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叙事护理对晚期肺癌化疗患者的影响 被引量:2

Effect of Narrative Nursing on Chemotherapy Patients with Advanced Lung Cancer
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摘要 目的:探究叙事护理对晚期肺癌化疗患者的影响。方法:选取2021年1月—2022年12月北京肿瘤医院晚期肺癌化疗患者56例为研究对象,根据数字表法分为对照组和观察组,各28例。对照组进行常规护理,观察组进行叙事护理。比较两组生活质量、心理韧性、匹兹堡睡眠质量指数量表(PSQI)及护理满意度。结果:护理后,观察组健康状况、社会功能、生理职能及心理职能评分高于对照组,差异有统计学意义(P<0.001);护理后,观察组坚韧性、力量性、乐观性评分高于对照组,差异有统计学意义(P<0.001);护理后,观察组PSQI评分低于对照组,差异有统计学意义(P<0.001);观察组护理总满意度高于对照组,差异有统计学意义(P=0.029)。结论:对晚期肺癌化疗患者实施叙事护理,有利于提高患者生活质量,增强患者心理韧性,改善患者睡眠质量,提高患者护理满意度。 Objective:To investigate the effect of narrative nursing on chemotherapy patients with advanced lung cancer.Methods:Fifty-six patients undergoing chemotherapy for advanced lung cancer in Beijing Cancer Hospital were selected as study subjects from January 2021 to December 2022,and were divided into a control group and an observation group,each with twenty-eight cas⁃es,according to the numerical table method.The control group was subjected to conventional nursing,and the observation group was subjected to narrative nursing.Quality of life,psychological resilience,Pittsburgh Sleep Quality Index Scale(PSQI)and nurs⁃ing satisfaction were compared between the two groups.Results:After nursing care,the health status,social function,physical function and psychological function scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.001);After nursing,the scores of resilience,strength and optimism of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.001);After nursing,the PSQI score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.001);The total satisfaction of nursing care in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.029).Conclusion:The implementation of narrative nursing for chemotherapy patients with advanced lung cancer is conducive to improving patients'quality of life,enhancing patients'psychological resilience,improving patients'sleep quality,and increasing patients'nursing satisfaction.
作者 魏朝玉 张彦 Wei Chaoyu;Zhang Yan(Department of Thoracic Oncology II,Beijing Cancer Hospital,Beijing 100050,China)
出处 《中外医药研究》 2023年第12期129-131,共3页 JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词 叙事护理 晚期肺癌化疗 生活质量 睡眠质量 Narrative nursing Advanced lung cancer chemotherapy Quality of life Sleep quality
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