The Impact of Narrative Nursing on Body Image, Disability Acceptance, and Psychological Hope Level in Young and Middle-aged Breast Cancer Patients After Surgery
Download PDF
$currentUrl="http://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]"

Keywords

Narrative nursing
Breast cancer
Radical surgery
Body image
Disability acceptance

DOI

10.26689/otd.v2i4.9150

Submitted : 2024-12-04
Accepted : 2024-12-19
Published : 2025-01-03

Abstract

Objective: To investigate the effects of narrative nursing on body image, disability acceptance and psychological hope level of young and middle-aged breast cancer patients after radical surgery. Methods: A non-randomized quasi-experimental study was used to divide 80 patients in the Department of Breast Surgery of a tertiary cancer hospital in Yunnan Province from October 2023 to September 2024 as the study subjects and the study subjects were divided into the intervention group and control group with 40 cases in each group. The intervention was performed within 1 month after surgery, and a total of 5 interventions were performed. The two groups of patients were evaluated by the breast cancer patients’ body image self-rating questionnaire, the revised version of the Disability Acceptance Scale, and the Herth Hope Assessment Scale. Results: There were no significant differences in BISQ-BC, ADS-R, and HHI between the intervention group and the control group before intervention (P > 0.05). After the intervention, the BISQ-BC score of the intervention group was lower than that of the control group, and the ADS-R score and HHI score were higher than those of the control group, and the difference was statistically significant (P < 0.05). Conclusion: Narrative nursing can effectively improve the physical image level of young and middle-aged breast cancer patients, improve the disability acceptance and psychological hope level of young and middle-aged breast cancer patients, and help them vent their negative emotions, gain confidence in life, and improve their quality of life.

References

Fang SY, Lin YC, Chen TC, et al., 2015, Impact of Marital Coping on the Relationship Between Body Image and Sexuality Among Breast Cancer Survivors. Supportive Care in Cancer, 23(9): 2551–2559.

Morone G, Iosa M, Fusco A, et al., 2014, Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes. Scientific World Journal, 2014: 451935.

Cao M, Chen W, 2019, Epidemiology of Cancer in China and the Current Status of Prevention and Control. Chinese Clinical Oncology, 46(3): 145–149.

Goldman ME, 2017, Life After Treatment: Quality-of-Life Concerns in Patients Treated for Cancer. Journal of the National Comprehensive Cancer Network, 15(5S): 744–747.

Tang WZ, Yusuf A, Jia K, et al., 2022, Correlates of Stigma for Patients With Breast Cancer: A Systematic Review and Meta-Analysis. Supportive Care in Cancer, 31(1): 55.

Becker I, Nieder TO, Cerwenka S, et al., 2016, Body Image in Young Gender Dysphoric Adults: A European Multi-Center Study. Archives of Sexual Behavior, 45(3): 559–574.

Fang H, Zeng Y, Liu Y, et al., 2023, The Effect of the PERMA Model-Based Positive Psychological Intervention on the Quality of Life of Patients With Breast Cancer. Heliyon, 9(6): e17251.

Sicari F, Merlo EM, Gentile G, et al., 2023, Body Image and Psychological Impact of Dental Appearance in Adolescents With Malocclusion: A Preliminary Exploratory Study. Children-Basel, 10(10): 1691.

Campbell-Enns HJ, Woodgate RL, 2017, The Psychosocial Experiences of Women With Breast Cancer Across the Lifespan: A Systematic Review. Psycho-Oncology, 26(11): 1711–1721.

Huang H, Liu Y, 2016, Research Progress on the Clinical Application of Narrative Nursing. Chinese Journal of Nursing, 51(2): 196–200.

Guo X, Cao M, Zeng M, et al., 2019, The Impact of Narrative Therapy on Hope Levels and Psychological Status of Advanced Cancer Patients. Journal of Hunan Normal University (Medical Edition), 16(5): 1–3.

Zhai Y, Xu H, Li R, et al., 2023, The Application of Narrative Nursing in Middle-Aged and Young Stroke Patients With Acute Stress Disorder. Nursing Research, 37(17): 3211–3216.

Wang S, He L, Zhang X, et al., 2023, A Study on the Effect of Narrative Nursing Education in Enhancing the Humanistic Care Ability of Undergraduate Nursing Students. Continuing Medical Education in China, 15(22): 97–102.

Yu J, Yuan W, Zhang Y, et al., 2023, A Meta-Analysis of the Intervention Effect of Narrative Nursing on Negative Emotions and Stigma in Patients After Breast Cancer Surgery. Shanghai Nursing, 23(2): 60–67.

Zhou K, He X, Huo L, et al., 2018, Development of the Body Image Self-Rating Questionnaire for Breast Cancer (BISQ-BC) for Chinese Mainland Patients. BMC Cancer, 18(1): 19.

Groomes DAG, Linkowski DC, 2007, Examining the Structure of the Revised Acceptance Disability Scale. The Journal of Rehabilitation, 73(3): 3.

Álvarez-Pardo S, Paz JA, Romero-Pérez EM, et al., 2023, Factors Associated With Body Image and Self-Esteem in Mastectomized Breast Cancer Survivors. International Journal of Environmental Research and Public Health, 20(6): 5154.

Herth K, 1992, Abbreviated Instrument to Measure Hope: Development and Psychometric Evaluation. Journal of Advanced Nursing, 17(10): 1251–1259.

Zhao H, Wang J, 2000, Social Support and Hope in Hemodialysis Patients. Chinese Journal of Nursing, 35(5): 306–308.

Wen B, Liu Y, Min XX, et al., 2024, Nursing Effect of Narrative Nursing Intervention on Postoperative Patients With Severe Lung Cancer. World Journal of Clinical Cases, 12(1): 76–85.

Zaharias G, 2018, Narrative-based Medicine and the General Practice Consultation: Narrative-based Medicine 2. Canadian Family Physician, 64(4): 286–290.

Mifsud A, Pehlivan MJ, Fam P, et al., 2021, Feasibility and Pilot Study of a Brief Self-compassion Intervention Addressing Body Image Distress in Breast Cancer Survivors. Health Psychology and Behavioral Medicine, 9(1): 498–526.

Burstein HJ, Curigliano G, Thürlimann B, 2021, Customizing Local and Systemic Therapies for Women With Early Breast Cancer: The St. Gallen International Consensus Guidelines for Treatment of Early Breast Cancer 2021. Annals of Oncology, 32(10): 1216–1235.

Pasyar N, Jowkar M, Rambod M, 2023, The Predictive Role of Hope and Social Relational Quality in Disability Acceptance Among Iranian Patients Under Hemodialysis. BMC Nephrology, 24(1): 101.

Li Y, Ni N, Zhou Z, et al., 2021, Hope and Symptom Burden of Women With Breast Cancer Undergoing Chemotherapy: A Cross-Sectional Study. Journal of Clinical Nursing, 30(15–16): 2293–2300.