Application value of group psychological intervention combined with narrative nursing in the psychological adjustment of patients with colorectal cancer
10.3760/cma.j.cn115682-20191029-03903
- VernacularTitle:团体心理干预联合叙事护理在结直肠癌患者心理调适中的应用价值
- Author:
Suhong LIN
1
;
Shan LANG
;
Aihua YUE
Author Information
1. 郑州大学第一附属医院结直肠肛门外科，郑州 450000
- Keywords:
Colorectal neoplasms;
Group psychological intervention;
Narrative nursing;
Psychological adjustment
- From:
Chinese Journal of Modern Nursing
2020;26(27):3808-3812
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of group psychological intervention combined with narrative nursing in the psychological adjustment of patients with colorectal cancer.Methods:Totally 52 patients with colorectal cancer who were admitted into the First Affiliated Hospital of Zhengzhou University from February 2018 to June 2019 were selected by convenient sampling and divided into the control group ( n=26) and the observation group ( n=26) according to the random number table. Patients in the control group received routine care, while patients in the observation group received group psychological intervention combined with narrative nursing. Upon admission and one week after surgery, the nursing staff conducted an in-hospital survey and distributed the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) , the Chinese version of the Ostomy Adjustment Inventory-20 (OAI-20) and the Perceived Derogation-Discrimination Scale (PDDS) to evaluate the patients. The negative emotions, psychosocial adjustment and stigma were compared between the two groups. Results:Before intervention, there was no statistically significant difference in the levels of negative emotions, psychosocial adjustment and stigma between the two groups ( P>0.05) . After intervention, the HAMA, HAMD and PDDS scores of the observation group were lower than those of the control group, and the OAI-20 score was higher than that of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Group psychological intervention combined with narrative nursing is of great significance in the psychological adjustment of patients with colorectal cancer, which can eliminate their stigma and ameliorate their negative emotions, and is worth promoting in clinical practice.
