摘要
目的 对头颈肿瘤放疗患者进行叙事护理，比较对癌症复发恐惧以及心理痛苦的影响。方法 通过选
取肿瘤科治疗的 60 例患者作为研究对象，采用数字研究法进行分组（常规组、研究组），常规组采用常规护理
方式，研究组采用叙事护理，做好对于癌症复发恐惧以及心理痛苦的影响。结果 研究组患者干预前、干预后评
分的比较，FCR 整体评分分别为 47.34±1.03 、24.36±2.38 分，经比较，研究组患者干预前后评分效果较优（p＜
0.05）。研究组干预前、干预后心理痛苦评分的比较，其中研究组患者干预前、后评分分别为 5.54±1.30 分、2.40±0.25
分，经比较，研究组干预后评分相比常规组效果较优（p＜0.05）。试验组头颈肿瘤患者中治疗前、后评分分别
为 71.89±2.25、92.46±2.46，试验组患者明显改善（t=0.013、5.256）治疗后明显改善 P＜0.05。结论 对头颈肿瘤
放疗患者进行叙事护理，做好对于癌症复发恐惧以及心理痛苦影响，效果较优。
关键词： 叙事护理；头颈肿瘤放疗；癌症复发；恐惧心理
Abstract
Objective To compare the effects of narrative nursing on the fear of cancer recurrence and
psychological distress in patients with head and neck tumor radiotherapy. Methods 60 patients treated in oncology
department were selected as research objects and divided into two groups (routine group and study group) by digital
research method. The routine group adopted routine nursing, and the study group adopted narrative nursing, so as to do a
good job in influencing the fear of cancer recurrence and psychological pain. Results The overall score of FCR in the
study group was 47.34±1.03 and 24.36±2.38 points respectively before and after intervention, and the score effect was
better in the study group before and after intervention (p<0.05). The comparison of psychological pain scores before and
after intervention in the study group showed that the scores of patients in the study group before and after intervention
were 5.54±1.30 points and 2.40±0.25 points respectively, and the effect of the scores after intervention in the study group
was better than that in the conventional group (p < 0.05). The scores of patients with head and neck tumor before and
after treatment in experimental group were 71.89±2.25 and 92.46±2.46, respectively, and the scores of patients in
experimental group were significantly improved (t=0.013, 5.256) after treatment, P<0.05. Conclusion Narrative nursing
for patients with head and neck tumor radiotherapy has better effect on the fear of cancer recurrence and psychological
pain.
Key words： narrative nursing; Radiotherapy for head and neck tumors; Cancer recurrence; Fear psychology
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