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.
关键词
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
Key words
malignant tumor/chemotherapy/narrative nursing/anxiety/depression/quality of sleep/perceived stress/cognitive impairment
维普
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