Construction of narrative nursing intervention program for patients with advanced lung cancer undergoing chemotherapy based on the theory of meaning in life
10.3760/cma.j.cn211501-20220909-02829
- VernacularTitle:基于生命意义理论的晚期肺癌化疗患者叙事护理干预方案构建
- Author:
Jinmei ZHANG
1
;
Jie DONG
;
Yumei LI
Author Information
1. 同济大学医学院，上海 200092
- Keywords:
Antineoplastic combined chemotherapy protocols;
Lung neoplasms;
Clinical protocols;
Advanced lung cancer;
Meaning in life theory;
Narrative nursing
- From:
Chinese Journal of Practical Nursing
2023;39(15):1174-1181
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a narrative nursing intervention program for patients with advanced lung cancer undergoing chemotherapy based on the meaning in life theory, so as to alleviate the negative psychology of patients and improve the meaning in life of patients.Methods:Using a mixed research design, based on the literature study and qualitative interview, the first draft of narrative nursing intervention program for patients with advanced lung cancer undergoing chemotherapy was constructed based on the theory of meaning in life. From June to September 2021, the Delphi method was used to conduct 2 rounds experts consultations among 15 experts from 8 hospitals, and the items were revised according to the expert′s advice.Results:The experts positive coefficients of the 2 rounds consultations were 83.33% and 100.00%, the expert authority coefficient was 0.88, and the Kendall coefficients of importance were 0.183 and 0.215, and the operational Kendall coefficients were 0.234 and 0.363. Finally, a narrative nursing intervention program for lung cancer patients based on the theory of meaning in life was formed. It included four modules: narrative theme, narrative content, narrative interview outline and homework assignment/auxiliary measures. It was performed 7 times in each chemotherapy cycle.Conclusions:The construction process of narrative nursing intervention program for patients with advanced lung cancer undergoing chemotherapy based on the theory of meaning in life is rigorous, scientific and practical and can be used to guide clinical psychological nursing intervention for patients with advanced diseases and enrich the way to seek the meaning in life of patients
