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目的探讨叙事医学对上消化道出血患者健康教育效果的影响。方法选取2014年1月至2014年12月间就诊的150例上消化道恶性肿瘤合并出血的患者150例,按照就诊时间顺序进行分组,1~6月就诊的患者为实验组(77例);7~12月就诊的患者为对照组(73例)。实验组患者采用叙事医学护理模式,对照组患者采取常规护理模式。1个月护理后,对两组患者的疾病掌握情况、认知行为、疼痛率和焦虑值进行统计分析。结果实验组患者对疾病知识掌握率为83.1%,认知态度和行为良好率为88.3%;对照组患者对疾病知识掌握率为68.5%,认知态度和行为良好率为65.8%,组间差异均有统计学意义(均P<0.05)。实验组患者的痛觉评分为(3.541±0.853)分,疼痛率为13.2%;对照组患者的痛觉评分为(6.103±0.621)分,疼痛率为28.4%,组间差异均有统计学意义(均P<0.05)。干预前两组患者焦虑评分差异无统计学意义(P>0.05),干预后实验组患者的焦虑评分明显低于对照组,差异有统计学意义(P<0.05)。结论叙事医学能够显著促进患者掌握疾病知识掌握,降低患者的疼痛率,有效缓解患者的焦虑状况。
Objective To investigate the effect of narrative medicine on health education in patients with upper gastrointestinal bleeding. Methods A total of 150 cases of upper gastrointestinal malignancies with hemorrhage were selected from January 2014 to December 2014 and were divided into groups according to the time sequence of treatment. The patients treated from January to June were selected as the experimental group (77 cases). The patients treated from July to December were the control group (73 cases). The experimental group adopted narrative medical nursing model and the control group took conventional nursing model. After 1 month of nursing, statistical analysis was conducted on the disease control, cognitive behavior, pain rate and anxiety in the two groups. Results In the experimental group, the knowledge rate of disease was 83.1%, and the rate of cognition and behavior was 88.3%. The control group had a 68.5% knowledge of disease and a good rate of cognitive behavior and behavior was 65.8% All were statistically significant (P <0.05). The pain score of the experimental group was (3.541 ± 0.853) points and the pain rate was 13.2%. The pain score of the control group was (6.103 ± 0.621) points and the pain rate was 28.4%. The difference between the two groups was statistically significant (both P <0.05). There was no significant difference in anxiety score between the two groups before intervention (P> 0.05). The anxiety score of the experimental group was significantly lower than that of the control group after intervention (P <0.05). Conclusion Narrative medicine can significantly promote patients to master the knowledge of disease, reduce the pain rate of patients and effectively alleviate the anxiety of patients.