The efect of narrative nursing on improving the negative emotions and quality of life of patients with moderate to severe cancer pain

• Li Hua Wu ^[1] ; Jia Li ^[1] ; Shao Fen Jia ^[1] ; Yan Jing Guo ^[1]
  1. [1] Department of Lymphatic Oncology, Cancer Center, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, No. 99 of Longcheng Street, Xiaodian District, Taiyuan 030032, China
• Localización: Clinical & translational oncology, ISSN 1699-048X, Vol. 27, Nº. 1, 2025, págs. 182-188
• Idioma: inglés
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• Resumen

  • Objective This study aimed to explore the efect of narrative nursing on improving the negative emotions, sleep quality, and quality of life of patients with moderate to severe cancer pain.

    Methods A total of 80 patients with moderate to severe cancer pain who had been hospitalized in the lymphoma oncology department in our hospital from March 2019 to September 2021 were selected as the study subjects and randomly divided into the conventional nursing and narrative nursing groups, with 40 cases in each group. A conventional nursing intervention was conducted for one group, and narrative nursing was provided for the second group in addition to the conventional nursing. The anxiety and depression, sleep quality, quality of life, and satisfaction with pain management of the patients in the two groups were compared before and after the intervention.

    Results In the narrative nursing group, the self-rating anxiety scale and self-rating depression scale scores were signifcantly lower than those in the conventional nursing group after the intervention (P<0.05). The scores for sleep quality, sleep duration, sleep efciency, and daytime dysfunction and the total Pittsburgh Sleep Quality Index scores were signifcantly lower in the narrative nursing group compared with the conventional care group (P<0.05). The scores for the physical function, living ability, social adaptation, and psychological status items in the Quality of Life Questionnaire Core 30 were signifcantly higher in the narrative nursing group than in the conventional care group (P<0.05). The patients’ satisfaction with pain management was higher in the narrative nursing group than in the conventional care group (P<0.05).

    Conclusion Narrative nursing can alleviate the negative emotions of anxiety and depression in patients with moderate to severe cancer pain and improve their sleep quality, quality of life, and pain management satisfaction.