者术后中重度心理痛苦发生率

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中图分类号：R197.323 文献标识码：B

Reducingthe IncidenceofModerateto一SeverePsyhological DistressinPatientsolowingTranscatheterArterialChemoembolization/GUO Jing，ZHANG Ying， ZHENG Lu， et al.//Chinese Health Quality Management，2026，33（1）：64-70

AbstractObjectiveTo reduce the incidence of moderate-to-severe psychological distress in patients undergoing transcatheter arterial chemoembolization（TACE）for liver cancer.MethodsA multidisciplinary colaborative teamcomprising medical，nursing，technical，and administrative staff was established to conductqualitycontrol circle （QCC）activities targeting moderate一to一severe psychological distress in liver cancer patients post-TACE. Through situation assessment，root cause analysis，and countermeasure formulation，improvements were implemented in three key areas： precise execution of refined TACE procedures and accurate management of embolization-related symptoms; precise controlof compresion hemostasis duration andoptimized postoperative activity management；and acurate dentification of negative emotions with targeted psychological interventions.ResultsThe incidence of moderate一to一severe psychological distress post-TACE decreased from 34.83% to 15.79% .ConclusionImplementing QCC activities effectivelyreduces the incidenceof moderate一to一severe psychological distress inpatients after TACE，aleviates their physical and psychological burdens，improves treatment experiences，and enhances quality of life.

Key words Quality Control Circle；Problem一Solving Quality Control Circle;Liver Cancer; Transcatheter Arterial Chemoembolization；Psychological Distress

First-author'saddress

Second Affiliated Hospital of Army Medical University， Chongqing，4Ooo37，China

主题选定

肝动脉化疗栓塞术（transcatheterarterial chemoembolization，TA-CE）是不可切除肝癌的首选治疗方式[1]。（剩余9898字）