Abstract： AIM To evaluate the effect of lean management on the anxiety level and nursing satisfaction in outpatients with liver diseases.METHODS Two hundred patients with liver diseases who underwent outpatient infusion from October 2012 to September 2014 were selected and divided into either a control group (treated from October 2012 to September 2013) or an observation group (treated from October 2013 to September 2014),with 100 cases in each group.The observation group adopted the nursing mode of lean management,while the control group received routine nursing.Before and after the infusion,the patients were assessed with the self-rating anxiety scale (SAS),and the SAS scores were compared between the two groups before and after intervention.At the end of the infusion,the satisfaction degree of patients was evaluated using the self-made nursing satisfaction questionnaire,and nursing satisfaction was compared between the two groups.RESULTS Before intervention,there was no significant difference in SAS score between the control group and the observation group (59.4 ± 7.5 vs 59.1 ± 7.3,P ＞ 0.05).After intervention,SAS score was significantly lower in the observation group than in the control group (52.8 ± 6.4 vs 52.8 ± 6.4,P ＜ 0.05).The rate of nursing satisfaction was significantly higher in the control group than in the observation group (P ＜ 0.05).CONCLUSION Lean management can effectively relieve anxiety and improve nursing satisfaction in outpatients with liver diseases.