Effect of narrative nursing on disease adaptation outcome of patients with breast cancer

Abstract

Objective To explore the effect of narrative nursing on disease adaptation outcome of patients with breast cancer such as posttraumatic growth, cancer-related fatigue, psychosocial adaptation, limb function and lymphedema. Methods From August 2015 to February 2016, 76 breast cancer patients of the First Affiliated Hospital of Harbin Medical University were selected as the research objects by convenient sampling method. All patients were divided into observation group and control group by random number table, 38 cases with each group. Patients in the control group were given routine breast cancer treatment and psychological care. On the basis of control group, patients in the observation group received the narrative nursing intervention. The posttraumatic growth rating scale (PTGI) , short fatigue scale (BFI) and disease psychosocial adaptation scale (PAIS-SR) were used to evaluate the disease adaptation condition of patients. The upper limb lymphedema and functional recovery were compared between two groups after intervention. Results The scores of interpersonal relationship, personal strength, mental change, appreciation of life and posttraumatic growth score were higher in the observation group than that in the control group after 1-month intervention (P<0.05) ; the scores of physical fatigue, cognitive fatigue and total score of fatigue in the observation group were higher than those in the control group, the differencs were statistically significant (P<0.05) ; except the family environment and social environment dimensions, the scores of each dimension and total scores of disease psychosocial adaptation in the observation group were higher than those in the control group, the differencs were statistically significant (P<0.05) ; The function of upper limb in the observation group was better than that in the control group, and the incidence of lymphedema was lower than that in the control group, the differencs were statistically significant (P<0.05) . Conclusions Narrative nursing can improve the disease adaptation outcome in breast cancer patients in the aspects of posttraumatic growth, cancer-related fatigue, psychosocial adaptation, limb functional recovery and lymphatic edema disease. It is worth spreading among breast cancer or more disease group. Key words: Breast neoplasms; Narrative nursing; Post-traumatic growth; Carcinogenic fatigue; Maladaptive outcome