Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2021; 9(34): 10557-10565
Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10557
Application of narrative nursing in the families of children with biliary atresia: A retrospective study
Liang-Hui Zhang, Hong-Yan Meng, Ren Wang, You-Cheng Zhang, Jian Sun
Liang-Hui Zhang, Hong-Yan Meng, Ren Wang, You-Cheng Zhang, Jian Sun, Department of Children Surgery, Huai’an Maternal and Child Hospital, Huai’an 223001, Jiangsu Province, China
Author contributions: Zhang LH and Meng HY design the experiment; Wang R drafted the work; Zhang YC and Sun J collected the data; Zhang LH and Meng HY analyzed and interpreted data; Zhang LH and Wang R revised the manuscript.
Institutional review board statement: This study was approved by the Huai’an Maternal and Child Hospital Ethics Committee (Approval No. 2020038).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: There is no conflict of interest.
Data sharing statement: No additional data are available.
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: Hong-Yan Meng, PhD, Associate Chief Nurse, Department of Children Surgery, Huai’an Maternal and Child Hospital, No. 104 Renmin South Road, Huai’an 223001, Jiangsu Province, China. mhy13852336637@126.com
Received: August 6, 2021
Peer-review started: August 6, 2021
First decision: September 1, 2021
Revised: September 8, 2021
Accepted: October 15, 2021
Article in press: October 15, 2021
Published online: December 6, 2021
Abstract
BACKGROUND

Narrative nursing is an important clinical nursing intervention model. It is the practice of patient storytelling to share the essence of nursing. The current clinical intervention for biliary atresia (BA) mainly focuses on disease treatment and does not pay enough attention to the psychological state of family members.

AIM

To explore the application value of narrative nursing in the families of children with BA.

METHODS

Sixty-four family members of children with BA in our hospital from December 2017 to October 2020 were retrospectively included and were divided into a study group (n = 32) and a control group (n = 32). The control group was provided with routine nursing, while the study group was given narrative nursing on the basis of the control group. The scores of mood state (depression and anxiety), family members’ nursing ability, perceived stress, and nursing job satisfaction of the children’s families were calculated before and after the intervention.

RESULTS

Before intervention, there was no significant difference in the self-rating anxiety scale and self-rating depression scale scores between groups (P > 0.05). After intervention, the self-rating anxiety scale and self-rating depression scale scores in the study group were lower than those in the control group (both P = 0.000). Before intervention, the study group adjusted life to meet care needs, evaluated family members and social resources, dealt with personal emotions, responded to needs, and provided assistance, and the adaptive care role scores were not significantly different from those in the control group (P = 0.802, 0.819, 0.694, 0.796, and 0.686, respectively). After intervention, all scores were significantly lower in the study group than in the control group (all P < 0.0001). Before intervention, there was no significant difference in the child post-traumatic stress disorder symptom score (CPSS) score between groups (P = 0.615). After intervention, the CPSS scores were significantly lower than those before intervention in both groups and lower in the study group than in the control group (P < 0.0001). Nursing job satisfaction of the family members of the study group (93.75%) was higher than that of the control group (75.00%) (P = 0.039).

CONCLUSION

Narrative nursing with family members of children with BA can effectively alleviate negative emotions, reduce perceptual pressure, and improve nursing ability. Additionally, family members are more satisfied with nursing work.

Keywords: Narrative nursing, Biliary atresia, Negative emotions, Nursing ability, Retrospective study, Perceptual pressure

Core Tip: This paper verified the positive effect of narrative nursing on children with congenital biliary atresia. The intervention of narrative nursing to the family members of children with biliary atresia can effectively alleviate their negative emotion, reduce the perceptual pressure, and improve their nursing ability.