Effect of narrative nursing on psychological resilience and anxiety in breast cancer patients with first recurrence

doi:10.3877/cma.j.issn.1674-0807.2022.05.006

Abstract

Abstract:

Objective

To explore the effect of narrative nursing on psychological resilience and anxiety in breast cancer patients with first recurrence.

Methods

A total of 60 breast cancer patients with first recurrence in the Department of Oncology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 2018 to January 2019 were selected for a prospective study using convenience sampling. They were divided into observation group and control group, with 30 cases in each group. The control group adopted conventional nursing and the observation group adopted narrative nursing on the basis of conventional nursing. The simplified version of the Connor-Davidson Resilience Scale (CD-RISC) and self-rating anxiety scale (SAS) were used to evaluate psychological resilience and anxiety of patients in two groups before and after intervention. The scores were compared between groups and the scores of patients in the same group were compared before and after intervention using t test.

Results

(1) After intervention, the scores of three dimensions and total scores of the CD-RISC in observation group were significantly higher than those in control group (tenacity: t=-0.386, P=0.701; self-reliance: t=0.168, P=0.867; optimism: t=-2.560, P=0.013; total scores: t=7.456, P<0.001). The scores of three dimensions and total scores of the CD-RISC in observation group presented a significant difference before and after intervention (tenacity: t=-3.539, P=0.001; self-reliance: t=-3.667, P=0.001; optimism: t=-8.225, P<0.001; total score: t=-4.357, P<0.001). In control group, only the score in the dimension of optimism showed a significant difference before and after intervention (t=-3.521, P=0.001). (2) After intervention, the SAS score in observation group was significantly lower than that in control group [50.63±5.12 vs 58.82±3.16, t=7.456, P<0.001]. The SAS scores of observation group and control group showed a significant difference before and after intervention (t=12.335, 8.606, both P<0.001).

Conclusion

Narrative nursing can significantly improve the psychological resilience and relieve the anxiety in breast cancer patients with first recurrence.

Key words: Breast neoplasms, Nursing care, Recurrence, Psychology, Anxiety

Wei Chen, Xin Peng. Effect of narrative nursing on psychological resilience and anxiety in breast cancer patients with first recurrence[J]. Chinese Journal of Breast Disease(Electronic Edition), 2022, 16(05): 298-302.

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References 19

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组别	例数	年龄(岁，±s)	文化程度[例(%)]				婚姻[例(%)]		家庭经济条件[例(%)]			民族[例(%)]
组别	例数	年龄(岁，±s)	小学及以下	初中	高中/中专	大专及以上	已婚	未婚	较好	一般	较差	汉族	少数民族
观察组	30	49.9±12.3	2(6.7)	8(26.7)	11(36.7)	9(30.0)	26(86.7)	4(13.3)	4(13.3)	21(70.0)	5(16.7)	25(83.3)	5(16.7)
对照组	30	51.3±15.1	1(3.3)	9(30.0)	13(43.3)	7(23.3)	27(90.0)	3(1.0)	6(20.0)	20(66.7)	4(13.3)	28(93.3)	2(96.7)
检验值		t＝－0.415	Z＝0.234				χ²＝0.000		Z＝－0.685			χ²＝0.647
P值		0.680	0.815				1.000		0.493			0.421

组别	例数	年龄(岁，±s)	文化程度[例(%)]				婚姻[例(%)]		家庭经济条件[例(%)]			民族[例(%)]
组别	例数	年龄(岁，±s)	小学及以下	初中	高中/中专	大专及以上	已婚	未婚	较好	一般	较差	汉族	少数民族
观察组	30	49.9±12.3	2(6.7)	8(26.7)	11(36.7)	9(30.0)	26(86.7)	4(13.3)	4(13.3)	21(70.0)	5(16.7)	25(83.3)	5(16.7)
对照组	30	51.3±15.1	1(3.3)	9(30.0)	13(43.3)	7(23.3)	27(90.0)	3(1.0)	6(20.0)	20(66.7)	4(13.3)	28(93.3)	2(96.7)
检验值		t＝－0.415	Z＝0.234				χ²＝0.000		Z＝－0.685			χ²＝0.647
P值		0.680	0.815				1.000		0.493			0.421

组别	例数	坚韧		自强		乐观		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
观察组	30	27.54±7.08	35.01±9.14^a	21.03±6.12	27.13±6.75^a	8.13±3.21	15.13±3.38^a	56.81±14.67	77.27±21.33^a
对照组	30	26.85±7.39	30.43±8.12	20.85±5.86	22.75±6.26	7.72±3.03	10.53±3.15^b	55.42±13.22	63.71±19.66
t值		－0.369	－2.052	－0.116	－2.606	－0.509	－5.453	－0.386	－2.560
P值		0.713	0.045	0.908	0.012	0.613	<0.001	0.701	0.013

组别	例数	坚韧		自强		乐观		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
观察组	30	27.54±7.08	35.01±9.14^a	21.03±6.12	27.13±6.75^a	8.13±3.21	15.13±3.38^a	56.81±14.67	77.27±21.33^a
对照组	30	26.85±7.39	30.43±8.12	20.85±5.86	22.75±6.26	7.72±3.03	10.53±3.15^b	55.42±13.22	63.71±19.66
t值		－0.369	－2.052	－0.116	－2.606	－0.509	－5.453	－0.386	－2.560
P值		0.713	0.045	0.908	0.012	0.613	<0.001	0.701	0.013

组别	例数	干预前	干预后
对照组	30	69.81±6.24	58.82±3.16^a
观察组	30	69.53±6.65	50.63±5.12^b
t值		0.168	7.456
P值		0.867	<0.001

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