Narrative nursing for negative emotions in patients with acute pancreatitis: Based on model construction and application

Table 1 General and clinical data of two groups

Clinical data	Control group (n = 44)	Intervention group (n = 45)	χ²/t	P value
Gender, n (%)			0.932	0.334
Male	26 (59.09)	22 (48.89)
Female	18 (40.91)	23 (51.11)
Age (years)	48.57 ± 16.96	55.09 ± 14.28	1.964	0.053
Hospital stays (days)	11.00 ± 2.89	11.87 ± 3.28	1.321	0.190
Marital status, n (%)			0.989	0.610
Unmarried	2 (4.55)	2 (4.44)
Married	42 (95.45)	42 (93.33)
Divorced or widowed	0 (0.00)	1 (2.22)
Education level, n (%)			2.628	0.453
Junior high school and below	23 (52.27)	30 (66.67)
College	12 (27.27)	9 (20.00)
High school and technical secondary school	8 (18.18)	6 (13.33)
Postgraduate and above	1 (2.27)	0 (0.00)
Payment, n (%)
Medical insurance	38 (86.36)	41 (91.11)	0.503	0.478
Self-payment	6 (13.64)	4 (8.89)	0.503	0.478
Social support	34.82 ± 4.43	34.98 ± 4.27	0.173	0.863
Objective support	8.86 ± 2.74	8.33 ± 1.19	1.189	0.238
Subjective support	20.61 ± 4.41	21.16 ± 3.46	0.646	0.520
Availability of support	5.75 ± 1.16	5.69 ± 1.18	0.246	0.807
First-episode, n (%)			0.011	0.917
Yes	22 (50.00)	22 (48.89)
No	22 (50.00)	23 (51.11)
Pathogenesis, n (%)			5.263	0.154
Biliary onset	8 (18.18)	15 (33.33)
Hyperlipidemic onset	32 (72.73)	24 (53.33)
Alcoholic onset	0 (0.00)	2 (4.44)
Others	4 (9.09)	4 (8.89)
Mastery of related health knowledge, n (%)			3.033	0.219
None	19 (43.18)	26 (57.78)
Rare	16 (36.36)	15 (33.33)
Adequate	9 (20.45)	4 (8.89)

Table 2 Self-rating anxiety scale, self-rating depression scale, positive and negative affect scores before and after intervention in both groups (mean ± SD, points)

Variables	Time points	Control group (n = 44)	Intervention group (n = 45)	t/Z	P value
SAS	Before intervention	57.41 ± 4.21	57.93 ± 3.93	0.607	0.545
	After intervention	50.93 ± 4.64	40.47 ± 4.87	10.368	0.000
SDS	Before intervention	62.02 ± 5.16	60.22 ± 3.91	1.857	0.067
	After intervention	53.64 ± 3.86	42.84 ± 5.12	11.209	0.000
Positive affect score	Before intervention	20.32 ± 4.15	21.33 ± 3.56	1.24	0.218
	After intervention	25.80 ± 4.41	35.58 ± 4.66	10.160	0.000
Negative affect score	Before intervention	34.18 ± 3.44	33.8 ± 3.8	0.497	0.621
	After intervention	28.57 ± 4.52	17.4 ± 4.44	11.753	0.000

SAS: Self-rating anxiety scale; SDS: Self-rating depression scale.

Table 3 Satisfaction and caring behavior scale scores of both groups at discharge, M (p25, p75)/mean ± SD, point

Variables	Control group (n = 44)	Intervention group (n = 45)	z/t	P value
Satisfaction score	138 (134, 140)	140 (135, 140)	4.725	0.03
Caring behavior scale score	116.57 ± 9.75	139.49 ± 9.61	11.168	0.00

Table 4 Self-rating anxiety scale, self-rating depression scale, positive and negative affect scores before discharge as well as 1- and 3-month post-discharge in both groups (mean± SD, point)

Variables	Groups	Before discharge	Post-discharge		Time effect, F (P value)	Between-group effect, F (P value)	Interaction effect, F (P value)
			1 month	3 months
SAS	Control group (n = 44)	50.93 ± 4.64	46.52 ± 5.53a	41.05 ± 5a,b	106.693 (< 0.001)	167.626 (< 0.001)	4.369 (0.014)
	Intervention group (n = 45)	40.47 ± 4.87	36.78 ± 3.4	33.78 ± 3.45a,b
SDS	Control group (n = 44)	53.64 ± 3.86	49.82 ± 5.5a	46.75 ± 4.31a,b	83.852 (< 0.001)	169.739 (< 0.001)	1.153 (0.318)
	Intervention group (n = 45)	42.84 ± 5.12	40.24 ± 3.78a	37.27 ± 3.88a,b
Positive affect score	Control group (n = 44)	25.8 ± 4.41	31.98 ± 4.55a	34.23 ± 3.37a,b	62.351 (< 0.001)	102.942 (< 0.001)	27.803 (< 0.001)
	Intervention group (n = 45)	35.58 ± 4.66	37.84 ± 3.08a	37 ± 2.62
Negative affect score	Control group (n = 44)	28.57 ± 4.52	22.82 ± 4.95a	18.02 ± 4.52a,b	101.706 (< 0.001)	186.138 (< 0.001)	18.381 (< 0.001)
	Intervention group (n = 45)	17.4 ± 4.44	14.89 ± 2.11a	13.16 ± 2.16a,b

^aP < 0.05, significantly differ from pre-discharge values in the same group.

^bP < 0.05, significantly differ from those one month post-discharge in the same group.

SAS: Self-rating anxiety scale; SDS: Self-rating depression scale.

Table 5 36-item short form health survey questionnaire scores 1- and 3-month after

Groups	Post-discharge		Time effect, F (P value)	Between-group effect, F (P value)	Interaction effect, F (P value)
	1 month	3 months
Control group (n = 44)	51.1 ± 10.67	64.78 ± 13.38a	179.909 (< 0.001)	36.787 (< 0.001)	0.772 (0.382)
Intervention group (n = 45)	63.49 ± 10.96	79.09 ± 11.17a

^aP < 0.05, Significantly differ from those one month post-discharge in the same group.