ABSTRACT
ObjectiveTo discuss the effects of nursing model based on story theory on cancer-related fatigue， anxiety， depression and quality of life of gastric cancer patients. MethodsA randomized controlled trial was conducted on 120 gastric cancer patients admitted to gastroenterology department of The First Affiliated Hospital Henan University of Science and Technology from January 2017 to January 2018. Patients were randomly classified into observation group （n=61） and control group （n=59）. All patients received routine nursing， based on this， patients in observation group received nursing model based on story theory. Interventions in both groups lasted for 3 weeks. Furthermore， all individuals were assessed using Revised Piper Fatigue Scale （RPFS）， Self-rating Anxiety Scale （SAS）， Self-rating Depression Scale （SDS） and the Short-form 36 Health Survey Scale （SF-36） at the baseline and 3 weeks after intervention. ResultsAfter intervention， there was a decrease in the each dimension score of RPFS in both groups （tcontrol group=10.305~15.639， tobservation group=18.821~32.589， P<0.01）， and the above scores of control group were significantly higher than those of observation group （t=10.863~16.992， P<0.01）. The scores of SAS and SDS were decreased in both groups after intervention （tcontrol group=13.964， 17.744， tobservation group=14.199， 9.361， P<0.01）， and the post-intervention scores of SAS and SDS were significantly higher in control group than those in observation group （t=6.505， 8.460， P<0.01）. After intervention， the score of SF-36 was elevated in both groups （tcontrol group=12.793， tobservation group=28.141， P<0.01）， and the post-intervention score of SF-36 was significantly lower in control group than those in observation group（t=13.757， P<0.01）. ConclusionCompared with routine nursing， nursing model based on story theory is of great significance in attenuating cancer-related fatigue， alleviating anxiety and depression， and improving quality of life of gastric cancer patients.
ABSTRACT
Objective To validate the effectiveness of nursing intervention on alleviating negative emotions and improving quality of cancer patients′ life based on story theory. Methods This study adopted the method of quasi-experimental research,100 patients with cancer chemotherapy were divided into the experimental group(50 cases),and the control group(50 cases).Based on conventional care,the experimental group received 3 weeks of nursing intervention based on story theory.The scores of mood and quality of life were collected in the 1st day and 23rd day after chemotherapy by using Profile of Mood States-Short Form(POMS-SF)and Quality of Life Questionnaire-core(QLQ-C30),thus evaluated the effect of intervention. Results The scores of POMS-SF in the 1st day and 23rd day after chemotherapy were (17.28±5.41),(35.84±12.35)points in the experimental group,and the difference was significant(t=7.54, P<0.05).The scores of QLQ-C30 in the 1st day and 23rd day after chemotherapy were(7.72±1.53),(8.17± 0.94) points in the control group, and the difference was significant(t =-4.07, P<0.05). There was no statistical difference in the scores of POMS-SF and QLQ-C30 between the 1st day and 23rd day after chemotherapy in the control group(P>0.05). Conclusions The nursing intervention based on story theory demonstrated significant improvement of negative emotions and quality of life, which is a quite practical psychological care for cancer chemotherapy patients.