敘事醫學護理模式對慢性鼻竇炎患者生活質量及自我效能的影響

陳慧花　楊曉鴻　陳綿綿　王芬芬

【摘要】 目的：探索敘事醫學護理模式對慢性鼻竇炎患者生活質量及自我效能的影響。方法：選取2018年3月-2019年9月在筆者所在醫院耳鼻喉科就診的85例慢性鼻竇炎患者為研究對象，其中40例接受常規護理為對照組，45例接受敘事醫學護理為觀察組。比較兩組患者干預后1個月的生存質量及自我效能水平差異。結果：干預后，觀察組患者的各維度生活質量評分均高于對照組，差異均有統計學意義（P<0.05），其中以情感職能、活力和總體健康更顯著（P<0.001）。干預后，觀察組自我效能評分為（34.5±1.7）分，高于對照組的（33.8±1.2）分，差異有統計學意義（t=2.167，P=0.017）。結論：慢性鼻竇炎患者采用敘事醫學護理模式，可以有效改善生活質量并提高患者的自我效能水平，值得在臨床上推廣應用。

【關鍵詞】 慢性鼻竇炎 敘事醫學護理 生活質量 自我效能

doi：10.14033/j.cnki.cfmr.2020.16.035 文獻標識碼 B 文章編號 1674-6805（2020）16-00-03

Effect of Narrative Medical Nursing Model on Quality of Life and Self-efficacy in Patients with Chronic Sinusitis/CHEN Huihua， YANG Xiaohong， CHEN Mianmian， WANG Fenfen. //Chinese and Foreign Medical Research， 2020， 18（16）： -91

[Abstract] Objective： To explore the effect of narrative medical nursing model on the quality of life and self-efficacy of patients with chronic sinusitis. Method： A total of 85 patients with chronic sinusitis who were treated in the Department of Otolaryngology from March 2018 to September 2019 were selected as the research subjects. Among them， 40 cases received routine care as the control group and 45 cases received narrative medical care as the observation group. The differences in quality of life and self-efficacy at 1 month after intervention between the two groups were compared. Result： After intervention， the quality of life scores of the patients in the observation group were higher than those in the control group， and the differences were statistically significant （P<0.05）， and especially in terms of emotional function， vitality， and overall health （P<0.001）. After intervention， self-efficacy score of the observation group was （34.5±1.7） points， which was higher than that of the control group of （33.8±1.2） points， and the difference was statistically significant （t=2.167， P=0.017）. Conclusion： The use of narrative medical nursing model in patients with chronic sinusitis can effectively improve the quality of life and improve the patients' self-efficacy level， which is worthy of clinical application.

[Key words] Chronic sinusitis Narrative medical care Quality of life Self-efficacy

First-authors address： The Second Affiliated Hospital of Fujian Medical University， Quanzhou 362000， China

慢性鼻竇炎是耳鼻喉科的常見病，該病與患者的生活行為方式、工作環境密切相關，大多數患者具有遷延不愈或治愈后又復發的特征[1]。反復發作的鼻竇炎不僅給患者生活質量帶來巨大影響，也該患者帶來沉重經濟壓力，更重要的是，長期的疾病困擾，容易讓患者產生緊張、恐懼、惶恐不安的情感狀態。如何有效提高慢性鼻竇炎患者的生活質量，提高自我效能，是耳鼻喉科護士的重要任務[2-3]。敘事醫學護理模式，是具備敘事醫學知識和能力的護士開展的，能夠提供人道且有效的護理活動，其核心思想是人文關懷[4]。在敘事醫學護理中，護士通過聆聽患者內心的訴求，尊重患者的需求，理解患者表達的思想，體驗患者的感受，從而為其提供充滿尊重、人道和共情的醫學護理。本科室自2018年3月開始采用敘事醫學護理模式，為慢性鼻竇炎患者提供人道關懷及護理，取得了較好的護理效果，現報告如下。……