[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100613873":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":12,"centralContacts":25,"locations":35,"responsibleParty":56,"collaborators":59,"id":64,"slug":65,"hasResults":66,"nctId":67,"briefTitle":68,"officialTitle":69,"acronym":70,"eligibilityCriteria":71,"healthyVolunteers":72,"sex":73,"minAge":74,"maxAge":75,"enrollmentInfo":76,"targetDuration":12,"studyType":79,"phases":80,"briefSummary":82,"conditions":83,"keywords":88,"overallStatus":38,"whyStopped":12,"lastUpdateSubmitDate":96,"lastUpdatePostDateStruct":97,"startDateStruct":100,"completionDateStruct":102,"leadSponsor":104,"locationsCount":105},{"fullName":5,"class":6},"Xiamen University","OTHER",[8,13],{"label":9,"type":10,"description":11,"interventionNames":12},"Routine perinatal care","NO_INTERVENTION","Participants receive standard ward education, nursing care, discharge instructions, and routine telephone follow-up without any additional narrative sessions.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"4-step narrative nursing","EXPERIMENTAL","Participants receive usual care plus four nurse-led narrative sessions (pre-op externalization, post-op deconstruction, pre-discharge reconstruction, and 2-week meaning-reconstruction phone call) aimed at reducing anxiety and enhancing breastfeeding confidence.",[18],"Behavioral: 4-step narrative nursing program",[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":12},"BEHAVIORAL","4-step narrative nursing program","Four nurse-led storytelling sessions (pre-operative externalization, post-operative deconstruction, pre-discharge reconstruction, and 2-week meaning-reconstruction phone call) aimed at reducing anxiety and increasing breastfeeding self-efficacy.",[14],[26,31],{"name":27,"role":28,"phone":29,"phoneExt":12,"email":30},"X i Huang","CONTACT","+86-156-8090-6987","24520241154909@stu.xmu.edu.cn",{"name":32,"role":28,"phone":33,"phoneExt":12,"email":34},"Yinchun Tan","+86-152-8329-4749","2027687568@qq.com",[36],{"facility":37,"status":38,"city":39,"state":40,"zip":41,"country":42,"countryCode":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":50},"Yilong County Maternal and Child Health Hospital","RECRUITING","Nanchong","Sichuan","637600","China","CN",{"type":45,"coordinates":46},"Point",[47,48],106.08473,30.79508,{"lat":48,"lon":47},[51,52,54],{"name":32,"role":28,"phone":33,"phoneExt":12,"email":34},{"name":53,"role":28,"phone":29,"phoneExt":12,"email":30},"Xi Huang",{"name":53,"role":55,"phone":12,"phoneExt":12,"email":12},"PRINCIPAL_INVESTIGATOR",{"type":57,"investigatorFullName":53,"investigatorTitle":58,"investigatorAffiliation":5,"oldNameTitle":12,"oldOrganization":12},"SPONSOR_INVESTIGATOR","Master's student",[60,61],{"name":5,"class":6},{"name":62,"class":63},"Yilong People's Hospital","UNKNOWN","100613873","narrative-nursing-for-cesarean-mothers-anxiety-and-breastfeeding-confidence-100613873",false,"NCT07272252","Narrative Nursing for Cesarean Mothers' Anxiety and Breastfeeding Confidence","Psychological Effects and Breastfeeding Self-Efficacy of a Structured Four-Step Narrative Nursing Intervention in Cesarean Mothers: A Randomized Controlled Mixed-Methods Study","NARRCARE","Inclusion Criteria:\n\n1. Women aged 18-50 years\n2. Scheduled for elective or non-emergency cesarean section at ≥37 weeks\n3. Able to communicate in Mandarin and provide written informed consent\n4. Expected hospital stay ≥24 h\n5. Singleton pregnancy with stable maternal and neonatal condition allowing routine mother-baby contact\n\nExclusion Criteria:\n\n1. Severe psychiatric disorders (schizophrenia, bipolar disorder, active suicidal ideation)\n2. Maternal or neonatal need for ICU\u002FNICU admission\n3. Emergency cesarean section preventing baseline assessment\n4. Communication or cognitive impairment precluding interview",true,"FEMALE","18 Years","50 Years",{"count":77,"type":78},160,"ESTIMATED","INTERVENTIONAL",[81],"NA","This study tests whether a nurse-led \"4-step narrative nursing\" program can reduce anxiety and improve breastfeeding confidence in mothers who are having a planned or non-emergency cesarean section.\n\nWhat is the problem? About 30-40% of Chinese cesarean mothers feel high anxiety after surgery, and 1 in 5 is at risk for postpartum depression. Low confidence in breastfeeding is also common.\n\nWhat will we do?\n\nWe will randomly assign 160 mothers (1:1) to either:\n\nUsual care - standard education and ward care, or\n\nUsual care plus narrative nursing - four short (10-20 min) conversations with a trained nurse:\n\nBefore surgery - help the mother talk about her fears. 24-48 h after surgery - encourage her to \"name\" pain or worries and separate them from herself.\n\nBefore discharge - guide her to find positive moments and build a \"strong-mom\" story.\n\nTwo weeks later by phone - strengthen the new story and review feeding success. What will we measure? Main result: anxiety score at 48 h (STAI scale). Other results: depression risk, breastfeeding confidence, pain, and feeding rates up to 3 months.\n\nPossible benefits:\n\nLower anxiety, better mood, higher breastfeeding rates. No drugs or extra procedures are involved, only talking.\n\nRisks:\n\nMinimal; some mothers may feel emotional during conversations, but nurses can pause or refer to counselling if needed.",[84,85,86,87],"Postpartum Anxiety","Postpartum Depression (PPD)","Breastfeeding Self-Efficacy","Cesarean Section Wound",[89,90,91,92,93,94,95,42],"narrative nursing","storytelling intervention","cesarean section","postpartum anxiety","breastfeeding confidence","mixed-methods","randomized controlled trial","2025-12-11",{"date":98,"type":99},"2025-12-18","ACTUAL",{"date":101,"type":99},"2025-10-01",{"date":103,"type":78},"2026-03-01",{"name":53,"class":6},1]