{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:08:45Z","timestamp":1788847725678,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Hangzhou Medical and Health Technology Project: Research on the Construction of Hospital Grief Counseling Model Based on Narrative Theory","award":["A20251514"],"award-info":[{"award-number":["A20251514"]}]},{"name":"Hangzhou Medical and Health Science and Technology Project: Research on the Construction of Cancer End of Life Care Model Based on Narrative Theory","award":["A20210104"],"award-info":[{"award-number":["A20210104"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to preliminarily evaluate the impacts of narrative-based palliative care on psychological stress, end-of-life acceptance, and quality of life in elderly terminally ill cancer patients and their family caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center, small-sample randomized controlled study enrolled 50 elderly terminal cancer patients. Patients were randomly assigned to either the observation group or the control group (n = 25 each). The observation group received narrative-based palliative care, while the control group received routine standard care. Family psychological stress was assessed using the Relative Stress Scale (RSS), and patients\u2019 perceived stress was evaluated with the Perceived Stress Scale-10 (PSS-10). Caregiver satisfaction was measured using a hospital-developed questionnaire. Patients\u2019 quality of life was evaluated using the SF-36, Chinese Version of the Death Attitude Profile (DAP-C), and Pittsburgh Sleep Quality Index (PSQI), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics did not differ significantly between the two groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05). Post-intervention, the observation group demonstrated significantly lower psychological stress among family members and higher caregiver satisfaction (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05). Patients in the observation group reported better quality of life, improved sleep, and greater acceptance of death than those in the control group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>As a small-sample, single-center study, these findings offer preliminary evidence that narrative-based palliative care may reduce psychological stress in elderly terminal cancer patients and caregivers while enhancing patients\u2019 quality of life, sleep quality, and acceptance of death. However, the limited sample size, single-site design, and narrow inclusion criteria restrict generalizability. Larger multicenter trials are needed to confirm these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261429443","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T14:34:40Z","timestamp":1773412480000},"page":"2652-2660","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Narrative-Based Palliative Care on Psychological Stress, Quality of Life, and End-of-Life Acceptance in Elderly Terminal Cancer Patients and Their Families"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9020-8282","authenticated-orcid":false,"given":"Junhua","family":"Li","sequence":"first","affiliation":[{"name":"The Affiliated Hospital of Hangzhou Normal University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linlin","family":"Zhou","sequence":"additional","affiliation":[{"name":"The Affiliated Hospital of Hangzhou Normal University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijie","family":"Sun","sequence":"additional","affiliation":[{"name":"The Affiliated Hospital of Hangzhou Normal University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01350-5"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091241265404"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1334842"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01800-8"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.30773\/pi.2023.0357"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol31020049"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/17533015.2021.1942939"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231152523"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/11.2.121"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1654"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0241982"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S268818"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02851-2"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/smi.3170"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-076372"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-024-02659-0"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-019-0336-6"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06152-6"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-021-01803-y"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2021.22.12.3773"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2020.26.2.70"},{"issue":"1","key":"e_1_3_6_24_2","first-page":"121","article-title":"Nursing-care for family caregivers of terminally ill cancer patients to enhance preparedness for death","volume":"86","author":"Unesoko A","year":"2024","unstructured":"Unesoko A, Ozawa N, Sugimura A, Sato K, Ando S. Nursing-care for family caregivers of terminally ill cancer patients to enhance preparedness for death. 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