摘要
目的 分析叙事护理用于恶性黑色素瘤的价值。方法 对 2020 年 12 月-2022 年 5 月本科接诊恶
性黑色素瘤病人（n=74）进行随机分组，试验和对照组各 37 人，前者采取叙事护理，后者行常规护理。对
比 sf-36 评分等指标。结果 关于心理痛苦评分，在干预结束之时：试验组的数据（1.54±0.47）分，和对照
组（3.28±0.73）分相比更低（P＜0.05）。关于 sf-36 评分，在干预结束之时：试验组的数据（86.12±3.29）
分，和对照组（78.54±4.63）分相比更高（P＜0.05）。关于护理质量，试验组的数据（97.46±1.82）分，和
对照组（90.58±2.47）分相比更高（P＜0.05）。关于满意度，试验组的数据 97.3%，和对照组 78.38%相比
更高（P＜0.05）。结论 恶性黑色素瘤用叙事护理，效果更好，满意度更高，生活质量改善也更加明显，心
理痛苦程度减轻更为迅速。
关键词： 叙事护理；生活质量；恶性黑色素瘤；满意度
Abstract
Objective To analyze the value of narrative nursing in malignant melanoma. Methods From
December 2020 to May 2022, 74 undergraduate patients with malignant melanoma (n=74) were randomly divided
into trial group and control group, with 37 patients in each group. The former received narrative nursing, while the
latter received routine nursing. The SF-36 score and other indicators were compared. Results At the end of the
intervention, the psychological distress score of the experimental group (1.54±0.47) was lower than that of the
control group (3.28±0.73) (P < 0.05). Regarding the SF-36 score, at the end of the intervention, the data of the
experimental group (86.12±3.29) was higher than that of the control group (78.54±4.63) (P < 0.05). As for the
quality of care, the score of the experimental group (97.46±1.82) was higher than that of the control group
(90.58±2.47) (P < 0.05). The satisfaction of the experimental group was 97.3%, which was higher than that of the
control group (78.38%) (P < 0.05). Conclusion Narrative nursing for malignant melanoma has better effect, higher
satisfaction, better quality of life, and more rapid reduction of psychological pain.
Key words： narrative nursing; Quality of life; Malignant melanoma; satisfaction
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