叙事护理对截肢患者创伤后成长的效果研究  

Effects of narrative nursing on posttraumatic growth for patients with amputation

作　　者：曾倩姣 陈超然 刘东苗[2] 韩姗 路静静 成巧梅[4] Zeng Qianjiao;Chen Chaoran;Liu Dongmiao;Han Shan;Lu Jingjing;Cheng Qiaomei(Health and Nursinng School of Henan University,Zhengzhou 475003,China;Hand Surgery and Traumatic Microsurgery of Henan People's Hospital,Zhengzhou 450003,China;Nursing Department of Henan People's Hospital,Zhengzhou 450003,China;Internet Medicine Department of Henan People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南大学护理与健康学院,开封475003 [2]河南省人民医院手外科暨创伤显微外科,郑州450003 [3]河南省人民医院护理部,郑州450003 [4]河南省人民医院互联网医学科,郑州450003

出　　处：《中国实用护理杂志》2019年第8期611-615,共5页Chinese Journal of Practical Nursing

基　　金：河南省重点科技攻关计划(182102310092);河南省社科规划决策咨询项目(2018JC38).

摘　　要：目的探讨叙事护理对截肢患者创伤后成长的应用效果。方法选取2016年12月至2018年3月住院的62例截肢患者,采用随机数字表法分为对照组与干预组,每组31例。对照组接受常规护理,干预组在接受常规护理的基础上接受叙事护理干预,2组在干预前后采用创伤后成长量表进行评价。结果最终59例完成研究,其中干预组29例,对照组30例。干预前,对照组人生感悟、个人力量、新的可能性、与他人关系、自我转变得分及创伤后成长总分分别为(19.87±5.22)、(7.90±2.53)、(8.83±3.62)、(9.73±3.13)、(10.63±3.01)、(56.97±17.21)分,干预后得分分别为(20.80±5.89)、(8.80±2.17)、(8.90±3.39)、(10.27±2.75)、(11.07±3.12)、(59.83±16.91)分,除新的可能性维度外,对照组创伤后成长总分及各维度得分高于干预前,差异有统计学意义(t=3.00~5.34,P<0.05)。干预前,干预组人生感悟、个人力量、新的可能性、与他人关系、自我转变得分及创伤后成长总分分别为(20.28±4.94)、(8.17±2.58)、(8.59±3.48)、(9.55±2.90)、(11.07±2.83)、(57.66±16.42)分,干预后得分分别为(23.79±4.70)、(10.10±2.17)、(10.72±3.34)、(11.69±2.22)、(12.79±3.28)、(69.10±14.92)分,干预组创伤后成长总分及各维度得分与对照组及干预前相比明显提升,差异有统计学意义(t=10.61~16.75,P<0.05)。结论叙事护理能有效提高截肢患者的创伤后成长水平,并改善其心理状态。Objective To explore the effects of narrative nursing on posttraumatic growth for patients with amputation.Methods From December 2016 to March 2018,a total of 62 hospitalized patients with amputation were randomly assigned into the control group and the intervention group by random number table.The control group received routine nursing,the intervention group received narrative nursing on the basis of control group.Two groups were evaluated by Posttraumatic Growth Inventory (PTGI) before and after intervention.Results Before intervention,the scores of reflections on life,personal strengths,new possibilities,relating to others,self-transformation and posttraumatic growth in the the control group were (19.87±5.22),(7.90±2.53),(8.83±3.62),(9.73±3.13),(10.63±3.01),(56.97±17.21) points,respectively.After intervention,the scores were (20.80±5.89),(8.80±2.17),(8.90±3.39),(10.27±2.75),(11.07±3.12),(59.83±16.91) points,respectively,except new possibilities,the scores of each dimension and total scores of posttraumatic growth in the the control group were higher than before,the differences were statistically significant (t=3.00-5.34,P<0.05).Before intervention,the scores of reflections on life,personal strengths,new possibilities,relating to others,self-transformation and posttraumatic growth in the the intervention group were (20.28±4.94),(8.17±2.58),(8.59±3.48),(9.55±2.90),(11.07±2.83),(57.66±16.42) points,respectively.After intervention,the scores were (23.79±4.70),(10.10±2.17),(10.72±3.34),(11.69±2.22),(12.79±3.28),(69.10±14.92) points,respectively,the scores of each dimension and total scores of posttraumatic growth in the intervention group were statistically higher than those in the control group and before intervention,the differences were statistically significant (t=10.61-16.75,P<0.05).Conclusion Narrative nursing can effectively improve the level of posttraumatic growth and psychological state for patients with amputation.

关 键 词：叙事护理 截肢 创伤后成长 

分 类 号：R473.6[医药卫生—护理学]