Factors associated with unmet psychological care needs and development of a Neuman systems model-based risk prediction model in patients with hepatocellular carcinoma - Scorecard - MDSpire
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Factors associated with unmet psychological care needs and development of a Neuman systems model-based risk prediction model in patients with hepatocellular carcinoma
Clinical Scorecard: Identifying Factors Linked to Unmet Psychological Care Requirements and Creating a Risk Prediction Model Based on the Neuman Systems Framework in Hepatocellular Carcinoma Patients
At a Glance
Category
Detail
Condition
Hepatocellular Carcinoma (HCC)
Key Mechanisms
Unmet psychological care needs linked to pain, sleep disturbance, anxiety, depression, family support, communication, and economic burden.
Target Population
Adults with hepatocellular carcinoma admitted for treatment.
Care Setting
Oncology nursing during early hospitalization.
Key Highlights
59.4% of patients reported unmet psychological care needs within 24–48 hours of admission.
Key predictors of unmet needs include pain scores, sleep disturbance, and family support.
The developed nomogram showed good predictive performance with AUCs of 0.851 and 0.829 in training and validation sets, respectively.
The study emphasizes the importance of early screening for psychological care needs in HCC patients.
Guideline-Based Recommendations
Diagnosis
Assess psychological care needs using the SCNS-SF34 within 24–48 hours after admission.
Management
Implement early nursing stratification based on identified psychological care needs.
Monitoring & Follow-up
Regularly evaluate pain, sleep, and emotional states during hospitalization.
Risks
Consider the impact of inadequate family support and communication on psychological well-being.
Patient & Prescribing Data
Adults with hepatocellular carcinoma experiencing symptom distress and psychological needs.
Addressing psychological care needs may enhance overall treatment outcomes and patient satisfaction.
Clinical Best Practices
Utilize the Neuman Systems Model for comprehensive assessment of stressors.
Incorporate psychosocial screening in early nursing assessments.
Facilitate family involvement and communication to support patient needs.
