叙事护理对老年慢性病患者心理状态及生活质量的影响

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...

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

  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.