Zhou LJ, Wu J, Huang WJ, Shen AW, Yin YP, Sun HL, Yuan YT. Narrative nursing for negative emotions in patients with acute pancreatitis: Based on model construction and application. World J Psychiatry 2024; 14(11): 1631-1640 [DOI: 10.5498/wjp.v14.i11.1631]
Corresponding Author of This Article
Juan Wu, Department of Intensive Care Unit, Affiliated Hospital of Nantong University, No. 20 Xisi Road, Nantong 226001, Jiangsu Province, China. texu1910@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ling-Jun Zhou, Wen-Jie Huang, School of Nursing and Rehabilitation, Nantong University, Nantong 226001, Jiangsu Province, China
Ling-Jun Zhou, Ai-Wu Shen, Yu-Ping Yin, Hai-Li Sun, Yu-Ting Yuan, Department of Gastroenterology, Affiliated Rugao Hospital of Xinglin College, Nantong University, Nantong 226500, Jiangsu Province, China
Juan Wu, Department of Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Author contributions: Zhou LJ and Huang WJ carried out the design and implementation of work in collaboration; Wu J guided and supervised the article in the methodology; Zhou LJ, Yin YP, Sun HL and Yuan YT collected the data; Zhou LJ and Huang WJ performed the data analysis; all the authors contributed to the final results and discussion sections; Zhou LJ and Huang WJ designed, wrote, and discussed the manuscript, and everyone in the research group commented on the article; all the authors have read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Affiliated Rugao Hospital of Xinglin College, Nantong University.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Juan Wu, Department of Intensive Care Unit, Affiliated Hospital of Nantong University, No. 20 Xisi Road, Nantong 226001, Jiangsu Province, China. texu1910@163.com
Received: September 12, 2024 Revised: October 13, 2024 Accepted: October 25, 2024 Published online: November 19, 2024 Processing time: 56 Days and 0.2 Hours
Abstract
BACKGROUND
Acute pancreatitis (AP), as a common acute abdomen disease, has a high incidence rate worldwide and is often accompanied by severe complications. Negative emotions lead to increased secretion of stress hormones, elevated blood sugar levels, and enhanced insulin resistance, which in turn increases the risk of AP and significantly affects the patient's quality of life. Therefore, exploring the intervention effects of narrative nursing programs on the negative emotions of patients with AP is not only helpful in alleviating psychological stress and improving quality of life but also has significant implications for improving disease outcomes and prognosis.
AIM
To construct a narrative nursing model for negative emotions in patients with AP and verify its efficacy in application.
METHODS
Through Delphi expert consultation, a narrative nursing model for negative emotions in patients with AP was constructed. A non-randomized quasi-experimental study design was used in this study. A total of 92 patients with AP with negative emotions admitted to a tertiary hospital in Nantong City of Jiangsu Province, China from September 2022 to August 2023 were recruited by convenience sampling, among whom 46 patients admitted from September 2022 to February 2023 were included in the observation group, and 46 patients from March to August 2023 were selected as control group. The observation group received narrative nursing plan, while the control group was given with routine nursing. Self-rating anxiety scale (SAS), self-rating depression scale (SDS), positive and negative affect scale (PANAS), caring behavior scale, patient satisfaction scale and 36-item short form health survey questionnaire (SF-36) were used to evaluate their emotions, satisfaction and caring behaviors in the two groups on the day of discharge, 1-and 3-month following discharge.
RESULTS
According to the inclusion and exclusion criteria, a total of 45 cases in the intervention group and 44 cases in the control group eventually recruited and completed in the study. On the day of discharge, the intervention group showed significantly lower scores of SAS, SDS and negative emotion (28.57 ± 4.52 vs 17.4 ± 4.44, P < 0.001), whereas evidently higher outcomes in the positive emotion score, Caring behavior scale score and satisfaction score compared to the control group (P < 0.05). Repeated measurement analysis of variance showed that significant between-group differences were found in time effect, inter-group effect and interaction effect of SAS and PANAS scores as well as in time effect and inter-group effect of SF-36 scores (P < 0.05); the SF-36 scores of two groups at 3 months after discharge were higher than those at 1 month after discharge (P < 0.05).
CONCLUSION
The application of narrative nursing protocols has demonstrated significant effectiveness in alleviating anxiety, ameliorating negative emotions, and enhancing satisfaction among patients with AP.
Core Tip: The implementation of narrative nursing programs for patients with acute pancreatitis has positive effects on improving their negative emotions, significantly enhancing their experience during hospitalization and altering their negative perceptions of clinical nursing work.
