叙事护理对头颈肿瘤放疗患者癌症复发恐惧的影响

Effect of narrative nursing on the fear of cancer recurrence in patients with head and neck cancer radiotherapy

目的探讨叙事护理对头颈肿瘤放疗患者癌症复发恐惧及心理痛苦的影响。方法选取2020年1月至2021年3月浙江省肿瘤医院头颈肿瘤放疗科收治的60例患者作为研究对象,按照随机数字表法将患者分为对照组与观察组,每组各30例。对照组患者给予常规护理,观察组患者采用叙事护理的方法进行干预。比较两组患者干预前后的癌症复发恐惧水平和心理痛苦程度。结果干预前,两组患者的复发恐惧得分以及心理痛苦温度计(DT)得分比较,差异无统计学意义(P>0.05);干预后,观察组患者的癌症复发恐惧得分低于对照组,差异有统计学意义(P<0.05);干预后,观察组患者的心理痛苦DT得分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者的与医护人员相处不佳、抑郁、恐惧、担忧、紧张、睡眠问题、进食不佳、乏力占比低于对照组,差异有统计学意义(P<0.05)。结论叙事护理干预可降低头颈肿瘤放疗患者的癌症复发恐惧水平,同时减轻患者的心理痛苦程度,值得应用推广。

Objective To explore the effect of narrative nursing on the fear of cancer recurrence in patients with head and neck cancer radiotherapy.Methods Atotal of 60 patients in the Department of Radiotherapy for Head and Neck Cancer in Zhejiang Cancer Hospital from January 2020 to March 2021 were selected as the research subjects.According to random number table method,patients were divided into control group and observation group,30 cases in each group.The control group was given routine nursing,and the observation group was given narrative nursing intervention.The level of cancer recurrence fear and psychological distress were compared between the two groups before and after intervention.Results Before intervention,there were no significant differences in fear of cancer recurrence score and distress thermometer(DT)score of psychological pain between the two groups(P>0.05).After intervention,the fear score of cancer recurrence in observation group was lower than that in control group,the difference was statistically significant(P<0.05).After intervention,the DT score of psychological pain in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After intervention,the proportions of poor relationship with medical staff,depression,fear,worry,stress,sleep problems,poor eating and fatigue in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Narrative nursing intervention can reduce the level of fear of cancer recurrence in patients with head and neck cancer radiotherapy and reduce the level of psychological pain,which is worthy of application and promotion.