The Impact of Narrative Nursing on Body Image, Disability Acceptance, and Psychological Hope Level in Young and Middle-aged Breast Cancer Patients After Surgery

Objective: To investigate the effects of narrative nursing on body image, disability acceptance and psychological hope level of young and middle-aged breast cancer patients after radical surgery. Methods: A non-randomized quasi-experimental study was used to divide 80 patients in the Department of Breast Surgery of a tertiary cancer hospital in Yunnan Province from October 2023 to September 2024 as the study subjects and the study subjects were divided into the intervention group and control group with 40 cases in each group. The intervention was performed within 1 month after surgery, and a total of 5 interventions were performed. The two groups of patients were evaluated by the breast cancer patients’ body image self-rating questionnaire, the revised version of the Disability Acceptance Scale, and the Herth Hope Assessment Scale. Results: There were no significant differences in BISQ-BC, ADS-R, and HHI between the intervention group and the control group before intervention (P > 0.05). After the intervention, the BISQ-BC score of the intervention group was lower than that of the control group, and the ADS-R score and HHI score were higher than those of the control group, and the difference was statistically significant (P < 0.05). Conclusion: Narrative nursing can effectively improve the physical image level of young and middle-aged breast cancer patients, improve the disability acceptance and psychological hope level of young and middle-aged breast cancer patients, and help them vent their negative emotions, gain confidence in life, and improve their quality of life.