Narrative nursing intervention and its impact on post-traumatic growth of breast cancer patients during treatment
10.3760/cma.j.cn115682-20250217-00708
- VernacularTitle:叙事护理干预对治疗期乳腺癌患者创伤后成长影响的研究
- Author:
Rui XUE
1
;
Jun'e LIU
1
;
Fuyun ZHAO
1
;
Jing LI
1
;
Ruolin LI
1
Author Information
1. 首都医科大学护理学院，北京 100069
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Narrative nursing;
Post-traumatic growth;
Rumination
- From:
Chinese Journal of Modern Nursing
2025;31(14):1897-1902
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a narrative nursing intervention plan for post-traumatic growth (PTG) in breast cancer patients and evaluate its effectiveness.Methods:Based on PTG model and the core principles of narrative nursing techniques, an intervention plan was constructed, consisting of three themes. The first unit, "Me and Them, " used externalization techniques to construct deliberate rumination. The second unit, "What Kind of Person Am I, " used deconstruction and rewriting techniques to promote effective disease coping. The third unit, "We Are Together, " applied external witnesses and therapeutic documentation techniques to enhance social support and consolidate growth. Individualized face-to-face interventions were implemented, with each unit receiving one session lasting 1 to 1.5 hours, for a total of three sessions. Using purposive sampling, 42 breast cancer patients hospitalized in the Daytime Ward of Beijing Tiantan Hospital from July to October 2024 were selected. These patients were divided into an intervention group, which received the narrative nursing intervention plan, and a control group, which received routine nursing care, with 21 patients in each group. The Post-Traumatic Growth Inventory (PTGI) and the Chinese version of the Event-Related Rumination Inventory (C-ERRI) were used to assess the patients before and after the intervention.Results:After the intervention, the intervention group showed significantly higher scores on the PTGI and deliberate rumination in the C-ERRI compared to the control group, while the intervention group had significantly lower scores on intrusive rumination in the C-ERRI compared to the control group. The differences were statistically significant ( P<0.05) . Conclusions:The narrative nursing intervention plan for PTG in breast cancer patients constructed in this study is scientifically sound and feasible. It can help breast cancer patients enhance their PTG levels and develop deliberate rumination.
