Research on the construction and application of a narrative nursing program based on Snyder’s hope theory for patients with advanced liver cancer
10.12026/j.issn.1001-8565.2026.09.15
- VernacularTitle:基于Snyder希望理论的晚期肝癌患者叙事护理方案构建及应用研究
- Author:
Sha NIE
1
;
Yali SUN
1
;
Yaxin ZHAO
1
;
Xiaoling ZHU
1
;
Yiyuan MA
1
;
Jiaoqiong ZHANG
1
Author Information
1. Department of Hepatobiliary Surgery， the First Affiliated Hospital of Xi’an Jiaotong University， Xi’an 710061， China
- Publication Type:Journal Article
- Keywords:
liver cancer;
narrative nursing;
hope theory;
psychological resilience;
anxiety
- From:
Chinese Medical Ethics
2026;39(9):1245-1253
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo establish a narrative nursing program for patients with advanced liver cancer based on the framework of Snyder’s hope theory， and verify its effectiveness. MethodsThe Johns Hopkins evidence-based nursing model and the Delphi method were employed to construct the narrative nursing program for patients with advanced liver cancer. Utilizing the convenience sampling method， 70 patients with advanced liver cancer hospitalized in the department of hepatobiliary surgery from May 2024 to May 2025 were selected and divided into the control group and the intervention group using the random number table method， with 35 patients in each group. The control group received routine nursing care， while the intervention group received the narrative nursing program based on Snyder’s hope theory for patients with advanced liver cancer. The Herth Hope Index， Connor-Davidson Resilience Scale （CD-RISC）， Self-Rating Anxiety Scale （SAS）， and Morisky Medication Adherence Scale-8 （MMAS-8） were used to compare the hope level， psychological resilience， anxiety， and medication adherence between the two groups before and after the intervention. Furthermore， nursing satisfaction was also compared. ResultsThe Delphi expert consultation results demonstrated high consistency among expert opinions， with an expert positive coefficient of 100%. Meanwhile， the authority coefficients （0.902， 0.912） and Kendall’s concordance coefficients （0.260， 0.283） were all satisfactory. Ultimately， a narrative nursing program was established， consisting of 3 primary indicators， 10 secondary indicators， and 19 tertiary indicators. Compared with the control group， the intervention group exhibited significant improvements in scores of the three dimensions regarding the hope level， the total score of psychological resilience， medication adherence， and nursing satisfaction after the intervention， and the anxiety score was markedly reduced. All differences were statistically significant （P<0.05）. ConclusionThe narrative nursing program for patients with advanced liver cancer developed in this study is scientific and reliable. Its clinical application can effectively improve the psychological status and treatment behaviors of patients with advanced liver cancer， profoundly reflect the ethical care for the humanistic needs of patients， and provide an evidence-based basis for optimizing the psychological support for this population.
