叙事护理在X医院肿瘤科缓解患者焦虑抑郁情绪的干预研究.docxVIP

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叙事护理在X医院肿瘤科缓解患者焦虑抑郁情绪的干预研究

【摘要】目的：?探讨叙事护理在X医院肿瘤科患者中缓解焦虑、抑郁情绪的应用效果。方法：?采用随机对照试验，将72例患者分为干预组（36例）和对照组（36例）。对照组实施常规护理，干预组在常规护理基础上接受为期4周、每周2次的个体化叙事护理干预。于干预前后采用焦虑自评量表（SAS）、抑郁自评量表（SDS）评估情绪状态，干预后采用生活质量核心问卷（EORTCQLQ-C30）和护理满意度调查表进行评估，并对干预组进行质性访谈。结果：?干预后，干预组SAS评分（45.1±5.4vs54.3±5.9）和SDS评分（44.6±5.2vs53.8±5.7）均显著低于对照组（P0.01）。干预组生活质量评分（68.4±7.2vs59.7±8.1）与护理满意度评分（92.3±5.1vs84.6±6.8）亦显著高于对照组（P0.01）。质性分析归纳出情绪释放、自我认同增强等积极主题。结论：?叙事护理能有效缓解肿瘤患者的焦虑、抑郁情绪，提升其生活质量和护理满意度，是一种值得推广的人文护理模式。

【关键词】叙事护理；肿瘤科；焦虑；抑郁

Abstract:Objective:ToexploretheapplicationeffectofnarrativenursinginalleviatinganxietyanddepressionamongpatientsintheoncologydepartmentofXHospital.Methods:Arandomizedcontrolledtrialwasconducted,dividing72patientsintoaninterventiongroup(36cases)andacontrolgroup(36cases).Thecontrolgroupreceivedroutinecare,whiletheinterventiongroupreceivedindividualizednarrativenursinginterventionfor4weeks,twiceaweek,ontopofroutinecare.TheSelf-RatingAnxietyScale(SAS)andSelf-RatingDepressionScale(SDS)wereusedtoassesstheemotionalstatebeforeandaftertheintervention.TheEORTCQLQ-C30andthenursingsatisfactionsurveywereusedforassessmentaftertheintervention,andqualitativeinterviewswereconductedwiththeinterventiongroup.Results:Aftertheintervention,theSASscore(45.1±5.4vs54.3±5.9)andSDSscore(44.6±5.2vs53.8±5.7)oftheinterventiongroupweresignificantlylowerthanthoseofthecontrolgroup(P0.01).Thequalityoflifescore(68.4±7.2vs59.7±8.1)andnursingsatisfactionscore(92.3±5.1vs84.6±6.8)oftheinterventiongroupwerealsosignificantlyhigherthanthoseofthecontrolgroup(P0.01).Qualitativeanalysisidentifiedpositivethemessuchasemotionalreleaseandenhancedself-identity.Conclusion:Narrativenursingcaneffectivelyalleviateanxietyanddepressioninoncologypatients,improvetheirqualityof