首页|叙事医学指导下共情护理结合认知行为干预对乳腺癌根治术后患者应对方式、情绪状态的影响

叙事医学指导下共情护理结合认知行为干预对乳腺癌根治术后患者应对方式、情绪状态的影响

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目的 探讨叙事医学指导下共情护理结合认知行为干预对乳腺癌根治术后患者应对方式、情绪状态的影响.方法 选择2022年1月—2023年6月于滨州医学院附属医院行乳腺癌根治术的100例患者为研究对象,按随机数字表法将其分为对照组及观察组,每组50例.对照组行常规护理干预,观察组行叙事医学指导下共情护理结合认知行为干预,均持续8周.比较两组患者的情绪状态、应对方式及病耻感.结果 干预后,观察组的焦虑自评量表、抑郁自评量表评分分别为(24.26±3.15)分、(25.38±3.24)分,均低于对照组的(32.23±3.53)分,(34.62±3.51)分,组间差异有统计学意义(P<0.05).干预后,观察组的应对方式问卷中消极应对方式评分低于对照组,积极应对方式评分高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的社会影响量表中各个维度评分均低于对照组,组间差异有统计学意义(P<0.05).结论 叙事医学指导下共情护理结合认知行为干预能降低乳腺癌根治术后患者的病耻感,减轻其负面情绪,改善其应对方式.
Effects of Narrative Medicine Guided Empathic Nursing Combined with Cognitive Behavior Intervention on Coping Style and Emotional State of Patients after Radical Surgery for Breast Cancer
Objective To explore the effects of narrative medicine guided empathic nursing combined with cognitive behavior intervention on coping style and emotional state of patients after radical breast cancer surgery.Methods 100 patients who underwent radical mastectomy in the Affiliated Hospital of Binzhou Medical College from January 2022 to June 2023 were selected as research objects and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group received routine nursing intervention,and the observation group received narrative medicine guided empathic nursing combined with cognitive behavior intervention.Both groups lasted for 8 weeks.The emotional state,coping style and stigma of the two groups were compared.Results After intervention,the scores of Self-rating Anxiety and Self-rating Depression Scale in the observation group were(24.26±3.15)points and(25.38±3.24)points,respectively,which were lower than(32.23±3.53)points and(34.62±3.51)points in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the negative coping style score in the simplified coping style questionnaire of the observation group was lower than that of the control group,and the positive coping style score was higher than that of the control group,and the differences between the two groups were statistically significant(P<0.05).After intervention,the scores of social impact scale in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Narrative medicine guided empathic nursing combined with cognitive behavior intervention can reduce the stigma of patients after radical breast cancer surgery,alleviate their negative emotions and improve their coping style.

Radical mastectomyNarrative medicineEmpathic nursingCognitive behaviorCoping styleEmotional state

马坤、周菲菲、杨婷婷

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滨州医学院附属医院肿瘤科,山东滨州 256600

乳腺癌根治术 叙事医学 共情护理 认知行为 应对方式 情绪状态

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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