叙事护理在癌症疼痛患者中的应用与研究(1)
[摘要] 目的 分析叙事护理在癌症疼痛患者中的应用。方法 方便选择该院2018年10月—2019年10月收治的120例癌症疼痛患者，按照随机分组方式，将其分为观察组与对照组，每组60例。对照组行常规护理干预模式，观察组在此基础上开展叙事护理模式干预，对比两组患者疼痛程度(VAS)、护理满意度、疼痛知识了解情况。结果 观察组患者疼痛程度(6.12±1.89)分好于对照组(7.11±1.67)分，两组之间差异有统计学意义(t=14.656，P<0.05)，观察组护理满意度(98.33%)好于对照组(83.33%)，兩组之间差异有统计学意义(χ2=15.689，P<0.05)。结论 叙事护理可以为患者营造一个良好的护理心理环境，增进患者对护理人员的信任感，提升患者护理满意度，同时改善癌症疼痛患者的感受，提升其信心，增强其精神力量，从而降低患者疼痛水平，值得推广应用。
[关键词] 叙事护理;癌症疼痛;满意度;疼痛程度;疼痛知识了解
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2020)10(b)-0161-03
[Abstract] Objective To analyze the application of narrative care in cancer pain patients. Methods A total of 120 cancer pain patients admitted to the hospital from October 2018 to October 2019 were conveniently selected and divided into observation group and control group according to random grouping， with 60 people in each group. The control group performed conventional nursing intervention mode， and the observation group carried out narrative nursing mode intervention on this basis， and compared the two groups of patients' pain degree (VAS)， nursing satisfaction， and pain knowledge. Results The degree of pain in the observation group (6.12±1.89)points was better than that in the control group (7.11±1.67)points， there was a statistically significant difference between the two groups (t=14.656， P<0.05)， and the nursing satisfaction of the observation group(98.33%) was better than the control group(83.33%)， there was a statistically significant difference between the two groups (χ2=15.689， P<0.05). Conclusion Narrative nursing can create a good nursing psychological environment for patients， enhance patients' trust in nursing staff， increase patient care satisfaction， and at the same time improve the feelings of cancer pain patients， enhance their confidence， enhance their mental strength， and reduce patients' level of pain， which is worthy of promotion and application.
[Key words] Narrative care; Cancer pain; Satisfaction; Pain degree; Pain knowledge
在传统的循证医学领域，对于疼痛的研究内容较少，但是近十几年来由于人性化管理观念的转变，对疼痛研究内容不断增多，深度也不断拓展。随着管理方式的变化，疼痛管理专科的组成人员由麻醉医师为主转而以护士为主。护理人员在疼痛管理当中担负起了主要的责任，并且通过专项化的护理小组可以真正地缓解患者的疼痛感受，并对患者的疼痛等级进行精准地评价，辅助医生制定更加科学的镇痛策略。叙事护理主要是指护理人员应用叙事能力来进行医学护理，通过对患者的故事倾听、吸收，帮助患者实现生活、疾病故事意义重构[1]，也就是引导患者详细地讲述自己的故事，护理人员在这种叙述的过程当中了解患者的实际背景，发现护理要点，继而对患者实施护理干预的护理实践。叙事护理本质上属于重构医患关系的一种交叉学科，包括但不限于心理学、现象学、创伤学、训练学以及美学等，要求护理人员在与患者沟通的过程当中具备多项能力。相对于常规的护理方式来说，叙事护理可以更加清楚完整地记录患者所存在的问题，并且提出针对性的目标设置差异化的完成路径，使得目标可以百分之百地完成。该文主要结合该院2018年10月—2019年10月收治的120例癌症疼痛患着，开展疼痛管理工作，对于癌症疼痛患者进行针对性的护理，现报道如下。, 百拇医药(江琴)
[关键词] 叙事护理;癌症疼痛;满意度;疼痛程度;疼痛知识了解
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2020)10(b)-0161-03
[Abstract] Objective To analyze the application of narrative care in cancer pain patients. Methods A total of 120 cancer pain patients admitted to the hospital from October 2018 to October 2019 were conveniently selected and divided into observation group and control group according to random grouping， with 60 people in each group. The control group performed conventional nursing intervention mode， and the observation group carried out narrative nursing mode intervention on this basis， and compared the two groups of patients' pain degree (VAS)， nursing satisfaction， and pain knowledge. Results The degree of pain in the observation group (6.12±1.89)points was better than that in the control group (7.11±1.67)points， there was a statistically significant difference between the two groups (t=14.656， P<0.05)， and the nursing satisfaction of the observation group(98.33%) was better than the control group(83.33%)， there was a statistically significant difference between the two groups (χ2=15.689， P<0.05). Conclusion Narrative nursing can create a good nursing psychological environment for patients， enhance patients' trust in nursing staff， increase patient care satisfaction， and at the same time improve the feelings of cancer pain patients， enhance their confidence， enhance their mental strength， and reduce patients' level of pain， which is worthy of promotion and application.
[Key words] Narrative care; Cancer pain; Satisfaction; Pain degree; Pain knowledge
在传统的循证医学领域，对于疼痛的研究内容较少，但是近十几年来由于人性化管理观念的转变，对疼痛研究内容不断增多，深度也不断拓展。随着管理方式的变化，疼痛管理专科的组成人员由麻醉医师为主转而以护士为主。护理人员在疼痛管理当中担负起了主要的责任，并且通过专项化的护理小组可以真正地缓解患者的疼痛感受，并对患者的疼痛等级进行精准地评价，辅助医生制定更加科学的镇痛策略。叙事护理主要是指护理人员应用叙事能力来进行医学护理，通过对患者的故事倾听、吸收，帮助患者实现生活、疾病故事意义重构[1]，也就是引导患者详细地讲述自己的故事，护理人员在这种叙述的过程当中了解患者的实际背景，发现护理要点，继而对患者实施护理干预的护理实践。叙事护理本质上属于重构医患关系的一种交叉学科，包括但不限于心理学、现象学、创伤学、训练学以及美学等，要求护理人员在与患者沟通的过程当中具备多项能力。相对于常规的护理方式来说，叙事护理可以更加清楚完整地记录患者所存在的问题，并且提出针对性的目标设置差异化的完成路径，使得目标可以百分之百地完成。该文主要结合该院2018年10月—2019年10月收治的120例癌症疼痛患着，开展疼痛管理工作，对于癌症疼痛患者进行针对性的护理，现报道如下。, 百拇医药(江琴)