Zhang Hong, Wan Yuan. The impa ct of narrative medical nursing interventions on pain control and self-management in patients with chronic pain. [J]. Health Medicine Research and Practice 17(5):78-82(2020)
Zhang Hong, Wan Yuan. The impa ct of narrative medical nursing interventions on pain control and self-management in patients with chronic pain. [J]. Health Medicine Research and Practice 17(5):78-82(2020)DOI:
The impa ct of narrative medical nursing interventions on pain control and self-management in patients with chronic pain
Objective To explore the effect of narrative medical nursing intervention on pain control and self-man-agement in patients with chronic pain. Methods A total of 106 patients with chronic pain amitted to a hospital in Hubei Province from March 2018 to November 2019 were selected and divided into a narrative group(n=59) and a control group(n=47) using a random number table. Patients in the control group were given conventional nursing interventions
and patients in the narrative group received narrative medical nursing interventions. The 2 groups were compared in terms of doctor-patient relationship patient score and pain control condition as well as nighttime sleep time
anxiety condition
depression
self-management ability and quality of life before and after nursing care. Results Before nursing
the difference in sleep time at night between the 2 groups of patients was not statistically significant(P>0.05); after nursing
the sleep time at night of the 2 groups of patients was lon-ger than before nursing
and the narrative group of patients had longer sleep time at night than the control group
and the difference was statistically significant(P<0.05). After nursing
patients in the narrative group had a higher doctor-patient relationship score than the control group
and the difference was statistically significant(P<0.05). Before nursing
the 2 groups of patients’ anxiety
depression
and survival activity scores were com-pared
and the differences were not statistically significant(P>0.05); after nursing
the 2 groups of patients’ anxiety and depression scores were lower than before nursing
the quality of life scores were higher than before nursing
and the differences were statistically significant(P<0.05); after nursing
the narrative group’s anxiety and depression scores were lower than the control group
and the quality of life scores were higher than the con-trol group
and the differences were both statistically significant(P<0.05). Before nursing
the 2 groups of pa-tients’ scores in the 6 dimensions of self-management and the total score for self-management were compared
and the differences were not statistically significant(P>0.05); after nursing
the 2 groups of patients’ scores in the 6 dimensions of self-management and the total score for self-management were higher than before nursing
those in the narrative group were higher than the control group
and the differences were statistically significant(P<0.05). The rate of pain control was 96.61%(57/59) in the narrative group
which was higher than that of 85.11%(40/47) in the control group
and the difference was statistically significant(P <0.05). Conclusion Narrative medical nursing intervention can help chronic pain patients to control pain
improve their self-manage-ment ability and quality of life
increase sleep time at night
and improve doctor-patient relationship
关键词
叙事医学护理慢性疼痛疼痛控制自我管理生活质量医患关系
Keywords
Narrative medical nursingChronic painPain controlSelf-managementQuality of lifeDoctor-patient relationship
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Related Institution
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