{"title":"Clinical application value of narrative nursing model in patients undergoing laparoscopic radical gastrectomy for gastric cancer.","authors":"Li-Na Shi, Liang Wang, Yu-Bo Gao, Dong-Hua Ma, Yu-Ling Mao, Ya-Qin Wang, Yue Wang, Qi-Xian Guo, Rui-Min He, Jia-Ming Chen","doi":"10.4240/wjgs.v17.i9.106514","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Narrative nursing uses narrative methods to establish an interaction between nursing staff and patients, in which the experience of the patient's illness is understood and comprehended. By listening, the patient's understanding, comprehension, and acceptance of their own disease symptoms, quality of life, and living conditions are understood, thereby providing a basis for formulating corresponding nursing plans for the patient, further promoting the psychological and physical rehabilitation of the patient.</p><p><strong>Aim: </strong>To explore the impact of the new narrative nursing model on postoperative recovery, psychological status, and satisfaction of patients.</p><p><strong>Methods: </strong>A total of 108 patients with resectable gastric cancer who were treated from January 2024 to December 2024 were selected as the study subjects. They were divided into a routine nursing group and a narrative nursing group using a random number table method. Postoperative recovery indicators were compared between the two groups, and questionnaires and position and postoperative nausea and vomiting were conducted on the day of discharge.</p><p><strong>Results: </strong>There were statistically significant differences in visual analogue scale pain scores at 12-96 hours postoperatively, the time of first ambulation postoperatively, and the length of postoperative hospital stay between the two groups (<i>P</i> < 0.05). There were statistically significant differences in postoperative self-rating anxiety scale, self-rating depression scale, and satisfaction scores between the two groups (<i>P</i> < 0.05). Further analysis using a binary logistic regression model found that the new narrative nursing model adopted postoperatively could improve patients' satisfaction with the work of nursing staff during their hospitalization.</p><p><strong>Conclusion: </strong>The new narrative nursing model not only eliminated the negative emotions of patients, but also further promoted their postoperative recovery, and gained patients' trust and satisfaction with the nursing staff.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 9","pages":"106514"},"PeriodicalIF":1.7000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476787/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Gastrointestinal Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4240/wjgs.v17.i9.106514","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
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Abstract
Background: Narrative nursing uses narrative methods to establish an interaction between nursing staff and patients, in which the experience of the patient's illness is understood and comprehended. By listening, the patient's understanding, comprehension, and acceptance of their own disease symptoms, quality of life, and living conditions are understood, thereby providing a basis for formulating corresponding nursing plans for the patient, further promoting the psychological and physical rehabilitation of the patient.
Aim: To explore the impact of the new narrative nursing model on postoperative recovery, psychological status, and satisfaction of patients.
Methods: A total of 108 patients with resectable gastric cancer who were treated from January 2024 to December 2024 were selected as the study subjects. They were divided into a routine nursing group and a narrative nursing group using a random number table method. Postoperative recovery indicators were compared between the two groups, and questionnaires and position and postoperative nausea and vomiting were conducted on the day of discharge.
Results: There were statistically significant differences in visual analogue scale pain scores at 12-96 hours postoperatively, the time of first ambulation postoperatively, and the length of postoperative hospital stay between the two groups (P < 0.05). There were statistically significant differences in postoperative self-rating anxiety scale, self-rating depression scale, and satisfaction scores between the two groups (P < 0.05). Further analysis using a binary logistic regression model found that the new narrative nursing model adopted postoperatively could improve patients' satisfaction with the work of nursing staff during their hospitalization.
Conclusion: The new narrative nursing model not only eliminated the negative emotions of patients, but also further promoted their postoperative recovery, and gained patients' trust and satisfaction with the nursing staff.
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