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龚玉萍,刘玉静,俞静娴.叙事护理在肝脏肿瘤患者中的应用研究[J].上海护理,2020,20(S1):
叙事护理在肝脏肿瘤患者中的应用研究
Application of narrative nursing in patients with liver tumor
DOI：
中文关键词:  叙事护理  肝肿瘤  负性情绪  身心状态
英文关键词:Narrative nursing, liver tumor, negative emotion, mental status
基金项目:
作者单位E-mail
龚玉萍 复旦大学附属中山医院 2452379082@qq.com 
刘玉静 复旦大学附属中山医院  
俞静娴* 复旦大学附属中山医院 yu.jingxian@zs-hospital.sh.cn 
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中文摘要:
      目的 评价叙事护理在肝脏肿瘤患者中的应用效果。方法 纳入我院2019年2月-2019年7月收治的肝肿瘤患者为研究对象，共128例。其中对照组为62例，实施常规护理；实验组为66例，在实施常规护理的基础上增加叙事护理。对比这两组患者手术前的抑郁、焦虑及对医护人员的满意度和治疗的依从性的差异。结果 在经过叙事护理干预后，患者的抑郁及焦虑有较为明显的改善（P<0.01）。与对照组相比较，实验组患者抑郁及焦虑评分均有明显的降低，两者有统计学差异（P<0.01）。此外，叙事护理能显著提高患者的满意度及依从性（P<0.01）。结论 对于患有肝脏肿瘤疾病的患者来说，在常规护理干预的基础上给予个体化、有针对性的叙事护理，能够显著改善患者焦虑、抑郁等负性情绪，同时也能提高患者的满意度及依从性，值得在临床上广泛推广运用。
英文摘要:
      Objective To investigate the application of narrative nursing in patients with liver tumor. Methods 128 patients of liver tumor from our hospital from February 2019 to July 2019 were divided into intervention group and control. Patients in control group received routine nursing and patients in intervention group received narrative nursing on the basis of routing nursing. The depression and anxiety before operation in both groups were compared. Meanwhile, the patients’ satisfaction and compliance were also measured. Results Our outcomes indicated that narrative nursing in patients could improve the depression and anxiety symptoms compared to that after admission (P < 0.01). Compared with the control group, patients in experimental group have lower depression and anxiety score with statistically significant (P< 0.01). In addition, narrative nursing could obviously improve the patient's satisfaction and compliance (P< 0.01). Conclusion On the basis of routing nursing, narrative nursing could significantly improve the anxiety, depression symptoms and improve the patients' satisfaction and adherence at the same time for patients with liver tumor. It is worth to be widely used in clinical practice.
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