叙事护理在癌症患者病情告知中的应用
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女,硕士,讲师

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山西省高校哲学社会科学研究项目(201803091);山西医科大学汾阳学院立项课题(FJ201902)


Application of narrative nursing in disease information disclosure for cancer patients
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    摘要:

    目的 探讨叙事护理在癌症患者病情告知前评估和告知后护理的应用效果。方法 将术后首次入住肿瘤科的122例癌症患者采用随机数字表法分为观察组(收入二病区,61例)和对照组(收入一病区,61例)。对照组住院期间按常规进行护理及健康教育,入组后尊重家属意见,若需告知患者病情,由医生进行病情告知,护士在病情告知后给予患者心理安慰;观察组在常规护理基础上按照关注、理解、回应和反思进行叙事护理。比较两组干预前后病情知晓程度和护患交流满意度。结果 干预后,观察组病情完全知晓和部分知晓率分别为36.07%和52.46%,对照组分别为22.95%和44.26%,两组比较,差异有统计学意义(P<0.01);观察组对护患交流总体满意度及满意度总分显著高于对照组(均P<0.01)。结论 对癌症患者实施叙事护理,可为病情告知做好准备,帮助患者建立积极的心理防御,能显著提高癌症患者病情知晓率,有助于提高癌症患者护患交流满意度。

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    Objective To explore the application effect of narrative nursing in the nursing before and after disease information disclosure for cancer patients. Methods Totally 122 postoperative cancer patients admitting to the oncology department for the first time were divided into an intervention group (61 patients admitted to the second ward) and a control group (61 patients admitted to the first ward) using a random number table. The control group received routine nursing and health education during hospitalization, their family members′ opinion was respected after they were enrolled, if it was necessary to disclose their disease information, the primary physician informed them, then the primary nurse conducted psychological comfort after that. While the intervention group additionally received narrative nursing including attention, understanding, response and reflection. The degree of disease awareness and nurse-client communication satisfaction before and after the intervention were compared between the two groups. Results After the intervention, the rate of complete and partial disease awareness in the intervention group was 36.07% and 52.46%, which was 22.95% and 44.26% in the control group, there was significant difference between the two groups (P<0.01). The rate and total score of satisfaction on nurse-client communication in the intervention group were significantly higher than those of the control group (P<0.01 for both). Conclusion Implementing narrative nursing for cancer patients can make good preparation for disease information disclosure, and help them establish positive psychological defense, then enhance their disease awareness rate significantly, and improve their communication satisfaction with nurses.

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周雪,史宏睿,冯吉波.叙事护理在癌症患者病情告知中的应用[J].护理学杂志,2020,35(10):27-30

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  • 收稿日期:2019-12-25
  • 最后修改日期:2020-02-06
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  • 在线发布日期: 2022-08-31