叙事护理对老年慢性病患者心理状态及生活质量的影响

邵惠弟; 钟小华; 沈爱娟; 罗解萍; 金一鸣

doi:10.16766/j.cnki.issn.1674-4152.002121

叙事护理对老年慢性病患者心理状态及生活质量的影响

doi: 10.16766/j.cnki.issn.1674-4152.002121

1.
绍兴第二医院医共体总院中医科(老年医学科)，浙江绍兴 312000
2.
绍兴第二医院医共体总院肿瘤内一科，浙江绍兴 312000
3.
绍兴第二医院医共体总院健康管理科，浙江绍兴 312000
4.
绍兴第二医院医共体总院护理部，浙江绍兴 312000
5.
绍兴第二医院医共体总院肾内科，浙江绍兴 312000

基金项目:

浙江省医药卫生科技计划项目 2018KY834

详细信息

通讯作者:
邵惠弟, E-mail: ncwss15926@163.com

中图分类号: R473.59
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- PDF下载量: 11
- 被引次数: 0
出版历程
- 收稿日期: 2021-02-24
- 网络出版日期: 2022-02-15

Influence of narrative nursing on mental state and quality of life of elderly patients with chronic diseases

1.
Department of Traditional Chinese Medicine (Geriatrics), Medical Treatment Combination Hospital of the Second Hospital of Shaoxing, Shaoxing, Zhejiang 31200, China

摘要

摘要: 目的探讨叙事护理在老年慢性病患者治疗中的应用效果。方法选择2018年12月—2020年12月在绍兴第二医院医共体总院住院治疗的老年慢性病患者210例为研究对象，根据随机数字表法将其分为干预组和对照组，干预组患者108例，对照组102例。对照组患者应用常规护理模式，干预组在对照组的基础上实施叙事护理。对比2组患者抑郁、焦虑症状(SDS、SAS评分)，生活质量(健康调查简表SF-36)，治疗依从性以及主观幸福度(纽芬兰纪念大学幸福度量表)。结果干预前，2组患者抑郁、焦虑症状评分，生活质量评分及主观幸福度评分差异无统计学意义(均P>0.05)。干预后，干预组患者抑郁(SDS)、焦虑症状(SAS)评分分别为(46.25±2.03)分、(45.33±1.89)分，显著低于对照组的(49.27±2.42)分和(48.01±2.05)分，差异有统计学意义(均P < 0.05)，且干预组生活质量评分显著高于对照组(P < 0.05)。同时，干预组主观幸福度评分为(79.25±6.12)分，明显高于对照组的(70.37±6.75)分(P < 0.05)。干预后，干预组的治疗依从性为90.74%，显著高于对照组的73.53%(P < 0.05)。结论叙事化护理可以有效缓解老年慢性病患者抑郁、焦虑症状，同时可以提升其生活质量、治疗依从性及主观幸福度。
- 叙事护理 /
- 老年 /
- 慢性病 /
- 心理状态
Abstract: Objective To explore the application effect of narrative nursing in the treatment of elderly patients with chronic diseases. Methods A total of 210 elderly patients with chronic diseases who were admitted to our hospital from December 2018 to December 2020 were selected as the research subjects. According to the convenience sampling method, they were divided into the intervention and control groups. A total of 108 patients were in the intervention group, and 102 patients were in the control group. Patients in the control group were treated with conventional nursing mode, whereas patients in the intervention group were treated with narrative nursing on the basis of the control group. The two groups were compared for symptoms of depression and anxiety, quality of life, treatment compliance and subjective well-being (Memorial University of Newfoundland Well-Being Scale). Results Before intervention, no significant differences in depression and anxiety symptom scores, quality of life scores and subjective well-being scores were found between the two groups (all P>0.05). After intervention, the SDS and SAS scores of the intervention group were (46.25±2.03) points and (45.33±1.89) points, which were significantly lower than those of the control group [(49.27±2.42) points and (48.01±2.05) points], respectively (all P < 0.05). The SF-36 score of the intervention group was significantly higher than that of the control group (P < 0.05). After intervention, the subjective well-being score of the intervention group was (79.25±6.12) points, which was significantly higher than that of the control group [(70.37±6.75) points, P < 0.05]. The treatment compliance of the intervention group was 90.74%, which was significantly higher than that of the control group (73.50%, P < 0.05). Conclusion Narrative nursing can effectively relieve the symptoms of depression and anxiety in elderly patients with chronic diseases, as well as improve their quality of life, treatment compliance and subjective well-being.
- Narrative nursing /
- Elderly /
- Chronic diseases /
- State of mind

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表 1 2组老年慢性病患者SAS、SDS评分比较(x±s，分)

组别	例数	SAS		SDS
组别	例数	干预前	干预后	干预前	干预后
对照组	102	52.65±2.68	48.01±2.05	53.54±3.41	49.27±2.42
干预组	108	52.71±2.66	45.33±1.89	53.45±3.35	46.25±2.03
t值		0.163	9.893	0.193	9.818
P值		0.871	< 0.001	0.847	< 0.001

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表 2 2组老年慢性病患者SF-36评分比较(x±s，分)

组别	例数	精神健康	情感职能	活力	社会功能	躯体功能	生理功能	生理职能	总体健康	总分
对照组	102	64.25±4.64	65.16±4.07	63.26±4.16	63.21±4.62	64.21±4.67	63.14±4.11	64.95±5.32	64.51±5.29	512.69±36.88
干预组	108	86.66±4.27	84.37±4.34	86.42±4.42	84.14±4.54	85.48±4.52	87.41±4.34	85.87±4.64	84.75±4.41	685.10±35.48
t值		27.528	25.009	29.556	25.029	25.35	31.452	22.955	22.764	43.753
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

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表 3 2组老年慢性病患者治疗依从性比较(例)

组别	例数	十分依从	部分依从	一般	治疗依从性[例（%）]
对照组	102	30	45	27	75（73.50）
干预组	108	58	40	10	98（90.74）
注：2组治疗依从性比较，χ²=10.706，P < 0.001。

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表 4 2组老年慢性病患者干预前后主观幸福度评分比较(x±s，分)

组别	例数	干预前	干预后	t值	P值
对照组	102	55.25±7.24	70.37±6.75	15.427	< 0.001
干预组	108	55.43±7.21	79.75±6.12	26.725	< 0.001
t值		0.181	10.560
P值		0.857	< 0.001

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