Application of narrative medical model in communication with cancer patients with low education level
10.11886/scjsws20201207001
- VernacularTitle:叙事医学模式在与低学历癌症患者沟通中的应用
- Author:
Lanya PENG
1
;
Jian LI
1
;
Xue CHEN
2
;
Yang XIAO
1
;
Min LIU
1
;
Qiwang LIU
1
;
Longyao RAN
1
;
Yi PENG
1
Author Information
1. West China Hospital， Sichuan University， Chengdu 610041， China
2. Southwest Medical University， Luzhou 646000， China
- Publication Type:Journal Article
- Keywords:
Narrative medical model;
Low education level;
Cancer;
Social support
- From:
Sichuan Mental Health
2021;34(2):139-143
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the application value of narrative medical model in communication with cancer patients with low education level. MethodsRetrospective analysis was performed on 80 cancer patients with low education level who were hospitalized in West China Hospital of Sichuan University from March 2019 to April 2020. They were randomly divided into control group （n=40） and observation group （n=40）. The control group received conventional nursing intervention， while the observation group received narrative medical nursing mode intervention. Both groups received intervention for 6 months. The Self-rating Anxiety Scale （SAS）， Self-rating Depression Scale （SDS）， Morisky Medication Adherence Scale （MMAS-8）， Social Support Rating Scale （SSRS） and self-designed knowledge of the disease and cognition questionnaire were used for evaluation before and after intervention. ResultsAfter intervention， the SAS and SDS scores of observation group were lower than those of control group （t=7.493， 8.314， P<0.01）. After intervention， medication compliance of observation group was higher than that of control group （χ2=4.012， P=0.045）. SSRS subscale score and total score were higher than those in control group （t=2.198， 7.548， 2.664， 4.248， P<0.05 or 0.01）. After intervention， the mastery rate of knowledge about the disease and the excellent and good rate of cognitive behavior in observation group were higher than those in control group （χ2=4.588， 5.541， P<0.05）. ConclusionThe narrative medical model is of certain application value in communication with cancer patients with low education level. It can better improve the patients’ negative emotions， social support， and knowledge and cognition of the disease.
