叙事护理对消化道恶性肿瘤患者心理痛苦及生活质量的影响

Effects of Narrative Nursing on Psychological Distress and Quality of Life in Patients with Gastrointestinal Malignancies

目的 了解叙事护理对消化道恶性肿瘤患者在心理痛苦和生活质量方向的影响,为叙事护理的临床应用提供参考。方法 采用方便取样的方法,抽取80名消化道恶性肿瘤患者,随机化分组为对照组和干预组,每组各40名研究对象。对照组执行常规护理方案,干预组在对照组的基础上增加叙事护理方案,比较2组患者在心理痛苦及生活质量上的差异。结果 干预组心理痛苦得分下降(3.15±1.27)分较对照组更明显(P <0.001);生活质量方面,干预组得分在社会/家庭状况(21.55±2.57)分、功能状况(16.75±4.54)分高于对照组(P <0.05)。结论 在改善消化道恶性肿瘤患者的心理痛苦,提升患者的生活质量上,叙事护理起到了一定的作用。

Objective To investigate the effects of the psychological distress and quality of life of patients with gastrointestinal malignant tumors,and provide reference for clinical care.Methods 80 patients with gastrointestinal malignancies were randomly assigned to control group and intervention group,with 40 subjects in each group.The control group routine nursing care,and the intervention group added received narrative nursing program on the basis of the control group The differences in psychological distress and quality of life between the two groups were compared.Results The psychological distress score in the intervention group decreased(3.15±1.27)significantly than that in the control group(P<0.001),and in terms of quality of life,the scores of social/family status(21.55±2.57)and functional status(16.75±4.54)were higher than those in the control group(P<0.05).Conclusion Narrative nursing plays an important role in improving the psychological pain and quality of life of patients with digestive tract malignant tumor.