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郑州大学第二附属医院
纸质出版日期:2021,
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翟清华. 叙事医学指导下的心理干预对胃癌根治术患者疾病应对方式及生活质量的影响[J]. 保健医学研究与实践, 2021,18(3):121-124.
Zhai Qinghua. A study on the effect of psychological intervention guided by narrative medicine on the coping mode and quality of life of patients undergoing radical gastric cancer surgery[J]. Health Medicine Research and Practice, 2021,18(3):121-124.
翟清华. 叙事医学指导下的心理干预对胃癌根治术患者疾病应对方式及生活质量的影响[J]. 保健医学研究与实践, 2021,18(3):121-124. DOI:
Zhai Qinghua. A study on the effect of psychological intervention guided by narrative medicine on the coping mode and quality of life of patients undergoing radical gastric cancer surgery[J]. Health Medicine Research and Practice, 2021,18(3):121-124. DOI:
目的探讨叙事医学指导下的心理干预对胃癌根治术患者疾病应对方式及生活质量的影响。方法本研究选取2019年1月-2020年1月在郑州市某医院行胃癌根治术的68例患者为研究对象。采用随机数字表法将患者分为观察组和对照组
每组34例。对照组患者采用常规心理护理干预
观察组患者采用叙事医学指导下的心理干预。采用医学应对方式调查表(MCMQ)评估患者干预前及干预2周时的应对方式;采用社会支持评定量表(SSRS)评估患者干预前及干预2周时的社会支持情况;采用15项恢复量表(Qo R-15)评估患者术后康复情况。结果干预2周时
观察组患者MCMQ中面对维度评分为(19.36±2.33)分
高于对照组的(17.24±2.12)分
差异有统计学意义(P<0.05)。观察组患者MCMQ中回避、屈服维度评分为(11.02±2.01)分及(11.12±2.04)分
低于对照组的(12.45±2.54)分及(12.31±1.96)分
差异均有统计学意义(P<0.05)。干预2周时
观察组患者SSRS中客观支持、主观支持及对社会支持利用度评分分别为(11.68±0.54)分、(15.89±1.14)分及(12.48±0.96)分
高于对照组的(8.59±0.67)分、(12.36±1.03)分及(8.22±0.64)分
差异均有统计学意义(P<0.05)。干预2周时
观察组患者Qo R-15评分为(102.44±10.36)分
高于对照组的(82.16±6.78)分
差异有统计学意义(P<0.05)。结论叙事医学指导下的心理干预能让胃癌根治术患者采用更加积极的方式应对疾病与治疗
并可帮助患者得到更多社会支持
促进患者术后康复
效果显著
值得推广应用。
Objective To study the effect of psychological intervention under the guidance of narrative medicine on the coping style and quality of life of patients undergoing radical surgery for gastric cancer.Methods Sixty-eight patients who underwent radical gastric cancer surgery in a hospital in Zhengzhou from January 2019 to January2020 were selected for this study.The patients were divided into an observation group and a control group using a random number table
with 34 cases in each group.Patients in the control group received conventional psychological nursing intervention
and patients in the observation group were given psychological intervention under the guidance of narrative medicine.The Medical Coping Modes Questionnaire(MCMQ) was used to assess the patients’ coping modes before and at 2 weeks of intervention;the Social Support Rating Scale(SSRS) was used to assess the patients’ social support before and at 2 weeks of intervention;the Quality of Recovery-15(QoR-15)questionnaire was used to assess the patients’ postoperative recovery.Results At 2 weeks of intervention
the score of the confrontation dimension in the MCMQ of patients in the observation group was 19.36 ± 2.33
which was higher than that of the control group(17.24 ± 2.12)
and the difference was statistically significant(P<0.05).The scores of avoidance and submission dimensions in the MCMQ of the observation group were 11.02±2.01 and 11.12±2.04
which were lower than those of the control group(12.45±2.54 and 12.31±1.96)
and the differences were statistically significant(P<0.05).At 2 weeks of intervention
the objective support
subjective support and utilization of social support scores in SSRS were 11.68±0.54
15.89±1.14 and 12.48±0.96 in the observation group
respectively
which were higher than those in the control group(8.59±0.67
12.36±1.03 and 8.22±0.64)
and the differences were statistically significant(P<0.05).At 2 weeks of intervention
the QoR-15 score of patients in the observation group was 102.44 ± 10.36
which was significantly higher than that of the control group(82.16±6.78;P<0.05).Conclusion Psychological intervention under the guidance of narrative medicine can enable patients undergoing radical gastric cancer surgery to adopt a more positive way to cope with the disease and treatment and can help patients get moresocial support and promote their postoperative recovery with significant effects.Therefore
it is worth promoting and application.
叙事医学胃癌根治术心理干预社会支持康复
Narrative medicineRadical gastric cancer surgerypsychological interventionsocial supportRecovery
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