叙事护理联合贝克认知干预对前列腺癌患者负性心理、睡眠质量及主观幸福感的影响

Effect of Narrative Nursing Combined with Baker Cognitive Intervention on Negative Psychology,Sleep Quality,and Subjective Well-being of Prostate Cancer Patients

目的:探究叙事护理联合贝克认知干预对前列腺癌患者负性心理、睡眠质量及主观幸福感的影响。方法:选择2021年1月—2023年1月三峡大学附属第二人民医院收治的96例前列腺癌患者,按照随机数表法分为两组,中途脱落7例,最终对照组纳入45例,干预组纳入44例。对照组使用贝克认知干预,干预组在对照组基础上联合叙事护理。比较两组心理症状自评量表(SCL-90)、匹兹堡睡眠质量指数量表(PSQI)、总体幸福感量表(GWB)评分。结果:干预前,两组SCL-90评分、PSQI评分、GWB评分比较,差异无统计学意义(P>0.05);干预后,两组SCL-90评分、PSQI评分均低于干预前,GWB评分高于干预前,且干预组SCL-90评分、PSQI评分低于对照组,GWB评分高于对照组,差异有统计学意义(P<0.05)。结论:叙事护理联合贝克认知干预可以改善前列腺癌患者负性心理、睡眠质量,并提升其主观幸福感。

Objective:To explore the effects of narrative nursing combined with Baker cognitive intervention on negative psychology,sleep quality and subjective well-being of prostate cancer patients.Method:A total of 96 patients with prostate cancer admitted to the Second People's Hospital Affiliated to Three Gorges University from January 2021 to January 2023 were divided into two groups according to random number table method,a total of 7 cases fell off midway,finally,there were 45 cases included in the control group and 44 cases were included in the intervention group.The control group received Baker cognitive intervention,and the intervention group was combined with narrative nursing on the basis of the control group.The scores of symptom checklist-90(SCL-90),Pittsburgh sleep quality index(PSQI)and general well-being scale(GWB)were compared between the two groups.Result:Before intervention,there were no significant differences in SCL-90 scores,PSQI scores and GWB scores between the two groups(P>0.05).After intervention,SCL-90 scores and PSQI scores of both groups were lower than those before intervention,GWB scores were higher than those before intervention,and SCL-90 scores and PSQI scores of intervention group were lower than those in control group,GWB scores were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:Narrative nursing combined with Baker cognitive intervention can improve the negative psychology,sleep quality and subjective well-being of prostate cancer patients.