Abstract:

Objective: Exploring the application effect of narrative nursing combined with phased health education in the nursing of patients with non-small cell lung cancer (NSCLC) undergoing chemotherapy. Methods: Convenience sampling method was used to select 90 patients with NSCLC treated with chemotherapy in Liaocheng People’s Hospital of Shandong Province from March 2021 to August 2023, and they were divided into two groups according to random number table, with 45 cases in each group. The control group received routine nursing, and the observation group received narrative nursing combined with phased health education nursing. The negative emotions, cancer fatigue and quality of life were compared between the two groups. Results: Before intervention, the HAMA score of the observation group was 22.84±2.35 and the HAMD score was 20.69±2.25. With the Piper fatigue survey scale (PFS), the behavioral score was 6.62±1.63, emotional score was 5.48±1.50, physical score was 6.69±1.62, and cognitive score was 6.92±1.69. The scores of physiological status, social/family status, emotional status, functional status and lung cancer specific module were 17.67±2.43, 17.55±2.38, 13.71±1.94, 17.41±2.35 and 18.88±2.36, respectively with FACT-L Scale. For the control group, it were 22.98±2.43, 20.55±2.16, 6.54±1.56, 5.53±1.52, 6.62±1.58, 6.85±1.67, 17.54±2.36, 17.48±2.33, 13.65±1.85, 17.38±2.31, 18.98±2.42, there were no statistical significance (t=0.278, 0.301, 0.238, 0.157, 0.208, 0.367, 0.257, 0.141, 0.150, 0.061, 0.199, P=0.782, 0.764, 0.813, 0.876, 0.836, 0.715, 0.797, 0.888, 0.881, 0.951, 0.843). After intervention, the HAMA score and HAMD score of the observation group were 8.56±1.34 and 7.21±1.15 respectively. For PFS, the behavioral score was 3.15±1.06, the affective score was 3.04±1.01, the physical score was 3.62±1.12 and the cognitive score was 3.75±1.19. It was lower than that of the control group (12.13±1.75, 9.58±1.74, 4.87±1.27, 4.56±1.23, 5.01±1.34, 5.24±1.38; t=10.856, 7.623, 6.975, 6.407, 5.339, 5.485, all P<0.001). For FACT-L, physiological status score of the observation group was 27.92±2.76, social/family status score was 27.05±2.71, emotional status score was 20.24±2.50, functional status score was 26.98±2.61, lung cancer specific module score was 28.93±2.98, higher than the control group (22.69±2.54, 22.14±2.47, 17.69±2.31, 22.53±2.48, 24.56±2.64), the differences were all statistically significant (t=9.354, 8.983, 5.026, 8.291, 7.363; all P<0.001). Conclusion: The application of narrative nursing combined with phased health education in patients with NSCLC undergoing chemotherapy is good for relieving patients’ negative emotions such as anxiety, depression and fear, reducing the degree of cancer-related fatigue, improving their quality of life.

Key words: Carcinoma, non-small-cell lung, Patient care, Health education, Emotions, Fatigue