Exploring the Impact of Narrative Nursing on Anxiety, Depression, and Quality of Life in Middle-aged and Young Dialysis Patients

Objective:To explore the impact of narrative nursing on anxiety,depression,and quality of life in middle-aged and young dialysis patients.Method:Eighty-six middle-aged and young dialysis patients admitted from January 2023 to December 2023 were selected and divided into a control group and a study group,with 43 patients in each group.The control group received general nursing interventions,while the study group received narrative nursing in addition to the general interventions.The levels of anxiety and depression before and after the intervention were compared,and the quality-of-life scores of the two groups were analyzed.Results:After comprehensive intervention,the scores of both groups significantly decreased(P<0.05).After intervention,the scores of the study group were more significant compared to the control group(P<0.05).Compared with the control group,the quality-of-life score of the study group showed a significant upward trend,and this difference was statistically significant(P<0.05).Conclusion:Comprehensive narrative nursing can effectively reduce anxiety in middle-aged and young dialysis patients,further enhance their quality of life,and is worth promoting in clinical practice.

Effects of strengthening prospective nursing practice on sleep quality,anxiety,and depression of awake patients in intensive care unit

BACKGROUND The intensive care unit(ICU)is a specialized hospital department.Awake patients in the ICU frequently encounter adverse psychological states,such as anxiety and fear,often accompanied by poor sleep quality.This situation has garnered significant attention within the medical community.AIM To investigate the impact of prospective nursing intervention strategies on the sleep quality and negative emotional state of conscious ICU patients.METHODS One hundred and twenty ICU awake patients admitted to our hospital were selected and randomly divided into control(n=60)and observation(n=60)groups.Patients in the control group were cared for using the conventional nursing model,while patients in the observation group were cared for using the prospective nursing model.Sleep improvement was assessed using the International Standardized Sleep Efficiency Formula and Pittsburgh Sleep Quality Index(PSQI).The PSQI,Generalized Anxiety Disorder 7-item(GAD-7)scale,Self-Depression Scale(SDS),and satisfaction before and after treatment were used to assess the negative emotional states of patients under the two care models.RESULTS Patient satisfaction in the observation group was significantly higher than in the control group.The GAD-7 and SDS scores in the observation group were significantly lower than those in the control group,and the total effective rate of sleep improvement in the observation group was significantly higher than in the control group.After treatment,the PSQI scores of the two groups significantly decreased(P<0.05).The decrease in the observation group was more significan than that in the control group,and the difference between the two groups was statistically significant.CONCLUSION Prospective nursing interventions can improve sleep quality and psychological levels and significantly affect conscious patients in the ICU,which is worthy of clinical application.

Effect of biofeedback combined with high-quality nursing in treatment of functional constipation

BACKGROUND Functional constipation(FC)is a common functional gastrointestinal disease with various clinical manifestations.It is a physical and mental disease,which seriously affects patient physical and mental health and quality of life.Biofeedback therapy is the treatment of choice for FC,especially outlet obstructive constipation caused by pelvic floor dysfunction.High-quality nursing is a new nursing model in modern clinical work and a new concept of modern nursing service.AIM To explore the effect of biofeedback combined with high-quality nursing in the treatment of FC.METHODS A total of 100 patients with FC admitted to our hospital from March 2015 to July 2019 were selected for clinical observation.These patients were randomly divided into two groups of 50:Experimental group(biofeedback combined with highquality nursing treatment group)and control group(biofeedback group).RESULTS The constipation symptom score of the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).The anal canal resting pressure and initial defecation threshold of the experimental group were significantly lower than those of the control group,and the maximum squeeze systolic pressure of the anal canal of the experimental group was significantly higher than that of the control group(P<0.05).The Self-Rating Anxiety Scale and Zung’s Self-Rating Depression Scale scores of the two groups were significantly lower than before treatment.The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the experimental group were significantly lower than those of the control group(P<0.05).The patient satisfaction score of the experimental group was significantly higher than that of the control group(P<0.05).CONCLUSION The application of biofeedback combined with high-quality nursing in the treatment of FC has significant advantages over pure biofeedback treatment,and it is worthy of promotion in clinical work.

Analysis of Humanistic Nursing Care in Regulating the Emotion, Satisfaction, and Sleep Quality of Inpatients with Hematologic Neoplasms

Objective:To explore the clinical application value of humanistic nursing care in the treatment of hematologic neoplasm inpatients.Methods:Fifty-two patients with hematologic neoplasms admitted to a hospital from May 2019 to February 2022 were selected as the research subjects.According to a random number table,they were divided into two groups:the control group(n=25,routine clinical nursing)and the observation group(n=27,humanistic nursing care).The negative emotion score,nursing satisfaction,and sleep quality were compared between the two groups under different nursing modes.Results:The SAS and SDS scores before and after nursing were compared between the two groups.There was no significant difference between the two groups before nursing(p>0.05).However,the SDS and SAS scores in the two groups after nursing were lower than those before nursing,in which the observation group was slightly lower than the control group,and the difference was statistically significant(p<0.001).In terms of nursing satisfaction,it was as high as 96.29%in the observation group,whereas in the control group,the satisfaction rate was only 72.00%;the PSQI scores were compared between the two groups before and after nursing,and there was no significant difference between the two groups before nursing(p>0.05).However,the PSQI scores and total score of the observation group after nursing were lower than those of the control group(p<0.001).Conclusion:In the clinical treatment of patients with hematologic neoplasms,the implementation of humanistic nursing care can significantly improve patients’anxiety,depression,other negative emotions,sleep quality,and nursing satisfaction,all of which have significance in promoting the prognosis of patients and improving their quality of life.

Narrative nursing for cancer patients:a meta-analysis

Objective:To systematically review the effect of narrative nursing for cancer patients.Methods:Systematic searches in PubMed,EMBASE,The Cochrane Library,Web of Science,Chinese biomedical literature database,China National Knowledge Infrastructure,Wanfang medical and VIP database were performed for randomized controlled trials(RCTs)or quasi-RCTs which explored the effects of narrative nursing mode for cancer patients.Then,meta-analysis was performed by RevMan 5.3 after two independent investigators screened the literature,extracted the data and evaluated the risk of bias of all included studies.Results:A total of 15 studies were included,including 1778 cancer patients.The meta-analysis showed that narrative nursing could effectively relieve patients'anxiety and depression compared with the conventional nursing model(WMD=-9.04,95%CI=-11.82,-6.27;P<0.001),reduce the the inner shame(WMD=-2.28,95%CI=-3.76,-0.88;P=0.001),improved the mental resilience(WMD=18.20,95%CI=3.30,33.11;P<0.001)and the quality of life.Conclusion:This study has been systematically evaluated to show that narrative care can effectively improve the negative mood of patients with cancer and improve their quality of life.However,subject to the quality limitations of the included studies,the appeal conclusions are yet to be tested in more high-quality studies.

人文护理干预对抑郁症合并焦虑患者临床效果的影响

目的 探讨人文护理干预对抑郁症合并焦虑患者临床效果的影响。方法 将100例抑郁症合并焦虑患者按照随机数字表法分为对照组和研究组各50例。对照组患者采取常规护理干预,研究组患者在对照组基础上给予人文护理干预。采用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、失眠严重指数量表(ISI)对两组患者干预前后的抑郁症状、焦虑症状、失眠严重程度进行评估。并比较两组患者总满意度。结果 干预后两组患者HAMD、HAMA、ISI评分均较干预前降低,且研究组低于对照组(P<0.05或0.01)。研究组患者总满意度高于对照组(P<0.05)。结论 人文护理干预能改善抑郁症合并焦虑患者的抑郁、焦虑症状和睡眠状况,提高护理满意度,值得临床推广。

聚焦解决模式下的心理护理在高血压合并焦虑抑郁患者中的应用

目的探讨聚焦解决模式下的心理护理在高血压合并焦虑抑郁患者中的应用效果。方法选取2022年1月至2023年1月广东省第二中医院收治的132例高血压合并焦虑抑郁患者作为研究对象,采用随机数字表法分为对照组(66例)和试验组(66例),其中试验组有2例因研究过程中失访被剔除,最终纳入64例。对照组给予常规护理,试验组在对照组的基础上给予聚焦解决模式下的心理护理。比较两组的焦虑、抑郁、收缩压、舒张压及生活质量(QLICD-HY)情况。结果两组干预前的焦虑评分、抑郁评分、收缩压、舒张压、QLICD-HY各维度评分和总分比较,差异无统计学意义(P>0.05);试验组干预后的焦虑评分、抑郁评分低于对照组,收缩压及舒张压低于对照组,QLICD-HY各维度评分和总分高于对照组,差异有统计学意义(P<0.05)。结论聚焦解决模式下的心理护理可有效改善高血压合并焦虑抑郁患者的焦虑抑郁心理,提高血压控制效果,促进生活质量的提升。

风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练的效果分析

目的:分析风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练后睡眠质量、自我管理能力的改善情况。方法:选取2021年6月至2023年4月厦门大学附属第一医院收治的风湿性心脏病患者99例作为研究对象,按照随机数字表法分为对照组(n=49)和观察组(n=50)。对照组给予常规护理干预,观察组给予双心护理联合放松训练干预,2组患者均护理2周。采用生命质量综合评定问卷(GQOLI)对患者护理前后生命质量进行评估,采用睡眠状况自评量表(SRSS)对护理前后睡眠质量进行评估,比较2组患者的护理依从性,采用8项Morisky服药依从性量表(MMAS-8)评估患者服药依从性,采用自制问卷评估患者护理依从性及自我管理能力,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,比较2组患者各项临床指标。结果:护理后,2组患者GQOLI各项评分、护理依从性、服药依从性及自我管理能力得分均升高,且观察组显著高于对照组,SRSS各项评分、SDS、SAS得分均降低,且观察组显著低于对照组,差异均有统计学意义(均P<0.05)。结论:风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练可有效改善生活、睡眠质量,提高护理依从性、服药依从性及自我管理能力,并减轻负面情绪,值得临床推广应用。

量化活动干预在内镜结肠息肉切除术后患者康复中的应用效果

目的探究量化活动干预在内镜结肠息肉切除术后患者康复中的应用价值。方法随机选取2017年2月—2019年3月兰州大学第二医院接受内镜结肠息肉切除术的90例患者为研究对象,按照投骰子的方式分为对照组和研究组,每组45例,对照组接受常规护理干预,研究组在对照组基础上增加量化活动护理干预。对比两组术后恢复情况、干预前后焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression scale,SDS)、匹兹堡睡眠质量量表(Pittsburgh Sleep Quality Index,PSQI)得分差异,对比两组治疗依从性及护理满意度。结果研究组患者在术后首次排气时间、首次排便时间以及术后住院时间均短于对照组,差异有统计学意义(P均<0.05)。干预后,研究组患者在SAS、SDS以及PSQI量表得分显著低于对照组,差异有统计学意义(P均<0.05)。研究组治疗依从性优于对照组,差异有统计学意义(χ^(2)=4.444,P<0.05)。研究组患者对护理满意度评分为(96.35±3.51)分,高于对照组的(92.32±2.98)分,差异有统计学意义(t=3.564,P<0.05)。结论对内镜下结肠息肉切除术患者开展量化活动干预可加快患者术后康复进程,改善患者睡眠质量,降低患者焦虑抑郁状态,同时还有助于提高患者治疗依从性及护理满意度。

分析优质干预对妇产科手术患者术后疼痛及睡眠质量的影响

目的:分析优质干预对妇产科手术患者术后疼痛及睡眠质量的影响。方法:选取2023年1月至2024年1月厦门大学附属第一医院妇产科收治的手术患者98例作为研究对象,按照随机数字表法分为对照组和观察组,每组49例。对照组给予常规护理干预,观察组给予优质护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用爱泼沃斯嗜睡量表(ESS)比较2组患者干预前后睡眠质量变化,并比较2组患者睡眠效果、睡眠感受、睡眠可持续性的差异,采用多导睡眠监测(PSG)评价2组患者的睡眠效率、快速眼动(REM)潜伏期、睡眠潜伏期、清醒次数、睡后清醒时间,并比较2组术后疼痛可耐受性及护理满意度。结果:干预后,观察组PSQI评分、SAS评分、SDS评分、ESS评分均显著低于对照组,观察组睡眠效率、REM潜伏期高于对照组,观察组睡眠潜伏期、清醒次数、睡后清醒时间显著低于对照组,观察组疼痛耐受性评分显著高于对照组,观察组护理满意度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对妇产科手术患者实施优质护理干预既可减轻术后疼痛,又可提高其睡眠质量,加快患者康复进程,缓解患者焦虑、抑郁情绪,提高睡眠效率,值得临床推广应用。

追踪延伸式护理对泌尿系结石行钬激光碎石术后患者的影响

目的:探讨追踪延伸式护理对泌尿系结石行钬激光碎石术后患者的影响。方法:选取2021年1月1日~2022年2月28日接受钬激光碎石术治疗的88例泌尿系结石患者作为研究对象,随机分为观察组和对照组各44例,对照组采用传统护理模式,观察组在此基础上采用追踪延伸式护理模式;比较两组护理前后汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、生命质量量表(QOL)评分,下床活动时间、导尿管拔除时间、住院时间,并发症发生率。结果:观察组护理后HAMD、HAMA评分低于对照组(P<0.01),QOL评分高于对照组(P<0.01);观察组下床活动时间、导尿管拔除时间、住院时间短于对照组(P<0.01),并发症发生率低于对照组(P<0.01)。结论:追踪延伸式护理能够改善泌尿系结石行钬激光碎石术后患者的心理状态和生活质量,加快患者康复进程,减少并发症。

叙事护理对帕金森病病人负性情绪及生活质量的影响

目的:探讨叙事护理对帕金森病病人焦虑、抑郁及生活质量的影响。方法:将某三级甲等医院老年医学科帕金森病房的80例帕金森病病人随机分为对照组和试验组,各40例。对照组采用常规护理,试验组在对照组的基础上实施叙事护理干预,干预前和干预4周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、帕金森病生存质量调查表(PDQ-39)进行评价。结果:干预4周后,试验组SAS、SDS及PDQ-39的情绪和耻辱感得分低于对照组(P<0.05)。结论:将叙事护理应用于帕金森病病人护理中,可减轻病人焦虑、抑郁等负性情绪,提高病人的生活质量。

分析优质护理对肠镜下直肠息肉切除术患者围手术期并发症、心理状态及睡眠质量的影响

目的:分析优质护理对肠镜下直肠息肉切除术患者围手术期并发症、心理状态及睡眠质量的影响。方法:选取2021年6月至2022年6月联勤保障部队第909医院收治的肠镜下行直肠息肉切除术患者251例作为研究对象,按照随机数字表法分为对照组(n=120)和观察组(n=131),对照组给予常规护理干预,观察组给予优质护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用生命质量综合评定问卷(GQOLI-74)比较2组患者干预前后生命质量的变化。结果:干预后,观察组SAS评分、SDS评分、PSQI评分均显著低于对照组,观察组GQOLI-74各指标评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:肠镜下直肠息肉切除术围手术期实施优质护理,利于缓解患者心理状态,有效改善患者睡眠质量,预防并发症的发生,提升生命质量,且对于预后的改善有着积极的作用,值得临床推广应用。

综合干预改善老年高血压住院患者睡眠质量的效果研究

目的:观察综合干预改善老年高血压住院患者睡眠质量的应用效果。方法:选取2022年5月至2023年5月福建医科大学附属协和医院收治的老年高血压住院患者72例作为研究对象,按照随机数字表法分为对照组和观察组,每组36例。对照组采用常规护理,观察组采用综合干预。结果:干预后,观察组收缩压、舒张压、睡眠质量评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05);观察组生命质量评分高于对照组,差异有统计学意义(P<0.05)。结论:综合干预可有效控制老年高血压住院患者血压,降低其负面情绪,有利于调节患者睡眠质量,提升生命质量。

护士产后返岗初期工作压力的潜在剖面及影响因素研究

目的探讨临床护士产后返岗初期工作压力的潜在剖面,并探究不同潜在类型影响因素,为制定产后返岗护士工作压力精准干预措施提供参考。方法采用便利抽样法,选取江苏省14所三级医院的200名产后返岗初期护士,应用护士产后返岗工作压力量表、匹兹堡睡眠指数量表、抑郁-焦虑-应激量表进行问卷调查,对护士产后返岗初期工作压力特征进行潜在剖面分析,分析产后返岗初期工作压力潜在类别的影响因素。结果护士产后返岗初期工作压力特征分为3个潜在类别:低压力组(26.0%)、中压力组(50.0%)、高压力组(24.0%)。回归分析结果显示,年龄、照顾孩子日均时长、返岗时调岗、睡眠质量及抑郁症状是产后返岗初期工作压力不同潜在类别的影响因素(均P<0.05)。结论护士产后返岗初期工作压力存在潜在异质性。护理管理者可根据不同潜在类别和影响因素,实施精准干预,帮助产后护士返岗后有效应对护理工作压力。

叙事护理对化疗患者知觉压力及化疗相关认知功能障碍的影响

目的探讨基于日记书写的叙事护理对恶性肿瘤化疗患者知觉压力及化疗相关认知功能障碍的影响。方法将70例首次化疗的恶性肿瘤患者按时间段分为对照组与干预组各35例。对照组采用常规护理,干预组在对照组的基础上给予基于日记书写的叙事护理干预,每周1次,共8次。干预前后采用焦虑自评量表、抑郁自评量表、中文版知觉压力量表、匹兹堡睡眠质量指数、癌症治疗功能评估-认知功能量表对两组患者进行评估。结果对照组31例、干预组32例完成研究。干预组干预后焦虑、抑郁、知觉压力、睡眠质量、认知功能总分显著低于对照组(均P<0.05)。结论基于日记书写的叙事护理可缓解患者的焦虑抑郁情绪,减轻知觉压力,改善睡眠质量和化疗相关认知功能障碍。

术后护理干预对库欣病患者精神障碍及生活质量的影响

目的探讨术后护理干预在库欣病患者中的临床应用效果。方法应用随机对照法将41例收入上海交通大学医学院附属瑞金医院神经外科的库欣病患者随机分为实验组和对照组。实验组在常规围手术期护理的基础上给予为期2周共3次的教育内容,对照组患者接受常规的治疗和护理。记录患者的一般人口学资料、术前与术后的焦虑抑郁及生活质量评分。结果实验组干预后的焦虑他评评分(HAMA)、抑郁自评评分[HAD(D)]、抑郁他评评分(HRSD)均低于对照组(P<0.05),实验组干预后生活质量评分与对照组比较基本无异,仅在精力(VT)、情感职能(RE)两个维度分值高于术前(P<0.05)。结论护理教育干预有助于降低库欣病患者出院后至首次入院复查之间的焦虑、抑郁情绪,对患者的短期生活质量略有改善,具有一定的临床适用性。

同伴支持干预在维持性血液透析病人中的应用

目的:探讨同伴支持干预在维持性血液透析病人(MHD)中的应用效果。方法:2022年1月—12月,选取在山西省某三级甲等医院血液透析中心90例行维持性血液透析的病人作为研究对象,将其随机分成观察组和对照组,各45例。对照组给予常规护理干预,观察组在对照组的基础上实施同伴支持干预,比较两组干预前后自我管理能力、病耻感、社会支持及负性情绪水平。结果:干预6个月后,两组病人一般生活管理、症状管理、急救管理、疾病知识管理、治疗依从性管理、情绪认知管理得分均提高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组病耻感总分、内在病耻感、外在病耻感得分均下降,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组社会支持、家庭支持、朋友支持、其他支持得分均提高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组焦虑、抑郁分量表得分及医院焦虑抑郁量表总分均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:同伴支持干预有助于提高维持性血液透析病人自我管理能力,降低病耻感,提高社会支持水平,缓解焦虑、抑郁情绪。

焦点解决短期治疗联合叙事护理在晚期癌症患者安宁疗护中的应用研究

目的探讨焦点解决短期治疗(Solution-focused brief therapy,SFBT)联合叙事护理对实施安宁疗护晚期癌症患者焦虑抑郁及生活质量的影响。方法选取2022年8月至2023年5月晚期癌症安宁疗护患者作为研究对象,入院时采用医院焦虑抑郁量表(Hospital anxiety and de-pression scale,HADS)进行调查,筛选评分≥8分的患者纳入本研究(n=110),按照随机数字表法分为对照组(n=55)和试验组(n=55)。对照组采用安宁疗护常规护理,试验组在对照组的基础上采用焦点解决短期治疗联合叙事护理进行干预。比较两组干预前后焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)和癌症治疗功能评价量表(Functional assessment of cancer therapy,FACT-G)评分的差异,评价干预效果。结果因病情变化或死亡,试验组完成52例,对照组完成53例。干预前,试验组和对照组SAS、SDS、FACT-G评分比较差异均无统计学意义(P>0.05);干预后,试验组SAS、SDS、FACT-G评分分别为(42.52±2.30)分、(57.63±3.80)分、(67.54±2.52)分,对照组SAS、SDS、FACT-G评分分别为(47.29±2.73)分、(62.25±2.87)分、(64.39±3.08)分,两组比较差异均有统计学意义(P<0.05)。结论SFBT联合叙事护理干预,可降低晚期癌症患者的负面情绪,缓解抑郁焦虑,提高其生活质量。

叙事护理对直肠癌预防性造口患者焦虑抑郁情绪及生活质量的影响

目的探讨叙事护理对直肠癌预防性造口患者的焦虑抑郁情绪及生活质量的影响。方法选取2020年7月至2022年6月广西医科大学附属肿瘤医院结直肠肛门外科收治的96例直肠癌预防性造口患者作为研究对象。根据随机数字表法,将患者分为常规护理组(48例)和叙事护理组(48例)。常规护理组患者接受常规护理,叙事护理组患者在实施常规护理的同时还接受叙事护理。比较两组患者的不良情绪状况及生活质量。结果护理后,叙事护理组的焦虑评分及抑郁评分均低于常规护理组,差异有统计学意义(P<0.05)。护理后,叙事护理组的躯体功能、角色功能、认知功能、情绪功能及社会功能在内的生活质量评分均高于常规护理组,差异有统计学意义(P<0.05)。叙事护理组的护理总满意度高于常规护理组,差异有统计学意义(P<0.05)。结论对直肠癌预防性造口患者实施叙事护理方式可以改善其术后心理状态,提升生活质量及住院护理满意度。