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叙事疗法缓解口腔癌患者的污名:一项随机对照试验。

Narrative therapy to relieve stigma in oral cancer patients: A randomized controlled trial.

机构信息

Department of Oral Surgery, Stomatological Hospital, Southern Medical University, Guangzhou, China.

Department of Oral and Maxillofacial Surgery, Qilu Hospital, Shandong University, Jinan, China.

出版信息

Int J Nurs Pract. 2022 Aug;28(4):e12926. doi: 10.1111/ijn.12926. Epub 2021 Apr 5.

Abstract

AIMS AND OBJECTIVES

This study aimed to evaluate the efficacy of narrative therapy in relieving stigma in oral cancer patients who underwent major surgical treatment.

BACKGROUND

Health-related stigma compromises mental health and life quality in people with physical or mental abnormalities. Narrative therapy has been implemented to overcome stigma among populations in a diversity of disease states. However, the effectiveness of narrative therapy in relieving stigma among patients with oral cancer is not known.

DESIGN

This study was a randomized controlled trial, in which 100 oral cancer patients were selected and randomly assigned to the 'narrative therapy' group, who received narrative therapy treatment in addition to standard care, and the 'control' group, who was provided standard care only.

METHODS

This research combined measurement of several questionnaires to evaluate stigma. Analysis of variance and paired t tests were employed for data analysis.

RESULTS

Findings in this study demonstrated that narrative therapy treatment effectively relieved oral cancer patients' sense of shame, reducing overall stigma and significantly improving self-esteem and social relationships.

CONCLUSIONS

Narrative therapy was demonstrated to be a promising therapeutic intervention for stigma relief in oral cancer patients.

摘要

目的和目标

本研究旨在评估叙事疗法在缓解接受重大手术治疗的口腔癌患者的污名化方面的疗效。

背景

与健康相关的污名化会损害身体或精神异常人群的心理健康和生活质量。叙事疗法已被用于克服各种疾病状态人群的污名化问题。然而,叙事疗法在缓解口腔癌患者的污名化方面的效果尚不清楚。

设计

这是一项随机对照试验,共纳入 100 名口腔癌患者,随机分为“叙事疗法”组和“对照组”。除了标准护理外,“叙事疗法”组还接受叙事疗法治疗,而“对照组”仅接受标准护理。

方法

本研究结合了多种问卷的测量来评估污名化。采用方差分析和配对 t 检验进行数据分析。

结果

本研究结果表明,叙事疗法治疗可有效减轻口腔癌患者的羞耻感,降低整体污名化程度,显著改善自尊和人际关系。

结论

叙事疗法被证明是一种有前途的口腔癌患者污名化缓解的治疗干预措施。

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