Effect of narrative nursing on negative psychology and quality of life of postoperative patients with breastcancer
叙事护理在乳腺癌术后患者负性心理和生活质量中的应用效果

摘要

目的 观察在对乳腺癌患者术后护理中开展叙事护理对于改善患者负性心理以及生活质量的作 用。方法 结合对比护理观察的方式开展探究，选入 2021 年 2 月至 2022 年 9 月乳腺癌手术患者 37 例为对 象，双盲法均分为对照组（17 例，常规护理）和观察组（20 例，叙事护理）。分析两组患者心理状态以及 生活质量。结果 结合汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分对患者负性情绪对比，干预前两组无 差异，P>0.05，干预后，观察组优于对照组，P<0.05。对比两组生活质量，观察组各维度评分均高于对照组， P<0.05。观察组患者护理满意度以及护理依从性均高于对照组，P<0.05。结论 在对乳腺癌手术患者提供护 理服务时将叙事护理进行运用，可以改善患者心理状态，并对患者恢复期间生活质量进行提升，增加患者 对护理工作满意度。

Abstract

Objective To observe the effect of narrative nursing on improving the negative psychology and quality of life of patients with breast cancer after surgery.
Methods Combined with the way of comparative nursing observation, 37 patients with breast cancer who underwent surgery from February 2021 to September 2022 were selected as subjects. The subjects were divided into the control group (17 cases, conventional nursing) and the observation group (20 cases, narrative nursing) by double blind method. The psychological status and quality of life of the two groups were analyzed.
Results There was no difference between the two groups in terms of the negative emotion of the patients with Hamilton Anxiety Scale score and Hamilton Depression Scale score before intervention (P>0.05). After intervention, the observation group was better than the control group (P<0.05). By comparing the quality of life of the two groups, the scores of each dimension in the observation group were higher than those in the control group (P<0.05). Nursing satisfaction and compliance of patients in the observation group were higher than those in the control group (P<0.05).
Conclusion   Narrative nursing can improve the psychological status of patients, improve the quality of life of patients during recovery, and increase patients' satisfaction with nursing work when providing nursing services for breast cancer patients.