循证护理联合叙事护理对妇科恶性肿瘤手术患者的应用效果分析  

Application Effect Analysis of Evidence-Based Nursing Combined with Narrative Nursing in Patients with Gynecological Malignant Tumor Surgery

作　　者：李荔[1] 刘双[1] 王静[1] Li Li;Liu Shuang;Wang Jing(Department of Gynecology,Xuzhou Maternity and Child Health Care Hospital,Xuzhou 221009,Jiangsu Province,China)

机构地区：[1]徐州市妇幼保健院妇科,江苏徐州221009

出　　处：《中国社区医师》2022年第33期103-105,共3页Chinese Community Doctors

基　　金：徐州医科大学附属医院发展基金(编号:XYFM2020047)。

摘　　要：目的:观察循证护理联合叙事护理对妇科恶性肿瘤手术患者的应用效果。方法:选取2020年6月-2021年12月徐州市妇幼保健院收治的120例妇科恶性肿瘤患者作为研究对象,以随机数字表法分为参照组和干预组,各60例。参照组患者给予循证学护理,干预组在参照组基础上给予叙事护理,比较两组患者干预前和干预2个化疗周期后的心理状态、生活质量、满意度。结果:干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,两组SAS、SDS评分均低于干预前,且干预组低于参照组,差异有统计学意义(P<0.05)。干预前,两组生活质量调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);干预后,两组SF-36评分均高于干预前,且干预组高于参照组,差异有统计学意义(P<0.05)。干预组满意度高于参照组,差异有统计学意义(P<0.05)。结论:循证护理联合叙事护理能更好地改善患者负性情绪,提高其生活质量与满意度,具有重要的临床应用价值。Objective:To observe the application effect of evidence-based nursing combined with narrative nursing in patients undergoing gynecological malignant tumor surgery.Methods:A total of 120 patients with gynecological malignant tumor who were admitted to Xuzhou Maternity and Child Health Care Hospital from June 2020 to December 2021 were selected as the study subjects.They were divided into reference group and intervention group according to random number table method,with 60 cases in each group.Patients in the reference group were given evidence-based nursing.Patients in the intervention group were given narrative nursing on the basis of the reference group.The psychological state,quality of life and satisfaction of patients in two groups were compared before and after the intervention of two chemotherapy cycles.Results:Before the intervention,there was no significant difference between the two groups in the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS)(P>0.05).After the intervention,the SAS and SDS scores in the two groups were lower than those before the intervention,and the intervention group was lower than the reference group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference between the two groups in the 36-Item Short Form Health Survey questionnaire(SF-36)for quality of life(P>0.05).After the intervention,the SF-36 scores in the two groups were higher than those before the intervention,and the intervention group was higher than the reference group,and the difference was statistically significant(P<0.05).The satisfaction rate in the intervention group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion:Evidence-based nursing combined with narrative nursing can better ameliorate adverse emotions of patient and improve the quality of life and satisfaction,and has important clinical application value.

关 键 词：循证护理 叙事护理 妇科 恶性肿瘤 

分 类 号：R473.73[医药卫生—护理学]