Objective To observe the effect of narrative nursing intervention in patients with tumor deterioration in the transition stage.
Methods Thirty patients with advanced malignant tumors admitted to Xishan People's Hospital of Wuxi City from January 2021 to April 2022 were selected as study objects. All patients had tumor recurrence and metastasis within the first 2 weeks of inclusion, and there was no effective clinical treatment. A total of 15 patients admitted before June 1, 2021 were selected as control group, and 15 patients admitted after June 1, 2021 were selected as experimental group. The control group received routine nursing of oncology department of internal medicine, and the experimental group received targeted narrative nursing intervention. The scores of quality of survival (social function, emotional function, mental health dimension), pain score and psychological pain index score were compared between the two groups before and after intervention.
Results Before intervention, there were no significant differences in quality of survival score, pain score and psychological pain index score between two groups (P>0.05). After intervention, the scores of social function and emotional function in the experimental group were higher than those in the control group, but there were no statistically significant difference (P>0.05). After intervention, the mental health dimension score of the experimental group was higher than that of the control group, and the pain score and psychological pain index score were lower than that of the control group (P < 0.05).
Conclusion The implementation of targeted narrative nursing intervention at the transition stage of advanced tumor deterioration can relieve the degree of pain, reduce psychological pain index of patients, improve the quality of life, stabilize mental state, and have important significance for a more stable transition to the terminal stage. Besides, it is a simple and easy method.