{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:20:03Z","timestamp":1787653203978,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Women undergoing cervical cerclage commonly experience fear of childbirth, anxiety, and depressive symptoms, while evidence on the psychological effects of narrative nursing in this population remains limited. This study evaluated the association of narrative nursing with perioperative psychological changes and explored the potential indirect role of fear of childbirth in these associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This quasi\u2010experimental study included 230 women undergoing cervical cerclage between January 2023 and December 2024. Participants were nonrandomly allocated to either a narrative nursing group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009115) or a routine nursing group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009115) according to the nursing model implemented at the hospital campus where they received care. Fear of childbirth, anxiety, and depression were assessed using the Mandarin Chinese versions of the W\u2010DEQ\u2010A, SAS, and SDS at baseline before surgery (T0), on postoperative day 3 (T1), and before discharge (T2). Longitudinal changes were analyzed using linear mixed\u2010effects models incorporating group, time, and group \u00d7 time interaction terms. Exploratory single\u2010mediator analyses with 5000 bootstrap resamples were conducted using the T1 W\u2010DEQ\u2010A score as the potential mediator and the T2 SAS or SDS score as the outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant group \u00d7 time interactions were observed for W\u2010DEQ\u2010A, SAS, and SDS scores (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.005). Compared with routine nursing, narrative nursing was associated with lower adjusted W\u2010DEQ\u2010A scores at T1 and T2, lower SAS scores at T1 and T2, and a lower SDS score at T2. At T2, the adjusted between\u2010group differences were \u22125.7 points for the W\u2010DEQ\u2010A, \u22123.3 points for the SAS, and \u22122.6 points for the SDS. Exploratory mediation analyses identified significant indirect associations through T1 fear of childbirth for both T2 anxiety (estimated indirect association, \u22120.54; 95% bootstrap CI, \u22120.93 to \u22120.23) and T2 depression (estimated indirect association, \u22120.45; 95% bootstrap CI, \u22120.81 to \u22120.18). The direct associations remained statistically significant in both models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Narrative nursing was associated with greater short\u2010term reductions in fear of childbirth, anxiety, and depression among women undergoing cervical cerclage. Exploratory findings were consistent with a potential partial indirect role of fear of childbirth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70431","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T05:57:49Z","timestamp":1787551069000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Narrative Nursing and Perioperative Psychological Outcomes in Women Undergoing Cervical Cerclage: The Potential Indirect Role of Fear of Childbirth"],"prefix":"10.1111","volume":"52","author":[{"given":"Zeyang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Surgery The Fourth Hospital of Shijiazhuang  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neonatology The Fourth Hospital of Shijiazhuang  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufan","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Nursing The Fourth Hospital of Shijiazhuang  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lanlan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery The Fourth Hospital of Shijiazhuang  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0089-7960","authenticated-orcid":false,"given":"Lian","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Fourth Hospital of Shijiazhuang  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjie","family":"Ning","sequence":"additional","affiliation":[{"name":"Center of High Intensity Focused Ultrasound The Fourth Hospital of Shijiazhuang  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17003"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.18218"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745506519844044"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-022-02386-9"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/1882604"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03092-7"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12232359"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13061009"},{"issue":"2","key":"e_1_2_13_10_1","article-title":"Preterm Birth and SARS\u2010CoV\u20102: Does a Correlation Exist?","volume":"13","author":"Perelli F.","year":"2025","journal-title":"Biomedicine"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1589568"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2021.1995598"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1700807"},{"issue":"7","key":"e_1_2_13_14_1","article-title":"Influence of Antenatal Education on Birth Outcomes: A Systematic Review Focusing on Primiparous Women","volume":"16","author":"Athinaidou A. 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