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叙事护理在乳腺癌患者中应用的范围综述

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目的 对叙事护理在乳腺癌患者中应用的相关研究进行范围综述。方法 依据范围综述方法学框架,系统检索PubMed、Embase、知网、万方等数据库建库至2023年2月9日的文献。对纳入文献的数据进行筛选、收集、汇总、分析并报告结果。结果 共纳入18篇文献,2 342例乳腺癌患者,干预形式主要为面对面访谈和电话随访叙事干预,多应用叙事护理5大核心技术进行叙事干预。结局指标包含创伤后成长、癌因性疲乏、心理社会适应能力等,主要与患者心理相关。实践者多经叙事护理培训,叙事团队成员主要为临床护士。结论 叙事护理对改善乳腺癌患者心理状态等有明显的应用效果,未来应探究规范化的叙事护理策略,统一有效的实施过程,规范的叙事护理评价标准,形成成熟的叙事护理临床实践体系。
Scoping review of narrative nursing in patients with breast neoplasm
Objective To systematically analyze the relevant research on the application of narrative nursing in breast cancer patients,and analyze the specific process,application elements,application methods,outcome indica-tors,effects and existing deficiencies of narrative nursing.Methods According to the methodological framework of the scoping review,the literature data of PubMed,Embase,CNKI,Wanfang,and other databases were systematically searched from the establishment of database to 9 February 2023.The data included in the literature was screened,collected,summarized,analyzed and reported their results.Results A total of 18 articles and 2,342 breast cancer pa-tients were included,and the intervention forms were mainly face-to-face interviews and telephone follow-up narra-tive interventions,and 5 core technologies of narrative nursing were mostly applied to narrative intervene.Outcome measures included post-traumatic growth,cancer-induced fatigue,and psychosocial adaptability,which were mainly related to patients'psychology.Most of the practitioners were trained in narrative nursing,and the narrative team members were mainly clinical nurses.Conclusion Narrative care has obvious effect on improving the psychological state of breast cancer patients.In the future,it is necessary to explore standardized narrative nursing strategies,uni-fy and effective implementation processes,standardize narrative nursing evaluation standards,and form a mature narrative nursing clinical practice system.

narrative nursingnarrative medicinebreast neoplasmscoping review

张锐、赵信飞、彭敏

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贵州医科大学护理学院,贵州 贵阳 550004

贵州医科大学附属医院,贵州贵阳 550004

遵义医科大学第二附属医院,贵州遵义 563006

叙事护理 叙事医学 乳腺癌 范围综述

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(9)
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