基于Cox理念的阶段性叙事疗法对胃癌患者自我管理水平的影响  

Effect of Phased Narrative Therapy Based on the Cox Concept on the Level of Self-management of Gastric Cancer Patients

作　　者：崔文秀 朱慧秀 严凯悦 CUI Wenxiu;ZHU Huixiu;YAN Kaiyue(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China;不详)

机构地区：[1]蚌埠医科大学第一附属医院胃肠外科,安徽蚌埠233000

出　　处：《中国医学创新》2025年第12期85-89,共5页Medical Innovation of China

摘　　要：目的:分析基于Cox理念的阶段性叙事疗法对胃癌患者自我管理水平的影响。方法:选择2022年6月—2023年6月在蚌埠医科大学第一附属医院接受手术与住院治疗的92例胃癌患者作为研究对象,依据随机数字表法分为对照组与研究组,各46例。对照组予以常规护理干预方案,研究组则给予基于Cox理念的阶段性叙事疗法进行护理干预。比较两组干预前后的自我管理行为量表(SMBS)、希望量表(HHI)、家庭负担访谈问卷量表(BSFC)及生活质量评分。结果:干预前,两组SMBS、HHI、BSFC及生活质量评分比较,差异均无统计学意义(P>0.05)。干预后,研究组SMBS、HHI各维度得分均显著高于对照组,BSFC各维度得分均显著低于对照组,差异均有统计学意义(P<0.05)。干预后,研究组生活质量各维度评分均显著高于对照组,差异均有统计学意义(P<0.05)。结论:基于Cox理念的阶段性叙事疗法可以提升胃癌患者自我管理水平、改善患者心理健康状态与生活质量,并且可以显著降低患者的家庭负担,具有较好的临床应用前景。Objective:To analyze the effect of phased narrative therapy based on Cox concept on the selfmanagement level of gastric cancer patients.Method:A total of 92 patients with gastric cancer who received surgery and hospitalization in the First Affiliated Hospital of Bengbu Medical University from June 2022 to June 2023 were selected as the study objects,and they were divided into control group and study group according to random number table method,with 46 cases in each group.The control group was given routine nursing intervention program,and the study group was given phased narrative therapy based on Cox concept.The self management behavior scale(SMBS),herth hope index(HHI),burden scale for family caregivers(BSFC)and quality of life scores of the two groups before and after intervention were compared.Result:Before intervention,there were no significant differences in SMBS,HHI,BSFC and quality of life scores between the two groups(P>0.05).After the intervention,the scores of all dimensions of SMBS and HHI in the study group were significantly higher than those in the control group,and the scores of all dimensions of BSFC in the study group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,scores of all dimensions of the quality of life of the study group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The phased narrative therapy based on Cox concept can improve the self-management level of gastric cancer patients,improve the mental health status and quality of life of patients,and significantly reduce the family burden of patients,which has a good clinical application prospect.

关 键 词：Cox理念 阶段性叙事疗法 胃癌患者 自我管理水平 护理干预 

分 类 号：R473.73[医药卫生—护理学]