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叙事护理干预对重度肺癌术后患者的护理效果

Nursing effect of narrative nursing intervention on postoperative patients with severe lung cancer.

作者信息

Wen Bin, Liu Ying, Min Xiao-Xia, Wang An-Qi

机构信息

Department of Intensive Care, Tongren Hospital of Wuhan University and Wuhan Third Hospital, Optics Valley Branch, Wuhan 430074, Hubei Province, China.

The First Department of Thoracic Oncology, Hubei Cancer Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430079, Hubei Province, China.

出版信息

World J Clin Cases. 2024 Jan 6;12(1):76-85. doi: 10.12998/wjcc.v12.i1.76.

Abstract

BACKGROUND

Lung cancer is a common disease with high mortality, and psychological support is very important in the diagnosis and treatment of postoperative patients with cancer pain.

AIM

To explore the application effect of the narrative nursing method in postoperative lung cancer patients in the intensive care unit.

METHODS

A total of 120 patients diagnosed with lung cancer and experiencing cancer-related pain were randomly allocated into two groups: an observation group and a control group, each consisting of 60 cases. The control group was given routine analgesic and psychological care, while the research group applied the five-step narrative nursing method based on routine care, comparing the visual analogue scale scores, sleep status, anxiety and depression status, and quality of life of the two groups of patients before and after the intervention.

RESULTS

The pain scores, anxiety scores, and depression scores of the study group were lower than those of the control group after the intervention using the narrative nursing method, and the difference was statistically significant ( < 0.05).

CONCLUSION

Using narrative nursing methods to intervene in patients with lung cancer combined with cancerous pain can help patients to correctly recognize their disease, adjust their mentality, establish confidence, alleviate patients' subjective pain feelings, and improve their adverse emotions.

摘要

背景

肺癌是一种常见的高死亡率疾病,心理支持在肺癌术后癌痛患者的诊断和治疗中非常重要。

目的

探讨叙事护理方法在重症监护病房肺癌术后患者中的应用效果。

方法

将120例诊断为肺癌且伴有癌痛的患者随机分为两组:观察组和对照组,每组60例。对照组给予常规镇痛和心理护理,研究组在常规护理的基础上应用五步叙事护理法,比较两组患者干预前后的视觉模拟量表评分、睡眠状况、焦虑和抑郁状况以及生活质量。

结果

采用叙事护理法干预后,研究组的疼痛评分、焦虑评分和抑郁评分均低于对照组,差异有统计学意义(<0.05)。

结论

采用叙事护理方法干预肺癌合并癌痛患者,有助于患者正确认识疾病,调整心态,树立信心,减轻患者主观疼痛感受,改善不良情绪。

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