基于叙事理论的健康宣教对胃癌手术患者负性情绪及治疗依从性的影响  

Effects of health education based on narrative theory on negative emotion and treatment compliance of patients with gastric cancer undergoing surgery

作　　者：侯仕莺 肖博[1] 刘贝贝 HOU Shiying;XIAO Bo;LIU Beibei(Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院消化内科,郑州4500000

出　　处：《癌症进展》2024年第20期2263-2265,2269,共4页Oncology Progress

摘　　要：目的探讨基于叙事理论的健康宣教对胃癌手术患者负性情绪及治疗依从性的影响。方法将97例胃癌手术患者按健康宣教方法的不同分为对照组(n=48)和观察组(n=49)。对照组患者采用常规健康宣教,观察组患者采用基于叙事理论的健康宣教。比较两组患者的围手术期指标、负性情绪及治疗依从性。结果观察组患者手术时间、进食时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SDS、SAS量表评分均较干预前降低,且观察组患者SDS、SAS量表评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者治疗依从率高于对照组,差异有统计学意义(P﹤0.05)。结论基于叙事理论的健康宣教干预能显著缓解胃癌手术患者的负性情绪,使其积极应对疾病,提升治疗依从性。Objective To explore the effects of health education based on narrative theory on negative emotion and treatment compliance of patients with gastric cancer undergoing surgery.Method A total of 97 patients with gastric cancer who underwent surgery were divided into control group(n=48)and observation group(n=49)according to different health education methods.The control group received conventional health education,and the observation group received health education based on narrative theory.The perioperative indexes,negative emotions and treatment compliance were compared between the two groups.Result The operation time,feeding time and hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After intervention,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in both groups were lower than those before intervention,and the scores of SDS and SAS in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The treatment compliance rate of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion Health education intervention based on narrative theory can significantly alleviate the negative emotions of gastric cancer patients undergoing surgery,make them actively cope with the disease,and improve treatment compliance.

关 键 词：叙事理论 健康宣教 胃癌 负性情绪 治疗依从性 

分 类 号：R735.2[医药卫生—肿瘤]