规范化叙事护理在乳腺癌术后辅助化疗期患者中的应用与效果研究

Study on the Application and Effect of Standardized Narrative Nursing in Patients with Breast Cancer during Adjuvant Chemotherapy after Surgery

目的:分析规范化叙事护理对乳腺癌术后辅助化疗期患者生存质量、心理痛苦、躯体症状及心理社会适应能力的影响。方法:本研究开展时间为2022年1月至12月,研究对象为上述时间段内收治的80例乳腺癌术后辅助化疗的患者,所有患者以随机法分为对照组和叙事组(每组各40例)。前者给予常规护理,后者给予规范化叙事护理,统计对比两种护理方案的应用价值。结果:(1)两组患者护理干预前的FACT-B、PAS、MDASI及PAIS-8R评分无统计学差异(P>0.05),但护理干预后(P<0.05),叙事组患者FACT-B评分显著高于对照组,PAS、MDASI及PAIS-8R评分显著低于对照组(P<0.05);(2)叙事组患者对护理服务的满意度评价显著高于对照组(P<0.05)。结论:对乳腺癌术后辅助化疗期患者采取规范化叙事护理,可取得理想护理效果。

Objective:To analyze the effect of standardized narrative nursing on the quality of life,psychological pain,physical symptoms and psychosocial adaptability of patients with breast cancer in the adjuvant chemotherapy period after surgery.Methods:80 patients receiving adjuvant chemotherapy after breast cancer surgery from January to December 2022 were selected as the study objects and randomly divided into control group and narrative group(40 cases in each group).The former was given routine nursing,and the latter was given standardized narrative nursing.The application value of the two nursing programs was statistically compared.Results:(1)FACT-B,PAS,MDASI and PAIS-8R scores of the two groups were not statistically different before nursing intervention(P>0.05),but after nursing intervention(P<0.05),FACT-B scores of the narrative group were significantly higher than those of the control group.The scores of PAS,MDASI and PAIS-8R of the narrative group were significantly lower than those of control group(P<0.05).(2)The satisfaction evaluation of the narrative group was significantly higher than that of the control group(P<0.05).Conclusion:Ideal nursing effect can be achieved by adopting standardized narrative nursing for patients with adjuvant chemotherapy after breast cancer surgery.