Effect of Snyder's hope theory-based nursing intervention on patients with breast cancer.
Yiling Jing, Huali Hu
PMID 40736280WHAT IT FOUND
In breast cancer patients receiving chemotherapy, a four-week nurse-led hope programme reduced fatigue, anxiety and depression scores, and raised hope and quality of life more than routine nursing.
Key findings
01After 4 weeks, anxiety and depression scores were lower in the hope-based nursing group than routine nursing: SAS 41.99 vs 45.11 and SDS 41.88 vs 45.25 on 0-100.
02After 4 weeks, the hope group had less cancer-related fatigue (RPFS total 116.63 vs 126.18 on 0-220) and better quality of life (FACT-B total 111.70 vs 97.51 on 0-140).
03Nursing compliance was better: 55 of 55 in the hope group complied versus 49 of 55 in routine nursing, with 0 versus 6 poor compliance.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Small sample: 110 patients at one hospital. Single-centre design, so results may not apply elsewhere. Outcomes were measured only 4 weeks after the intervention, so longer-term effects are unknown. The intervention was a multi-component nurse-delivered package, and the study did not test the components separately.
Declared interests
The paper reports financial support from Project No. 2023-4-287 and in part by CNPq process 401923/2024-0.
The easy way to misread this
Do not conclude that Snyder's hope theory alone will reduce fatigue or improve mood in chemotherapy patients. The positive results came from a four-week nurse-delivered package given to 110 patients in one hospital, alongside their ongoing cancer care, and the study did not separate the effects of its many components.