Impact of Empowerment Theory-Based Nursing Intervention on the Quality of Life and Negative Emotions of Patients Diagnosed with Brain Metastasis Post Breast Cancer Surgery

Rongge Jiang,1 Haibai Liu,2 Xue Jiang,2 Ding Wang,2 Xiaoyu Li,2 Yi Shang3 1Neurosurgery Department 1, Baoding No.1 Central Hospital, Baoding, 071000, People’s Republic of China; 2Department of Nursing, Shijiazhuang Medical College, Shijiazhuang, 050599, People’s Republic of China; 3Department of Mammary, Shijiazhuang Fourth Hospital, Shijiazhuang, 050000, People’s Republic of ChinaCorrespondence: Xiaoyu Li, Shijiazhuang Medical College, No. 1 Tongxin Road, Lingshou County, Shijiazhuang, Hebei, 050599, People’s Republic of China, Tel + 8613603117321, Email lixiaoyu_li03@126.comObjective: This study explores the impact of a nursing intervention grounded in empowerment theory, focusing on behavioral change, on brain metastasis patients post-breast cancer surgery.Methods: Between June 2021 and June 2023, 102 patients diagnosed with brain metastasis after breast cancer surgery at Bao Ding No.1 Central Hospital were randomized into two groups. The control group (51 patients) received standard nursing care, while the observation group (51 patients) participated in a behavioral change nursing intervention influenced by empowerment theory. The evaluation metrics included measures of negative emotions, compliance with treatment protocols, overall quality of life, and nursing satisfaction, assessed at multiple time points during the study period.Results: The intervention led to significant reductions in negative emotions for all patients when compared to their pre-intervention statuses, with the observation group exhibiting notably lower depression and anxiety scores at one and three months post-intervention (P < 0.05). Additionally, this group achieved higher compliance scores and demonstrated greater improvements in quality of life than the control group (P < 0.05). Nursing satisfaction was also significantly higher in the observation group, with 96.08% reporting high satisfaction compared to 80.39% in the control group (P < 0.05).Conclusion: Implementing a nursing intervention that emphasizes behavioral changes and leverages empowerment theory significantly enhances the quality of life, reduces negative emotions, boosts compliance with treatment, and increases nursing satisfaction among patients with brain metastasis following breast cancer surgery. This suggests that such interventions could be a valuable component of postoperative care for this patient population.Keywords: behavioral change, empowerment theory, negative emotions, nursing intervention, brain metastasis, breast cancer, quality of life