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叙事护理干预对特定消化道恶性肿瘤(食管癌、胃癌和肠癌)患者的影响:一项回顾性研究。

Effect of Narrative Nursing Intervention on Patients with Specific Digestive Tract Malignancies (Esophageal, Gastric, and Intestinal Cancers): A Retrospective Study.

作者信息

Zheng Yan

机构信息

Department of Medical Oncology, Beijing Ditan Hospital Affiliated to Capital Medical University, Beijing, People's Republic of China.

出版信息

Int J Gen Med. 2024 Dec 3;17:5747-5756. doi: 10.2147/IJGM.S489001. eCollection 2024.

Abstract

OBJECTIVE

To explore the effect of narrative nursing intervention on patients with esophageal, gastric, and intestinal cancers.

METHODS

A retrospective analysis was conducted on the clinical data of 103 patients with digestive tract malignant tumors admitted to our hospital from January 2022 to January 2024. According to the nursing intervention received by the patients, they were divided into a control group (n=51) and an observation group (n=52). The control group received routine nursing intervention, while the observation group received narrative nursing intervention in addition to the routine nursing intervention. The compliance behavior, negative emotional status, self-perceived burden, quality of life, and adverse reactions of the two groups were compared.

RESULTS

After intervention, the observation group showed higher scores in medication, exercise, dietary, and emotional regulation adherence than the control group (P<0.05). Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) for negative emotions decreased in both groups, with a greater reduction in the observation group (P<0.05). Economic, physical, and emotional burden levels also decreased more in the observation group (P<0.05). Quality of life scores in physiological, social/family, emotional, and functional conditions improved more in the observation group (P<0.05). Adverse reactions, including nausea, vomiting, fatigue, pain, gastrointestinal reactions, and insomnia, were less frequent in the observation group than in the control group (P<0.05).

CONCLUSION

Narrative nursing intervention for patients with digestive tract malignant tumors can effectively improve patient compliance behavior, alleviate negative emotions, reduce self-perceived burden, promote the improvement of patient quality of life, and reduce the occurrence of related adverse reactions. However, the study is limited by its small sample size and single-center design, which may affect the generalizability of the findings. Further research with larger and more diverse populations is recommended.

摘要

目的

探讨叙事护理干预对食管癌、胃癌和肠癌患者的影响。

方法

对2022年1月至2024年1月我院收治的103例消化道恶性肿瘤患者的临床资料进行回顾性分析。根据患者接受的护理干预,将其分为对照组(n = 51)和观察组(n = 52)。对照组接受常规护理干预,观察组在常规护理干预的基础上接受叙事护理干预。比较两组的依从行为、负性情绪状态、自我感知负担、生活质量和不良反应。

结果

干预后,观察组在用药、运动、饮食和情绪调节依从性方面的得分高于对照组(P < 0.05)。两组的负性情绪自评焦虑量表(SAS)和自评抑郁量表(SDS)得分均下降,观察组下降幅度更大(P < 0.05)。观察组的经济、身体和情感负担水平下降也更多(P < 0.05)。观察组在生理、社会/家庭、情感和功能状况方面的生活质量得分改善更多(P < 0.05)。观察组恶心、呕吐、疲劳、疼痛、胃肠道反应和失眠等不良反应的发生率低于对照组(P < 0.05)。

结论

对消化道恶性肿瘤患者进行叙事护理干预可有效提高患者的依从行为,缓解负性情绪,减轻自我感知负担,促进患者生活质量的提高,并减少相关不良反应的发生。然而,本研究受样本量小和单中心设计的限制,可能影响研究结果的普遍性。建议进行更大规模、更多样化人群的进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c712/11624947/0b732b8e6f74/IJGM-17-5747-g0001.jpg

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