The application of nursing intervention based on the theory of humanistic care in anxiety related to infusion ports in cancer patients
Abstract
Objective: To explore the efficacy of nursing interventions based on humanistic care theory in alleviating implantable venous access port-related anxiety in cancer patients. Methods: A convenience sampling method was used to select 100 cancer patients undergoing implantable venous access port treatment at a tertiary hospital’s oncology center from January to December 2024. Participants were randomized into control and experimental groups (n = 50 each). The control group received routine care (catheter maintenance, health education, and monitoring), while the experimental group received additional humanistic care interventions for 14 days post-insertion, including staged trust-building communication (25–30 min pre- and post-insertion), knowledge dissemination (visual aids and post-procedure review), distress screening and coping skill-building (10 min daily for 3 days), pain management (local anesthesia and dynamic assessment), relaxation training (breathing exercises and intraoperative music therapy), family involvement, and structured follow-ups (days 3, 7, 14). Outcomes were assessed using the Self-Rating Anxiety Scale (SAS), SF-36 Quality of Life Scale, and compliance rates. Results: Post-intervention, the experimental group exhibited significantly lower SAS scores (40.6 ± 5.4 vs. 49.3 ± 6.8, P < 0.05) and higher SF-36 scores (72.8 ± 8.6 vs. 62.4 ± 7.9, P < 0.05) compared to the control group. Compliance rates were also superior in the experimental group (90% vs. 80%, P < 0.05). Conclusion: Nursing interventions grounded in humanistic care theory effectively reduce implantable venous access port-related anxiety, enhance quality of life, and improve treatment compliance in cancer patients, supporting their clinical adoption.
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References
1. Wang X, Qu X. Risk factors of poor nutrition in non-small cell lung cancer patients after chemotherapy: Cross-sectional study. J Chemother. 2024; 22: 1-9. doi: 10.1080/1120009X.2024.2403183
2. Farsiani F, Tayebi P, Parsa M, et al. The laterality of port catheter placement in breast cancer patients: Investigating the impact of side selection. Indian J Surg Oncol. 2025;16(1): 344-348. doi: 10.1007/s13193-024-02095-6
3. Fleckenstein FN, Böhm AK, Collettini F, et al. A prospective randomized controlled trial assessing the effect of music on patients’ anxiety in venous catheter placement procedures. Sci Rep. 2022; 12(1): 6922. doi: 10.1038/s41598-022-10862-0
4. Liu Y, Shen J, Yu XL, et al. Construction and application of humanistic care training program for nursing assistants based on Swanson’s theory of caring (Chinese). Nurs J Chin PLA. 2021; 38(4): 9-12. doi: 10.3969/j.issn.1008-9993.2021.04.003
5. Jun X, Feng L, Fangyun W, et al. Development and validation of the head and neck cancer psychosocial distress scale (HNCPDS) to identify patients at high risk for psychological problems: A multicenter study. Sci Rep. 2024; 14(1): 18591. doi: 10.1038/s41598-024-67719-x
6. Zhao YL, Liang HH, Xue Y, et al. Application of Lewin field theory-based humanistic care idea in emergency nursing. Chinese Nursing Research. 2019; 33(23): 4138-4140. doi: 10.12102/j.issn.1009-6493.2019.23.032
7. Khademi M, Mohammadi E, Vanaki Z. A grounded theory of humanistic nursing in acute care work environments. Nurs Ethics. 2017; 24(8): 908-921. doi: 10.1177/0969733016638140
8. Leventhal H, Phillips LA, Burns E. The Common-Sense Model of Self-Regulation (CSM): A dynamic framework for understanding illness self-management. J Behav Med. 2016; 39(6): 935-946. doi: 10.1007/s10865-016-9782-2
9. Lebel S, Ozakinci G, Humphris G, et al. From normal response to clinical problem: definition and clinical features of fear of cancer recurrence. Support Care Cancer. 2016; 24(8): 3265-3268. doi: 10.1007/s00520-016-3272-5
10. Blackwelder WC. Sample size and power for prospective analysis of relative risk. Stat Med. 1993; 12(7): 691-698. doi: 10.1002/sim.4780120708
11. Chinese Abdominal Intensive Care Association, Asia Society of Emergency and Critical Care Medicine. Chinese expert consensus on management of central venous catheters for critically ill patients (2022 edition). Chinese Journal of Digestive Surgery. 2022; 21(3): 313-322. doi: 10.3760/cma.j.cn115610-20220208-00068
12. Berry SN, Lazcano S. Holistic nursing care for perinatal loss based on Swanson’s theory of caring. MCN Am J Matern Child Nurs. 2025; 50(1): 24-29. doi: 10.1097/NMC.0000000000001060
13. Fellmeth G, Harrison S, McNeill J, et al. Identifying postnatal anxiety: comparison of self-identified and self-reported anxiety using the Edinburgh Postnatal Depression Scale. BMC Pregnancy Childbirth. 2022; 22(1): 180. doi: 10.1186/s12884-022-04437-0
14. Lin Y, Yu Y, Zeng J, et al. Comparing the reliability and validity of the SF-36 and SF-12 in measuring quality of life among adolescents in China: A large sample cross-sectional study. Health Qual Life Outcomes. 2020; 18(1): 360. doi: 10.1186/s12955-020-01605-8
15. Lins L, Carvalho FM. SF-36 total score as a single measure of health-related quality of life: Scoping review. SAGE Open Med. 2016; 4: 2050312116671725. doi: 10.1177/2050312116671725
16. Azizi M, Heshmatnia F, Milani H, et al. The effectiveness of cognitive behavioral therapy on depression and anxiety symptoms in breast cancer patients and survivors: A systematic review of interventional studies. Brain Behav. 2024; 14(10): e70098. doi: 10.1002/brb3.70098
17. Cillessen L, Johannsen M, Speckens AEM, Zachariae R. Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: A systematic review and meta-analysis of randomized controlled trials. Psychooncology. 2019; 28(12): 2257-2269. doi: 10.1002/pon.5214
18. Greer JA, Traeger L, Bemis H, et al. A pilot randomized controlled trial of brief cognitive-behavioral therapy for anxiety in patients with terminal cancer. Oncologist. 2012; 17(10): 1337-1345. doi: 10.1634/theoncologist.2012-0041
19. Niu X. The effect of psychological counseling therapy on patients with refractory recurrent fungal otitis externa (Chinese). Journal of Shanxi Health Vocational College. 2024; 34(1): 83–84.
20. Ye Y, Zheng L. Impact of humanistic nursing based on Orem’s self-care theory on advanced gastric cancer patients undergoing chemotherapy (Chinese). Practical Clinical Medicine. 2023; 24(4): 84-87. doi: 10.13764/j.cnki.lcsy.2023.04.022
21. Meng Q, Dai H, Wang F, Yang F. Effects of postpartum humanistic care nursing based on Maslow’s hierarchy of needs theory on primiparas (Chinese). Chinese General Practice Nursing. 2018 ;16(22): 2759-2761. doi: 10.12104/j.issn.1674-4748.2018.22.027
22. Liu C, Zhang S, Yu T, Hou X. Analysis of the influence of humanistic care on convalescent schizophrenia patients (Chinese). Psychologies. 2024; 19(12): 126-129. doi: 10.19738/j.cnki.psy.2024.12.034
23. Ferretti M, Lowery Walker K, Bires J, BrintzenhofeSzoc K. Building coping skills to relieve distress and physical symptoms: Findings from a quality improvement project of a five-week group psychoeducational program for cancer patients. J Psychosoc Oncol. 2024; 42(2): 256-270. doi: 10.1080/07347332.2023.2238263
24. Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. Lancet Oncol. 2011; 12(2): 160-174. doi: 10.1016/S1470-2045(11)70002-X
25. Wen K-Y, Gustafson DH. Needs assessment for cancer patients and their families. Health Qual Life Outcomes. 2004; 2: 11. doi: 10.1186/1477-7525-2-11
