Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2024; 12(1): 76-85
Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.76
Nursing effect of narrative nursing intervention on postoperative patients with severe lung cancer
Bin Wen, Ying Liu, Xiao-Xia Min, An-Qi Wang
Bin Wen, Xiao-Xia Min, Department of Intensive Care, Tongren Hospital of Wuhan University and Wuhan Third Hospital, Optics Valley Branch, Wuhan 430074, Hubei Province, China
Ying Liu, The First Department of Thoracic Oncology, Hubei Cancer Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430079, Hubei Province, China
An-Qi Wang, Department of Emergency Medicine, Taizhou First People's Hospital, Taizhou 318020, Zhejiang Province, China
Co-first authors: Bin Wen and Ying Liu.
Author contributions: Wen B and Liu Y designed the research; Min XX, Wang AQ, Wen B, and Liu Y contributed new reagents/analytic tools; Wang AQ, Min XX, Wen B, and Liu Y analyzed the data; Wen B and Liu Y wrote the paper; All authors were involved in the critical review of the results and have contributed to, read, and approved the final manuscript. Wen B and Liu Y contributed equally to this work as co-first authors equally to this work. The reasons for designating Wen B and Liu Y as co-first authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-corresponding authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-first authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, Wen B and Liu Y contributed efforts of equal substance throughout the research process. The choice of these researchers as co-first authors acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating Wen B and Liu Y as co-first authors of is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.
Institutional review board statement: This study protocol was approved by Taizhou First People's Hospital, and all the families have voluntarily participated in the study and have signed informed consent forms.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors declared no conflict of interest existing in this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
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: An-Qi Wang, Nurse, Department of Emergency Medicine, Taizhou First People's Hospital, No. 218 Wang Street, Huangyan District, Taizhou 318020, Zhejiang Province, China. wganqi1010@163.com
Received: November 21, 2023
Peer-review started: November 21, 2023
First decision: December 5, 2023
Revised: December 6, 2023
Accepted: December 18, 2023
Article in press: December 18, 2023
Published online: January 6, 2024
Abstract
BACKGROUND

Lung cancer is a common disease with high mortality, and psychological support is very important in the diagnosis and treatment of postoperative patients with cancer pain.

AIM

To explore the application effect of the narrative nursing method in postoperative lung cancer patients in the intensive care unit.

METHODS

A total of 120 patients diagnosed with lung cancer and experiencing cancer-related pain were randomly allocated into two groups: an observation group and a control group, each consisting of 60 cases. The control group was given routine analgesic and psychological care, while the research group applied the five-step narrative nursing method based on routine care, comparing the visual analogue scale scores, sleep status, anxiety and depression status, and quality of life of the two groups of patients before and after the intervention.

RESULTS

The pain scores, anxiety scores, and depression scores of the study group were lower than those of the control group after the intervention using the narrative nursing method, and the difference was statistically significant (P < 0.05).

CONCLUSION

Using narrative nursing methods to intervene in patients with lung cancer combined with cancerous pain can help patients to correctly recognize their disease, adjust their mentality, establish confidence, alleviate patients' subjective pain feelings, and improve their adverse emotions.

Keywords: Narrative care, Lung cancer, Care unit, Pain, Quality of life

Core Tip: Lung cancer is a high incidence and high mortality tumor disease. At present, routine postoperative care lacks psychological support for patients. Therefore, this paper aims to explore the application effect of narrative nursing method based on psychological support in postoperative intensive care unit patients. Through randomized controlled experiments, scale scores and statistical analysis, it was found that the pain score, anxiety score and depression score of patients under narrative nursing method were significantly reduced. The results show that narrative nursing method has great advantages in emotional support of patients with lung cancer complicated with cancer pain.