| 查莹娟,尹海宁,顾晓霞,丁波,田蓉蓉,邱亚娟.叙事护理对首次确诊妇科恶性肿瘤患者创伤后应激障碍的影响研究[J].上海护理,2024,24(5): |
| 叙事护理对首次确诊妇科恶性肿瘤患者创伤后应激障碍的影响研究 |
| Effect of narrative nursing on post-traumatic stress disorder in patients with gynecological malignancy diagnosed for the first time |
| 投稿时间：2023-08-22 修订日期：2024-05-11 |
| DOI： |
| 中文关键词: 叙事护理 妇科恶性肿瘤 创伤后应激障碍 干预 |
| 英文关键词:Narrative nursing Gynecological malignancy Post-traumatic stress disorder Intervene |
| 基金项目:江苏省卫生健康委科研项目(M2022016)；东南大学附属中大医院护理科研(KJZC-HL-202215) |
|
| 摘要点击次数: 1978 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探讨叙事护理对首次确诊妇科恶性肿瘤患者创伤后应激障碍(Post-traumatic stress disorder, PTSD)的应用效果。方法 采用便利抽样法,选取2021年10月—2023年3月在南京市某三级甲等医院住院的88例首次确诊妇科恶性肿瘤患者作为研究对象,按照随机数字表法将研究对象划为研究组和对照组各44例。干预时间为确诊后3个月每次住院期间,共干预4次。研究组每次住院期间在常规妇科专科护理工作的基础上开展叙事护理,对照组实施常规妇科专科护理工作。比较两组患者创伤后应激障碍平民版量表(PCL?C)得分、心理弹性量表(CD?RISC)得分和疾病接受度量表得分。结果 干预前研究组和对照组PTSD发生率为11.36%和18.18%,差异无统计学意义(P>0.05)。干预后研究组患者的创伤后应激障碍评分低于对照组,研究组患者的心理弹性得分、疾病接受度得分高于对照组,差异均具有统计学意义(P<0.05)。结论 实施叙事护理能有效改善首次确诊妇科恶性肿瘤患者的PTSD水平,提高患者的心理弹性和疾病接受度,降低PTSD的发生率。 |
| 英文摘要: |
| Objective To investigate the effect of narrative nursing on Post-traumatic stress disorder (PTSD) in patients with gynecological malignancy diagnosed for the first time. Methods A total of 88 patients with gynecological malignant tumor who were diagnosed for the first time and hospitalized in a Grade A hospital in Nanjing from October 2021 to March 2023 were selected as the study objects by convenience sampling method. According to random number table method, the study objects were divided into the study group and the control group, 44 cases in each group. The intervention time was 4 times during each hospitalization 3 months after diagnosis. The study group carried out narrative nursing on the basis of routine gynecological specialist nursing during each hospitalization, while the control group carried out routine gynecological specialist nursing. The scores of PCL?C, Mental Resilience Scale (CD?RISC) and disease acceptance scale were compared between the two groups. Results The incidence of PTSD was 11.36% in the study group and 18.18% in the control group before intervention, the difference was not statistically significant (P＞0.05). After the intervention, the score of post-traumatic stress disorder in the study group was lower than that in the control group, and the score of mental resilience and disease acceptance in the study group was higher than that in the control group, with statistical significance (P<0.05). Conclusion The implementation of narrative nursing can effectively improve the PTSD level of patients with gynecological malignant tumor diagnosed for the first time, improve the psychological resilience and disease acceptance of patients, and reduce the incidence of PTSD. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|