叙事护理对老年慢性病患者心理状态及生活质量的影响  

Influence of narrative nursing on mental state and quality of life of elderly patients with chronic diseases

作　　者：邵惠弟[1] 钟小华[2] 沈爱娟[3] 罗解萍[4] 金一鸣[5] SHAO Hui-di;ZHONG Xiao-hua;SHEN Ai-juan;LUO Jie-ping;JIN Yi-ming(Department of Traditional Chinese Medicine(Geriatrics),Medical Treatment Combination Hospital of the Second Hospital of Shaoxing,Shaoxing,Zhejiang 31200,China;不详)

机构地区：[1]绍兴第二医院医共体总院中医科(老年医学科),浙江绍兴312000 [2]绍兴第二医院医共体总院肿瘤内一科 [3]绍兴第二医院医共体总院健康管理科 [4]绍兴第二医院医共体总院护理部 [5]绍兴第二医院医共体总院肾内科

出　　处：《中华全科医学》2021年第9期1600-1603,共4页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2018KY834)。

摘　　要：目的探讨叙事护理在老年慢性病患者治疗中的应用效果。方法选择2018年12月—2020年12月在绍兴第二医院医共体总院住院治疗的老年慢性病患者210例为研究对象,根据随机数字表法将其分为干预组和对照组,干预组患者108例,对照组102例。对照组患者应用常规护理模式,干预组在对照组的基础上实施叙事护理。对比2组患者抑郁、焦虑症状(SDS、SAS评分),生活质量(健康调查简表SF-36),治疗依从性以及主观幸福度(纽芬兰纪念大学幸福度量表)。结果干预前,2组患者抑郁、焦虑症状评分,生活质量评分及主观幸福度评分差异无统计学意义(均P>0.05)。干预后,干预组患者抑郁(SDS)、焦虑症状(SAS)评分分别为(46.25±2.03)分、(45.33±1.89)分,显著低于对照组的(49.27±2.42)分和(48.01±2.05)分,差异有统计学意义(均P<0.05),且干预组生活质量评分显著高于对照组(P<0.05)。同时,干预组主观幸福度评分为(79.25±6.12)分,明显高于对照组的(70.37±6.75)分(P<0.05)。干预后,干预组的治疗依从性为90.74%,显著高于对照组的73.53%(P<0.05)。结论叙事化护理可以有效缓解老年慢性病患者抑郁、焦虑症状,同时可以提升其生活质量、治疗依从性及主观幸福度。Objective To explore the application effect of narrative nursing in the treatment of elderly patients with chronic diseases. Methods A total of 210 elderly patients with chronic diseases who were admitted to our hospital from December 2018 to December 2020 were selected as the research subjects. According to the convenience sampling method, they were divided into the intervention and control groups. A total of 108 patients were in the intervention group, and 102 patients were in the control group. Patients in the control group were treated with conventional nursing mode, whereas patients in the intervention group were treated with narrative nursing on the basis of the control group. The two groups were compared for symptoms of depression and anxiety, quality of life, treatment compliance and subjective well-being(Memorial University of Newfoundland Well-Being Scale). Results Before intervention, no significant differences in depression and anxiety symptom scores, quality of life scores and subjective well-being scores were found between the two groups(all P>0.05). After intervention, the SDS and SAS scores of the intervention group were(46.25±2.03) points and(45.33±1.89) points, which were significantly lower than those of the control group [(49.27±2.42) points and(48.01±2.05) points], respectively(all P<0.05). The SF-36 score of the intervention group was significantly higher than that of the control group(P<0.05). After intervention, the subjective well-being score of the intervention group was(79.25±6.12) points, which was significantly higher than that of the control group [(70.37±6.75) points, P<0.05]. The treatment compliance of the intervention group was 90.74%, which was significantly higher than that of the control group(73.50%, P<0.05). Conclusion Narrative nursing can effectively relieve the symptoms of depression and anxiety in elderly patients with chronic diseases, as well as improve their quality of life, treatment compliance and subjective well-being.

关 键 词：叙事护理 老年 慢性病 心理状态 

分 类 号：R473.59[医药卫生—护理学]