首页|叙事护理对化疗患者知觉压力及化疗相关认知功能障碍的影响

叙事护理对化疗患者知觉压力及化疗相关认知功能障碍的影响

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目的 探讨基于日记书写的叙事护理对恶性肿瘤化疗患者知觉压力及化疗相关认知功能障碍的影响.方法 将70例首次化疗的恶性肿瘤患者按时间段分为对照组与干预组各35例.对照组采用常规护理,干预组在对照组的基础上给予基于日记书写的叙事护理干预,每周1次,共8次.干预前后采用焦虑自评量表、抑郁自评量表、中文版知觉压力量表、匹兹堡睡眠质量指数、癌症治疗功能评估-认知功能量表对两组患者进行评估.结果 对照组31例、干预组32例完成研究.干预组干预后焦虑、抑郁、知觉压力、睡眠质量、认知功能总分显著低于对照组(均P<0.05).结论 基于日记书写的叙事护理可缓解患者的焦虑抑郁情绪,减轻知觉压力,改善睡眠质量和化疗相关认知功能障碍.
Effectiveness of narrative nursing on perceived stress and chemotherapy-related cog-nitive impairment in patients during chemotherapy
Objective To examine the effectiveness of narrative nursing based on diary writing on perceived stress and chemotherapy-related cognitive impairment in patients receiving chemotherapy for cancer.Methods A total of 70 cancer patients receiving first chemotherapy were assigned to a control group or an intervention group chronologically,with 35 in each group.The control group was given conventional nursing care,while the intervention group additionally received narrative nursing based on diary writing once a week for eight weeks.Before and after the intervention,the Self-rating Anxiety Scale,Self-rating Depression Scale,Chinese version of the Perceived Stress Scale,Pittsburgh Sleep Quality Index,Functional Assessment of Cancer Therapy-Cognitive Func-tion were utilized to evaluate the effect.Results A total of 31 in the control group and 32 in the intervention group completed the study.The scores of anxiety,depression,perceived stress,sleep quality and cognitive function in the intervention group were sig-nificantly lower than those in the control group(all P<0.05).Conclusion Narrative nursing based on diary writing can alleviate pa-tients'anxiety,depression,and perceived stress,whilst improve sleep quality and cognitive function.

malignant tumorchemotherapynarrative nursinganxietydepressionquality of sleepperceived stresscognitive impairment

韩芳、贺碧英、肖天林

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湖北文理学院附属医院,襄阳市中心医院肿瘤科(湖北襄阳,441021)

湖北文理学院附属医院,襄阳市中心医院呼吸与危重症医学科(湖北襄阳,441021)

恶性肿瘤 化疗 叙事护理 焦虑 抑郁 睡眠质量 知觉压力 认知障碍

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(1)
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