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Randomized Controlled Trial
. 2025 Jul 28:59:e20240305.
doi: 10.1590/1980-220X-REEUSP-2024-0305en. eCollection 2025.

Effect of Snyder's hope theory-based nursing intervention on patients with breast cancer

[Article in English, Spanish]
Affiliations
Randomized Controlled Trial

Effect of Snyder's hope theory-based nursing intervention on patients with breast cancer

[Article in English, Spanish]
Yiling Jing et al. Rev Esc Enferm USP. .

Abstract

Objective: We aimed to assess the effect of Snyder's Hope Theory-based nursing intervention on patients with breast cancer receiving postoperative chemotherapy.

Method: The subjects (110 in total) were recruited between June 2023 and May 2024 and assigned into a control group (n = 55) and an intervention group (n = 55) using random numbers. For the control group, routine intervention was conducted, while for the intervention group, Snyder's Hope Theory-based nursing intervention was implemented. The duration of interventions in both groups was 4 weeks.

Results: After intervention, the scores of Self-rating Anxiety Scale and Self-rating Depression Scale declined markedly in the intervention group in comparison with those in the control group (P < 0.05). Compared with the control group, the intervention group had obviously higher total scores of Herth Hope Index and Functional Assessment of Cancer Therapy-Breast scales, as well as scores of all dimensions therein (P < 0.05).

Conclusion: Snyder's Hope Theory-based nursing intervention can effectively alleviate the negative emotions of anxiety and depression, enhance the hope level, and mitigate cancer-related fatigue.

Objetivo:: Avaliar o efeito da intervenção de enfermagem baseada na Teoria da Esperança de Snyder em pacientes com câncer de mama submetidas à quimioterapia pós-operatória.

Método:: Os participantes (110 no total) foram recrutados entre junho de 2023 e maio de 2024 e divididos em grupo controle (n = 55) e grupo intervenção (n = 55), utilizando números aleatórios. O grupo controle recebeu intervenção rotineira, enquanto o grupo intervenção recebeu a intervenção de enfermagem baseada na Teoria da Esperança de Snyder. A duração das intervenções em ambos os grupos foi de 4 semanas.

Resultados:: Após a intervenção, as pontuações das escalas de Ansiedade e Depressão (EAS e EDS) diminuíram significativamente no grupo intervenção em comparação com o grupo controle (P < 0,05). Em relação ao grupo controle, o grupo intervenção apresentou pontuações totais significativamente mais altas no Índice de Esperança de Herth e na Escala de Avaliação Funcional do Câncer de Mama (FACT-B), bem como em todas as dimensões dessas escalas (P < 0,05).

Conclusão:: A intervenção de enfermagem baseada na Teoria da Esperança de Snyder pode reduzir efetivamente emoções negativas como ansiedade e depressão, aumentar o nível de esperança e mitigar a fadiga relacionada ao câncer.

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Figures

Figure 1
Figure 1. Intervention methods for two groups.
Figura 1
Figura 1. Métodos de intervención para los dos grupos.

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