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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (11): 71-74.doi: 10.16460/j.issn1008-9969.2020.11.071

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Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma

LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang   

  1. The First People's Hospital of Chenzhou, Chenzhou 423000, China
  • Received:2020-01-14 Online:2020-06-10 Published:2020-07-07

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Abstract: Objective To explore the effect of narrative therapy on fear of cancer recurrence (FCR) and level of hope in patients with nasopharyngeal carcinoma (NPC). Methods With convenient sampling, 100 NPC patients were chosen and divided into control group and experiment group, with 50 cases in each group. The treatment program in the two groups were similar but in the experiment group, in addition to conventional health education and psychological consultation, patients were required to write reflective diary and have narrative interview. Fear of Progression Questionnaire-Short Form (Fo P-Q-SF, Chinese version) and Herth Hope Index (HHI) were used before and after the intervention respectively to assess the effect of narrative therapy. Results Patients in the two groups demonstrated mediate level of hope and strong FCR before the intervention. But after 4-times of intervention, the total score of Fo P-Q-SF and the score of each dimension in the experiment group were significantly lower than those before and also lower than those in the control group. The total score of level of hope 33.74±6.09 in the experiment group was higher than that 23.55±5.09 before and higher than that 26.25±5.71 in the control group, indicating statistical significance (P<0.05). Conclusion Narrative therapy is conducive to alleviating patients' anxiety and fear and improving their level of hope and confidence on reality and future.

Key words: nasopharyngeal carcinoma, narrative therapy, fear of cancer recurrence, level of hope

CLC Number: 

  • R395.5
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