Analysis of the Effect of Nursing Based on the Theory of Gratitude Extension-Construction on Improving Hope Levels in Postoperative Breast Cancer Patients

  • Na Jin Breast Center A, Baotou Cancer Hospital, Baotou 014030, Inner Mongolia Autonomous Region, China
Keywords: Breast cancer, Gratitude Extension-Construction theory, Nursing; Hope level

Abstract

Objective: To explore the practical effectiveness of nursing intervention based on the theory of Gratitude Extension-Construction in improving the sense of hope in breast cancer patients. Methods: A total of 104 breast cancer patients treated in our hospital from January 2023 to May 2024 were included and divided into a control group (routine nursing, 52 cases) and an observation group (routine nursing + nursing based on the theory of Gratitude Extension-Construction) using a random number table method. The Benefit Finding Scale (BFS), Hope Level Scale (HHI), and Quality of Life Questionnaire-Core 30 (QLQ-C30) were used to compare and analyze the scores of the two groups before intervention, 3 months after intervention, and 6 months after intervention. Results: There was no statistically significant difference in BFS, HHI, and QLQ-C30 scores between the two groups before intervention (P > 0.05). Both BFS and HHI scores increased in the two groups at 3 and 6 months after intervention compared to before intervention (P < 0.05), and the observation group had better BFS and HHI scores compared to the control group (P < 0.05). Before intervention, there was no significant difference in QLQ-C30 scores between the two groups in all dimensions (P > 0.05). Data comparison at 6 months after intervention showed that the observation group had better scores in all dimensions of QLQ-C30 than the control group (P < 0.05). Conclusion: Nursing intervention based on the theory of Gratitude Extension-Construction can effectively improve the benefit-finding ability of postoperative breast cancer patients, enhance their level of hope, and improve their quality of life. It is worthy of promotion and application in clinical nursing.

References

Gong W, Yang J, Cai M, 2020, Observational Study on the Improvement of Bad Emotions and Self-Management Behaviors of Peritoneal Dialysis Patients by Gratitude Extension-Construction Theory Therapy. Chinese Journal of Blood Purification, 19(4): 4.

Qian L, Zhang Y, Chen H, et al., 2024, The Clinical Effect of Gratitude Extension-Construction Theory Nursing Program on Bladder Cancer Patients With Fear of Cancer Recurrence. Frontiers in Oncology, 14: 1364702.

Chinese Anti-Cancer Association Breast Cancer Professional Committee, 2021, Guidelines and Standards for the Diagnosis and Treatment of Breast Cancer by the Chinese Anti-Cancer Association (2021 Edition). Chinese Journal of Cancer, 31(10): 954–1040.

Hu Y, 2014, Localization Research of the Benefit Finding Rating Scale in Breast Cancer Patients, thesis, Anhui Medical University.

Yuan X, Wei X, 2023, Correlation Analysis of Cancer-Related Fatigue, Social Support, and Hope Level in Patients With Multiple Myeloma Undergoing Chemotherapy. Journal of Bengbu Medical College, 48(10): 1445–1450.

Katja D, Michael S, Xinke Z, 2022, Interpreting Within-Patient Changes on the EORTC QLQ-C30 and EORTC QLQ-LC13. The Patient, 15(6): 691–702.

Sun Q, Tang T, Xiao S, et al., 2022, Research on the Benefit Finding and Hope Level of Breast Cancer Patients After Surgery and Chemotherapy Based on Gratitude Extension-Construction Theory. Sichuan Medical Journal, 2022(3): 43.

Wu J, Zhang H, Liu X, et al., 2021, The Influence of Nursing Intervention Based on the Broaden-and-Build Theory of Gratitude on Gratitude Level, Fear of Recurrence, and Negative Emotions of Post-Breast Cancer Surgery Patients. Journal of Nurses Training, 2021(14): 36.

Huang Q, Fu X, Ouyang Y, et al., 2022, Application of the Broaden-and-Build Theory of Gratitude in Continuous Nursing Care for Elderly Patients With Bronchiectasis and Depression. Chinese Nursing Research, 36(1): 171–174.

Yang X, Zhang Y, Zhao L, et al., 2023, The Influence of Health Belief Intervention on Hope Level and Quality of Life in Breast Cancer Chemotherapy Patients. Oncology Progress, 21(11): 1269–1272.

Wang J, Yang L, Cheng S, 2024, The Effect of MDT Continuous Nursing Model on Hope Level, Fear of Progression, and Quality of Life in Patients After Liver Cancer Surgery. Chongqing Medicine, 53(21): 3349–3351.

Xu Y, Liu F, Tang L, 2021, The Influence of Perioperative Health Education Based on the Knowledge, Attitude, and Behavior Model on Psychological Endurance, Hope Level, and Personality Characteristics of Breast Cancer Patients Undergoing Breast-Conserving Surgery. Maternity and Child Health Care of China, 36(23): 4.

Published
2025-10-16