叙事医学改善宫颈癌患者心理痛苦及睡眠质量的效果评价

目的:探讨叙事医学改善宫颈癌患者心理痛苦及睡眠质量的效果。方法:选取2019年9月至2020年5月厦门大学附属妇女儿童医院收治的宫颈癌患者60例作为研究对象,按照随机数字表法分为观察组和对照组,每组30例。对照组给予常规心理护理干预,观察组在对照组的基础上,结合叙事医学进行心理护理干预,包括阅读故事、书写心声、诉说与共情倾听等措施,采用自制心理痛苦感受评分量表比较2组患者心理痛苦感受的改善情况,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者干预前后睡眠质量的改善情况,采用远期生命质量评估(Karnofsky Performance Status,KPS)量表比较2组患者干预前后生命质量改善情况。结果:干预后,观察组患者的心理痛苦评分、PSQI评分均显著低于对照组,KPS评分显著高于对照组,观察组心理干预效果优于对照组,2组比较差异均有统计学意义(P<0.05)。结论:叙事医学能有效降低宫颈癌患者的心理痛苦感受,改善患者睡眠质量,提高患者生命质量,是行之有效的心理护理措施,值得临床借鉴。

Effects of Narrative Medicine on Improving Psychological Distress and Sleep Quality in Patients with Cervical Cancer

Objective:To investigate the effect of narrative medicine on improving psychological distress and sleep quality in patients with cervical cancer.Methods:A total of 60 patients with cervical cancer admitted to Women and Children′s Hospital affiliated to Xiamen University from September 2019 to May 2020 were selected as the research objetcs,and were divided into observation group and control group according to the random number table method,with 30 patients in each group.The control group was given routine psychological nursing intervention,and the observation group was given psychological intervention,including reading stories,writing inner voice,telling and empathy listening,etc.,and the self-made psychological pain rating scale was used to compare the improvement of psychological pain feeling of patients between two groups.Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement of Sleep Quality between 2 groups before and after intervention.Results:After intervention,the psychological pain score and PSQI score of patients in the observation group were significantly lower than those in the control group,KPS score in the observation group were significantly higher than those in the control group,and the psychological intervention effect in the observation group was better than that in the control group,the difference between the two groups was statistically significant(P<0.05).Conclusion:Narrative medicine can effectively reduce the psychological pain of patients with cervical cancer,improve the quality of sleep,improve the quality of life of patients,worthy of clinical application.