A narrative nursing approach to care for older patients with bladder cancer was associated with improved quality of life (QOL). These findings were published in Computational and Mathematical Methods in Medicine.
There are no effective treatments for bladder cancer. In this uncertain setting, humanistic care, such as narrative nursing, may help improve patient demeanor. The researchers describe narrative care as a nursing model in which nurses use communication and listening to understand the patient’s negative emotions to help alleviate those emotions.
In this study, narrative nursing was used to explore how the intervention could ease the sense of shame elderly patients with bladder cancer experienced after ileal bladder replacement.
The study evaluated the effect of narrative nursing among 60 patients with bladder cancer. Patients who underwent ileal replacement between 2019 and 2021 at The Second Xiangya Hospital in China received standard care (30 patients) or narrative nursing intervention (30 patients). The intervention group was interviewed 1-on-1 for 30 to 45 minutes 5 to 6 times during hospitalization. The study outcomes measured were self-care, self-rated anxiety scale (SAS), self-rated depression scale (SDS), and QOL.
The intervention and control cohorts were mean age 65.96±3.58 and 70.58±4.33 years, and the male:female ratios were 16:14 and 18:12, respectively.
More of the intervention group were satisfied with care (100% vs 83.33%; P <.05).
The intervention recipients had higher scores for self-concept, sense of self-care responsibility, self-care knowledge, self-care skills, and total score (all P <.01).
No differences in anxiety, depression, or QOL were observed between the groups at baseline (all P >.05). The intervention associated with improved SAS (mean, 34.58 vs 41.28; P <.01) and SDS (mean, 40.69 vs 45.96; P <.01) at 6 months, and physiological function (mean, 11.84 vs 13.86; P =.009), mental function (mean, 12.81 vs 14.85; P =.035), social function (mean, 12.84 vs 16.37; P <.01), and healthy self-awareness (mean, 10.83 vs 13.86; P <.01) after nursing using the narrative approach.
This study was limited, as the definition of narrative nursing has not been uniformly defined.
The study authors concluded that narrative nursing may improve QOL among older patients with bladder cancer.
Wang L, Wu D, Wu S, et al. The effect of narrative nursing intervention on shame in elderly patients with bladder cancer after ileal bladder replacement: a cohort study. Comput Math Methods Med. Published online June 30, 2022. doi:10.1155/2022/4299919