Abstract：
OBJECTIVE: This study aims to explore the intervention effects of narrative nursing on the reproductive concerns of cervical cancer patients of childbearing age undergoing surgical treatment.
METHODS: Patients undergoing cervical cancer surgery with moderate to severe levels of reproductive concerns, treated between January and December 2023 at a tertiary Grade-A oncology hospital in China, were selected as the research subjects. Patients were randomized into an intervention group and a control group, each consisting of 33 patients. The control group received standard nursing care, while the intervention group received a narrative nursing intervention in addition to standard care. The changes in the levels of reproductive concerns, post-traumatic growth, and quality of life scores before and after the intervention were compared between the two groups.
RESULTS: After the intervention, the reproductive concerns scores of the cervical cancer patients in the intervention group (32.53 ± 4.77) were significantly lower than those in the control group (59.29 ± 3.24), with a statistically significant difference (t = 26.143, p < 0.001). The post-traumatic growth scores in the intervention group (86.78 ± 3.52) were significantly higher than those in the control group (68.06 ± 6.24), with a statistically significant difference (t = -14.595, p < 0.001). The quality of life scores in the intervention group (149.00 [IQR = 8.75]) were significantly higher than those in the control group (129.00 [IQR = 13.00]), with a statistically significant difference (z = -5.799, p < 0.001).
CONCLUSIONS: Narrative nursing can effectively alleviate reproductive concerns in cervical cancer patients undergoing surgical treatment, promote positive psychological changes post-trauma, and improve patients\' quality of life.
METHODS: Patients undergoing cervical cancer surgery with moderate to severe levels of reproductive concerns, treated between January and December 2023 at a tertiary Grade-A oncology hospital in China, were selected as the research subjects. Patients were randomized into an intervention group and a control group, each consisting of 33 patients. The control group received standard nursing care, while the intervention group received a narrative nursing intervention in addition to standard care. The changes in the levels of reproductive concerns, post-traumatic growth, and quality of life scores before and after the intervention were compared between the two groups.
RESULTS: After the intervention, the reproductive concerns scores of the cervical cancer patients in the intervention group (32.53 ± 4.77) were significantly lower than those in the control group (59.29 ± 3.24), with a statistically significant difference (t = 26.143, p < 0.001). The post-traumatic growth scores in the intervention group (86.78 ± 3.52) were significantly higher than those in the control group (68.06 ± 6.24), with a statistically significant difference (t = -14.595, p < 0.001). The quality of life scores in the intervention group (149.00 [IQR = 8.75]) were significantly higher than those in the control group (129.00 [IQR = 13.00]), with a statistically significant difference (z = -5.799, p < 0.001).
CONCLUSIONS: Narrative nursing can effectively alleviate reproductive concerns in cervical cancer patients undergoing surgical treatment, promote positive psychological changes post-trauma, and improve patients\' quality of life.
摘要：
目的：本研究旨在探讨叙事护理对宫颈癌手术治疗育龄期患者生殖顾虑的干预效果。
方法：接受宫颈癌手术并伴有中度至重度生殖问题的患者，2023年1月至12月在中国三级甲等肿瘤医院接受治疗，被选为研究对象。患者被随机分为干预组和对照组，每个由33名患者组成。对照组给予标准护理,而干预组除了标准护理外还接受了叙事护理干预。生殖问题水平的变化，创伤后成长,比较两组干预前后的生活质量评分。
结果：干预后，干预组宫颈癌患者的生殖担忧评分(32.53±4.77)显著低于对照组(59.29±3.24),差异有统计学意义(t=26.143,p<0.001)。干预组创伤后成长评分(86.78±3.52)明显高于对照组(68.06±6.24),差异有统计学意义(t=-14.595，p<0.001)。干预组生活质量评分(149.00[IQR=8.75])明显高于对照组(129.00[IQR=13.00]),具有统计学上的显著差异(z=-5.799,p<0.001)。
结论：叙事护理能有效缓解宫颈癌手术患者的生育顾虑。促进创伤后积极的心理变化，提高患者的生活质量。
方法：接受宫颈癌手术并伴有中度至重度生殖问题的患者，2023年1月至12月在中国三级甲等肿瘤医院接受治疗，被选为研究对象。患者被随机分为干预组和对照组，每个由33名患者组成。对照组给予标准护理,而干预组除了标准护理外还接受了叙事护理干预。生殖问题水平的变化，创伤后成长,比较两组干预前后的生活质量评分。
结果：干预后，干预组宫颈癌患者的生殖担忧评分(32.53±4.77)显著低于对照组(59.29±3.24),差异有统计学意义(t=26.143,p<0.001)。干预组创伤后成长评分(86.78±3.52)明显高于对照组(68.06±6.24),差异有统计学意义(t=-14.595，p<0.001)。干预组生活质量评分(149.00[IQR=8.75])明显高于对照组(129.00[IQR=13.00]),具有统计学上的显著差异(z=-5.799,p<0.001)。
结论：叙事护理能有效缓解宫颈癌手术患者的生育顾虑。促进创伤后积极的心理变化，提高患者的生活质量。
