叙事护理对首次复发乳腺癌患者心理韧性及焦虑的干预效果

陈薇; 彭昕

doi:10.3877/cma.j.issn.1674-0807.2022.05.006

中华乳腺病杂志(电子版) >

2022 , Vol. 16 >Issue 05: 298 - 302

DOI: https://doi.org/10.3877/cma.j.issn.1674-0807.2022.05.006

论著

叙事护理对首次复发乳腺癌患者心理韧性及焦虑的干预效果

陈薇 ¹ ,
彭昕 ^,¹^,^†

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^1.430000　武汉，华中科技大学同济医学院附属协和医院肿瘤科

通信作者：彭昕，Email：892855297@qq.com

收稿日期: 2020-08-02

网络出版日期: 2022-11-10

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未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计，除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。本刊为电子期刊，以网刊形式出版。

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Effect of narrative nursing on psychological resilience and anxiety in breast cancer patients with first recurrence

Wei Chen ¹ ,
Xin Peng ^,¹^,^†

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^1.Department of Oncology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China

Corresponding author: Peng Xin, Email: 892855297@qq.com.

Received date: 2020-08-02

Online published: 2022-11-10

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No content published by the journals of Chinese Medical Association may be reproduced or abridged without authorization. Please do not use or copy the layout and design of the journals without permission.

All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.

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摘要

目的

探讨叙事护理对首次复发乳腺癌患者心理韧性和焦虑的影响。

方法

采用便利抽样法前瞻性选取2018年1月至2019年1月华中科技大学同济医学院附属协和医院收治的60例首次复发的乳腺癌患者，分为观察组和对照组各30例。对照组采取常规护理，观察组在对照组基础上加用叙事护理。采用简化版心理韧性量表(CD-RISC)和焦虑自评量表(SAS)在干预前后对2组患者进行评估，组间比较和干预前后组内比较，均采用t检验。

结果

(1)干预后，观察组CD-RISC量表3个维度的评分和总分均高于对照组(坚韧：t＝－0.386，P＝0.701；自强：t＝0.168，P＝0.867;乐观：t＝－2.560，P＝0.013；总分：t＝7.456，P<0.001)。干预前后观察组3个维度的评分和总分比较，差异有统计学意义(坚韧：t＝－3.539, P＝0.001;自强：t＝－3.667, P＝0.001;乐观：t＝－8.225, P<0.001;总分：t＝－4.357, P<0.001)。对照组仅有乐观评分在干预前后比较差异有统计学意义(t＝－3.521，P＝0.001)。(2)干预后，观察组的SAS评分低于对照组[(50.63±5.12)分比(58.82±3.16)分，t＝7.456, P<0.001]。干预前后观察组和对照组的SAS评分组内比较，差异均有统计学意义(t＝12.335、8.606, P均<0.001)。

结论

叙事护理能够显著改善首次复发乳腺癌患者的心理韧性及焦虑情绪。

关键词： 乳腺肿瘤; 护理; 复发; 心理; 焦虑

本文引用格式

陈薇 , 彭昕 . 叙事护理对首次复发乳腺癌患者心理韧性及焦虑的干预效果[J]. 中华乳腺病杂志(电子版), 2022 , 16(05) : 298 -302 . DOI: 10.3877/cma.j.issn.1674-0807.2022.05.006

Abstract

Objective

To explore the effect of narrative nursing on psychological resilience and anxiety in breast cancer patients with first recurrence.

Methods

A total of 60 breast cancer patients with first recurrence in the Department of Oncology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 2018 to January 2019 were selected for a prospective study using convenience sampling. They were divided into observation group and control group, with 30 cases in each group. The control group adopted conventional nursing and the observation group adopted narrative nursing on the basis of conventional nursing. The simplified version of the Connor-Davidson Resilience Scale (CD-RISC) and self-rating anxiety scale (SAS) were used to evaluate psychological resilience and anxiety of patients in two groups before and after intervention. The scores were compared between groups and the scores of patients in the same group were compared before and after intervention using t test.

Results

(1) After intervention, the scores of three dimensions and total scores of the CD-RISC in observation group were significantly higher than those in control group (tenacity: t=-0.386, P=0.701; self-reliance: t=0.168, P=0.867; optimism: t=-2.560, P=0.013; total scores: t=7.456, P<0.001). The scores of three dimensions and total scores of the CD-RISC in observation group presented a significant difference before and after intervention (tenacity: t=-3.539, P=0.001; self-reliance: t=-3.667, P=0.001; optimism: t=-8.225, P<0.001; total score: t=-4.357, P<0.001). In control group, only the score in the dimension of optimism showed a significant difference before and after intervention (t=-3.521, P=0.001). (2) After intervention, the SAS score in observation group was significantly lower than that in control group [50.63±5.12 vs 58.82±3.16, t=7.456, P<0.001]. The SAS scores of observation group and control group showed a significant difference before and after intervention (t=12.335, 8.606, both P<0.001).

Conclusion

Narrative nursing can significantly improve the psychological resilience and relieve the anxiety in breast cancer patients with first recurrence.

Key words： Breast neoplasms; Nursing care; Recurrence; Psychology; Anxiety

参考文献

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