{"title":"基于叙事医学理论的沟通干预方案有效提高鼻咽癌放化疗患者的护理质量。","authors":"Xing-Li Liu, Bao-Zhu Chen, Yun-Ying Lin, Zhi-Xian Chen, Qiao-Hua Zhu","doi":"10.2147/CMAR.S521105","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of a communication-based intervention program rooted in narrative medicine theory on the quality of nursing care and patient outcomes in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy.</p><p><strong>Methods: </strong>This retrospective cohort study included 98 nasopharyngeal carcinoma patients treated at our hospital between September 2022 and August 2024. Patients were divided into two groups based on historical nursing records: the control group (n=49) received routine standard nursing care, while the observation group (n=49) received routine care supplemented with a narrative medicine-based communication intervention. The intervention was conducted 1-2 times per week over four consecutive weeks. Outcomes were assessed using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Pittsburgh Sleep Quality Index (PSQI), Cancer Fatigue Scale (CFS), Herth Hope Index (HHI), Nursing Quality Evaluation Scale, and Communication Satisfaction Questionnaire, measured at baseline and post-intervention.</p><p><strong>Results: </strong>Compared to controls, the observation group showed significantly reduced fear of progression (FoP-Q-SF: 33.53 vs 43.11), improved sleep (PSQI: 11.25 vs 15.41), lower cancer-related fatigue (CFS total: 28.23 vs 35.94), and higher hope levels (HHI: 33.45 vs 25.56) (all p < 0.001). Nursing quality and communication satisfaction also improved significantly across all domains (p < 0.001).</p><p><strong>Conclusion: </strong>The communication-based intervention program based on narrative medicine significantly improves psychological well-being, sleep quality, cancer-related fatigue, hope level, and overall nursing quality in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy. This approach offers a feasible and effective model for enhancing holistic cancer care.</p>","PeriodicalId":9479,"journal":{"name":"Cancer Management and Research","volume":"17 ","pages":"1925-1934"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433648/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Communication-Based Intervention Program Based on Narrative Medicine Theory Effectively Improves the Quality of Nursing Care for Nasopharyngeal Cancer Patients Undergoing Radiotherapy and Chemotherapy.\",\"authors\":\"Xing-Li Liu, Bao-Zhu Chen, Yun-Ying Lin, Zhi-Xian Chen, Qiao-Hua Zhu\",\"doi\":\"10.2147/CMAR.S521105\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the impact of a communication-based intervention program rooted in narrative medicine theory on the quality of nursing care and patient outcomes in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy.</p><p><strong>Methods: </strong>This retrospective cohort study included 98 nasopharyngeal carcinoma patients treated at our hospital between September 2022 and August 2024. Patients were divided into two groups based on historical nursing records: the control group (n=49) received routine standard nursing care, while the observation group (n=49) received routine care supplemented with a narrative medicine-based communication intervention. The intervention was conducted 1-2 times per week over four consecutive weeks. Outcomes were assessed using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Pittsburgh Sleep Quality Index (PSQI), Cancer Fatigue Scale (CFS), Herth Hope Index (HHI), Nursing Quality Evaluation Scale, and Communication Satisfaction Questionnaire, measured at baseline and post-intervention.</p><p><strong>Results: </strong>Compared to controls, the observation group showed significantly reduced fear of progression (FoP-Q-SF: 33.53 vs 43.11), improved sleep (PSQI: 11.25 vs 15.41), lower cancer-related fatigue (CFS total: 28.23 vs 35.94), and higher hope levels (HHI: 33.45 vs 25.56) (all p < 0.001). 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引用次数: 0
摘要
目的：评价基于叙事医学理论的沟通干预方案对鼻咽癌放化疗患者护理质量和预后的影响。方法：回顾性队列研究纳入2022年9月至2024年8月在我院治疗的98例鼻咽癌患者。根据历史护理记录将患者分为两组：对照组（n=49）接受常规标准护理，观察组（n=49）接受常规护理，并辅以叙事医学为主的沟通干预。干预每周进行1-2次，连续4周。结果评估使用恐惧进展问卷-简式（FoP-Q-SF）、匹兹堡睡眠质量指数（PSQI）、癌症疲劳量表（CFS）、赫斯希望指数（HHI）、护理质量评估量表和沟通满意度问卷，在基线和干预后测量。结果：与对照组相比，观察组患者对进展的恐惧显著降低（FoP-Q-SF: 33.53 vs 43.11），睡眠改善（PSQI: 11.25 vs 15.41），癌症相关疲劳降低（CFS总分：28.23 vs 35.94），希望水平更高（HHI: 33.45 vs 25.56）（均p < 0.001）。各领域的护理质量和沟通满意度也显著提高（p < 0.001）。结论：基于叙事医学的沟通干预方案可显著提高鼻咽癌放化疗患者的心理幸福感、睡眠质量、癌相关疲劳、希望水平及整体护理质量。这种方法为加强癌症的整体治疗提供了一种可行而有效的模式。
The Communication-Based Intervention Program Based on Narrative Medicine Theory Effectively Improves the Quality of Nursing Care for Nasopharyngeal Cancer Patients Undergoing Radiotherapy and Chemotherapy.
Objective: To evaluate the impact of a communication-based intervention program rooted in narrative medicine theory on the quality of nursing care and patient outcomes in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy.
Methods: This retrospective cohort study included 98 nasopharyngeal carcinoma patients treated at our hospital between September 2022 and August 2024. Patients were divided into two groups based on historical nursing records: the control group (n=49) received routine standard nursing care, while the observation group (n=49) received routine care supplemented with a narrative medicine-based communication intervention. The intervention was conducted 1-2 times per week over four consecutive weeks. Outcomes were assessed using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Pittsburgh Sleep Quality Index (PSQI), Cancer Fatigue Scale (CFS), Herth Hope Index (HHI), Nursing Quality Evaluation Scale, and Communication Satisfaction Questionnaire, measured at baseline and post-intervention.
Results: Compared to controls, the observation group showed significantly reduced fear of progression (FoP-Q-SF: 33.53 vs 43.11), improved sleep (PSQI: 11.25 vs 15.41), lower cancer-related fatigue (CFS total: 28.23 vs 35.94), and higher hope levels (HHI: 33.45 vs 25.56) (all p < 0.001). Nursing quality and communication satisfaction also improved significantly across all domains (p < 0.001).
Conclusion: The communication-based intervention program based on narrative medicine significantly improves psychological well-being, sleep quality, cancer-related fatigue, hope level, and overall nursing quality in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy. This approach offers a feasible and effective model for enhancing holistic cancer care.
期刊介绍：
Cancer Management and Research is an international, peer reviewed, open access journal focusing on cancer research and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival, and quality of life for cancer patients. Specific topics covered in the journal include:
◦Epidemiology, detection and screening
◦Cellular research and biomarkers
◦Identification of biotargets and agents with novel mechanisms of action
◦Optimal clinical use of existing anticancer agents, including combination therapies
◦Radiation and surgery
◦Palliative care
◦Patient adherence, quality of life, satisfaction
The journal welcomes submitted papers covering original research, basic science, clinical & epidemiological studies, reviews & evaluations, guidelines, expert opinion and commentary, and case series that shed novel insights on a disease or disease subtype.
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