叙事疗法对乳腺癌术后化疗患者应对方式的干预效果.docVIP

精品论文 参考文献 叙事疗法对乳腺癌术后化疗患者应对方式的干预效果 冯金东1 李晓敏1（通讯作者） 王瑞1 梁云微2 杜玉凤1 （1承德医学院 河北承德 067000） （2承德医学院附属医院肿瘤科 河北承德 067000） 【摘要】目的：探讨叙事疗法对乳腺癌术后化疗患者应对方式的干预效果。方法：将52例乳腺癌术后化疗患者随机分为对照组和实验组各26例。对照组给予常规护理，实验组在常规护理的基础上运用叙事疗法进行干预。分别于干预前后，采用简易应对方式问卷进行评估。结果：干预前两组应对方式评分差异均无统计学意义（P＞0.05）；干预后，实验组积极应对方式评分明显高于对照组，消极应对方式评分明显低于对照组；实验组自身干预后积极应对评分显著高于干预前，消极应对评分显著低于干预前，两组差异均有统计学意义（P＜0.05）。结论：叙事疗法的干预有助于患者采取积极的应对方式，有效提高患者治疗的依从性，从而改善其生活质量，提高对未来生活的信心与希望。 【关键词】叙事疗法；乳腺癌；化疗；应对方式 【中图分类号】R73 【文献标识码】A 【文章编号】1007-8231（2015）15-0003-03 The effect of narrative therapy on coping style of patients with breast cancer after chemotherapy Feng JinDong,LI Xiaomin,Wang Rui,DuYufeng.Cheng De Medical University,Cheng De 067000,Hebei,China 【Abstract】Objective To explore the effect of narrative therapy on coping style of patients with breast cancer after chemotherapy. Methods 52 cases of breast cancer patients with chemotherapy were randomly divided into control group and experimental group with 26 cases in each group. The control group received routine nursing, and the experimental group was treated with narrative therapy based on routine nursing. Before and after the intervention, the simple coping style questionnaire was used to evaluate. Results There was no significant difference in coping style between the two groups before the intervention(P＞0.05). After the intervention ,The score of positive coping style in the experimental group was significantly higher than the control group, and the score of negative coping style was significantly lower than the control group.The scores of the experimental group were significantly higher than those before the intervention, and the negative coping score was significantly lower than before, the difference was statistically significant(P＜0.05). Conclusion The intervention of narrative therapy can help patients to take positive coping style, effectively improve the compliance of patients, so as to improve the quality of life and th