中国当代医药2024,Vol.31Issue(14) :153-157.

叙事护理对直肠癌预防性造口患者焦虑抑郁情绪及生活质量的影响

Effect of narrative nursing on anxiety,depression and quality of life in rectal cancer patients with preventive colostomy

林小力 左红群 邹俊杰 潘意
中国当代医药2024,Vol.31Issue(14) :153-157.

叙事护理对直肠癌预防性造口患者焦虑抑郁情绪及生活质量的影响

Effect of narrative nursing on anxiety,depression and quality of life in rectal cancer patients with preventive colostomy

林小力 1左红群 1邹俊杰 1潘意1
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作者信息

  • 1. 广西结直肠癌临床医学研究中心广西医科大学附属肿瘤医院结直肠肛门外科,广西南宁 530021
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摘要

目的 探讨叙事护理对直肠癌预防性造口患者的焦虑抑郁情绪及生活质量的影响.方法 选取2020年7月至2022年6月广西医科大学附属肿瘤医院结直肠肛门外科收治的96例直肠癌预防性造口患者作为研究对象.根据随机数字表法,将患者分为常规护理组(48例)和叙事护理组(48例).常规护理组患者接受常规护理,叙事护理组患者在实施常规护理的同时还接受叙事护理.比较两组患者的不良情绪状况及生活质量.结果 护理后,叙事护理组的焦虑评分及抑郁评分均低于常规护理组,差异有统计学意义(P<0.05).护理后,叙事护理组的躯体功能、角色功能、认知功能、情绪功能及社会功能在内的生活质量评分均高于常规护理组,差异有统计学意义(P<0.05).叙事护理组的护理总满意度高于常规护理组,差异有统计学意义(P<0.05).结论 对直肠癌预防性造口患者实施叙事护理方式可以改善其术后心理状态,提升生活质量及住院护理满意度.

Abstract

Objective To explore the effect of narrative nursing on anxiety,depression and quality of life in rectal cancer patients with preventive colostomy.Methods A total of 96 rectal cancer patients with preventive colostomy admitted to the Department of Colorectal and Anal Surgery,Affiliated Tumor Hospital of Guangxi Medical University from July 2020 to June 2022 were selected as the research objects.According to the random number table method,the patients were divided into routine nursing group(48 cases)and narrative nursing group(48 cases).Patients in routine nursing group received routine nursing,while patients in narrative nursing group received narrative nursing in addition to routine nursing.The negative emotional status and quality of life of the two groups were compared.Results After nursing,the anxiety score and depression score of the narrative nursing group were lower than those of the routine nursing group,and the differences were statistically significant(P<0.05).After nursing,the quality of life scores of physical function,role function,cognitive function,emotional function and social function in the narrative nursing group were higher than those in the routine nursing group,and the dif-ferences were statistically significant(P<0.05).The total nursing satisfaction of the narrative nursing group was higher than that of the routine nursing group,and the difference was statistically significant(P<0.05).Conclusion Narrative nursing for rectal cancer patients with preventive colostomy can improve their postoperative mental state,quality of life and satisfaction with hospitalization nursing.

关键词

叙事护理/直肠癌预防性造口/焦虑抑郁情绪/生活质量

Key words

Narrative nursing/Preventive colostomy for rectal cancer/Anxiety and depression/Quality of life

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出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
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