| 3,150 | 3 | 21 |
| 下载次数 | 被引频次 | 阅读次数 |
目的 对叙事护理在乳腺癌患者中应用的相关研究进行范围综述。方法 依据范围综述方法学框架，系统检索PubMed、Embase、知网、万方等数据库建库至2023年2月9日的文献。对纳入文献的数据进行筛选、收集、汇总、分析并报告结果。结果 共纳入18篇文献，2 342例乳腺癌患者，干预形式主要为面对面访谈和电话随访叙事干预，多应用叙事护理5大核心技术进行叙事干预。结局指标包含创伤后成长、癌因性疲乏、心理社会适应能力等，主要与患者心理相关。实践者多经叙事护理培训，叙事团队成员主要为临床护士。结论 叙事护理对改善乳腺癌患者心理状态等有明显的应用效果，未来应探究规范化的叙事护理策略，统一有效的实施过程，规范的叙事护理评价标准，形成成熟的叙事护理临床实践体系。
Abstract：Objective To systematically analyze the relevant research on the application of narrative nursing in breast cancer patients, and analyze the specific process, application elements, application methods, outcome indicators, effects and existing deficiencies of narrative nursing.Methods According to the methodological framework of the scoping review, the literature data of PubMed, Embase, CNKI, Wanfang, and other databases were systematically searched from the establishment of database to 9 February 2023.The data included in the literature was screened, collected, summarized, analyzed and reported their results. Results A total of 18 articles and 2,342 breast cancer patients were included, and the intervention forms were mainly face-to-face interviews and telephone follow-up narrative interventions, and 5 core technologies of narrative nursing were mostly applied to narrative intervene. Outcome measures included post-traumatic growth, cancer-induced fatigue, and psychosocial adaptability, which were mainly related to patients' psychology. Most of the practitioners were trained in narrative nursing, and the narrative team members were mainly clinical nurses. Conclusion Narrative care has obvious effect on improving the psychological state of breast cancer patients.In the future, it is necessary to explore standardized narrative nursing strategies, unify and effective implementation processes, standardize narrative nursing evaluation standards, and form a mature narrative nursing clinical practice system.
[1] BURTON R,STEVENSON C.Assessment of breast cancer mortality trends associated with mammographic screening and adjuvant therapy from 1986 to 2013 in the state of victoria,Australia[J].JAMA Network Open,2020,3(6):e208249.
[2] BRITT K L,CUZICK J,PHILLIPS K A.Key steps for effective breast cancer prevention[J].Nature Reviews Cancer,2020,20(8):417-436.
[3] HARBECK N,GNANT M.Breast cancer[J].Lancet (london,England),2017,389(10074):1134-1150.
[4] 张飒乐，姚晚侠，李英，等.叙事医学干预对乳腺癌根治术后病耻感的影响[J].护理研究，2019,33(13):2231-2234.
[5] 李书麟，谷莹佳，魏艳婷.叙事护理对乳腺癌患者疾病适应结局的影响[J].中华现代护理杂志，2017,23(31):3994-3998.
[6] TRAYES K P,COKENAKES S E H.Breast cancer treatment[J].American Family Physician,2021,104(2):171-178.
[7] 陈薇，彭昕.叙事护理对首次复发乳腺癌患者心理韧性及焦虑的干预效果[J].中华乳腺病杂志(电子版),2022,16(5):298-302.
[8] 崔莹奇，边楸程，李孟，等.叙事护理及其在乳腺癌疗护中的应用[J].医学与哲学，2021,42(9):47-50.
[9] BERENDONK C,BLIX B H,RANDALL W L,et al.Care as narrative practice in the context of long-term care:Theoretical considerations[J].International Journal of Older People Nursing,2017,12(4):287-293.
[10] 于海容，刘霖，张静，等.《叙事护理学》课程的开发与应用[J].解放军护理杂志，2018,35(22):18-22.
[11] 徐华秀，杨莹，尹亭亭，等.叙事护理在慢性疼痛患者中的应用及研究进展[J].护士进修杂志，2022,37(5):408-411,423.
[12] 李宁，徐妙，张维，等.叙事医学模式对青年乳腺癌化疗患者心理状况及生存质量的影响[J].贵州医科大学学报，2018,43(6):682-685.
[13] 周芮伊，冯文艳.叙事护理在乳腺癌根治术后患者负面情绪中的探索及效果[J].世界最新医学信息文摘，2021,21(105):523-524,527.
[14] 史崔洁.叙事护理对乳腺癌放疗患者创伤后成长及癌因性疲乏的影响[J].黑龙江中医药，2021,50(4):350-351.
[15] 高学云，姚廷敬，王万霞，等.基于叙事疗法的护理干预在乳腺癌化疗病人复发恐惧中的应用[J].全科护理，2022,20(11):1498-1501.
[16] 刘静，张梅，马琴，等.叙事医学护理对放疗期乳腺癌患者癌因性疲乏的影响[J].齐鲁护理杂志，2021,27(1):25-28.
[17] LU L,LU N,LOU Y,et al.A randomized controlled trial for a narrative therapy technique intervention to facilitate the sense of meaning in life in Chinese breast cancer patients during chemotherapy[EB/OL].[2023-04-22].https://trialsearchwhoint/Trial2aspx?TrialID=ChiCTR2000034409.
[18] 曹敏，黄俊婷，王凌，等.叙事医学对乳腺癌根治手术病人病耻感的影响[J].安徽医药，2019,23(3):575-579.
[19] 刘星芳，康凤英，李振苏，等.叙事护理在乳腺癌化疗期病人中的应用效果[J].护理研究，2021,35(19):3556-3560.
[20] 任曼宇.基于叙事护理模式的干预措施对乳腺癌化疗患者认知能力的影响[D].呼和浩特：内蒙古医科大学，2021.
[21] 李雯，魏丽丽，朱永健，等.叙事护理对乳腺癌术后患者焦虑抑郁及病耻感水平影响的研究[J].上海护理，2021,21(1):10-14.
[22] 孙婷婷，王丹，张玉梅，等.叙事护理对乳腺癌患者术后病耻感、心理状态及生活质量的影响[J].中西医结合护理(中英文),2021,7(10):121-123.
[23] 刘林华.叙事护理对乳腺癌患者癌因性疲乏、创伤后成长及心理状态的影响[J].当代护士(上旬刊),2022,29(9):62-65.
[24] 廖芳.叙事护理对乳腺癌术后放疗患者疾病适应、应对方式及生活质量的影响[D].乌鲁木齐：新疆医科大学，2022.
[25] JIN X H,LIU X M,XIE H W,et al.Effect of narrative nursing on family resilience and psychosocial adaptation of middle-aged patients with breast cancer[J].Evidence-based Complementary and Alternative Medicine:eCAM,2022,2022:5499298.
[26] 樊玉霞.叙事护理对乳腺癌化疗患者心理韧性及创伤后成长的影响研究[D].呼和浩特：内蒙古医科大学，2022.
[27] 侯佳坤，周宏珍，胡瑞丹，等.临床护士医学叙事能力现状及影响因素分析[J].护理学杂志，2021,36(1):63-65.
[28] ARTIOLI G,FOà C,COSENTINO C,et al."Could I return to my life?" integrated narrative nursing model in education (INNE)[J].Acta Biomed,2018,89(4-S):5-17.
[29] 张淑，王建宁，周松，等.临床护士叙事护理培训实施效果评价[J].中国护理管理，2021,21(8):1230-1234.
[30] XUE M X,SUN H P,XUE J,et al.Narrative medicine as a teaching strategy for nursing students to developing professionalism,empathy and humanistic caring ability:A randomized controlled trial[J].BMC Medical Education,2023,23(1):38.
[31] YANG N X,XIAO H,CAO Y N,et al.Does narrative medicine education improve nursing students' empathic abilities and academic achievement?A randomised controlled trial[J].The Journal of International Medical Research,2018,46(8):3306-3317.
[32] WANG L,WU D,WU S F,et al.The effect of narrative nursing intervention on shame in elderly patients with bladder cancer after ileal bladder replacement:A cohort study[J].Computational and Mathematical Methods in Medicine,2022,2022:4299919.
[33] LU H,ZHU L Y,TAN C X.Impact of systematic holistic nursing combined with narrative nursing intervention for patients with advanced gastric cancer on complications and negative emotions[J].Evidence-based Complementary and Alternative Medicine:ECAM,2022,2022:9148843.
[34] FENG J,GE L,JIN F X,et al.Application of narrative nursing combined with focused solution model to anxiety and depression in patients with lung tumor during perioperative period[J].Frontiers in Surgery,2022,9:858506.
[35] PINTO R M,RAHMAN R,SANTOS ZANCHETTA M,et al.Brazil‘s community health workers practicing narrative medicine:Patients' perspectives[J].Journal of General Internal Medicine,2021,36(12):3743-3751.
[36] MOHANTI B K.Lessons from narrative medicine:Cancer care will improve with narrative oncologyLessons from narrative medicine:Cancer care will improve with narrative oncology[J].Indian Journal of Cancer,2021,58(4):615-618.
[37] FITZPATRICK J J.Narrative nursing:Empowering nurse leaders[J].Nursing Administration Quarterly,2021,45(4):324-329.
[38] ZOCHER U,BERTAZZI I,COLELLA E,et al.Application of narrative medicine in oncological clinical practice:Impact on health care professional[J].Recenti Progressi in Medicina,2020,111(3):154-159.
[39] 黄辉，刘义兰.叙事护理临床应用的研究进展[J].中华护理杂志，2016,51(2):196-200.
[40] CASEY B,PROUDFOOT D,CORBALLY M.Narrative in nursing research:An overview of three approaches[J].Journal of Advanced Nursing,2016,72(5):1203-1215.
[41] AKARD T F,DIETRICH M S,FRIEDMAN D L,et al.Digital storytelling:An innovative legacy-making intervention for children with cancer[J].Pediatric Blood & Cancer,2015,62(4):658-665.
[42] LAING C M,MOULES N J,ESTEFAN A,et al.Stories that heal:understanding the effects of creating digital stories with pediatric and adolescent/young adult oncology patients[J].Journal of Pediatric Oncology Nursing:Official Journal of the Association of Pediatric Oncology Nurses,2017,34(4):272-282.
[43] 马婉贞.医护人员医学叙事能力量表的开发及信效度检验[D].南京：南京医科大学，2019.
基本信息:
DOI：10.16821/j.cnki.hsjx.2024.09.007
中图分类号:R473.73
引用信息:
[1]张锐,赵信飞,彭敏.叙事护理在乳腺癌患者中应用的范围综述[J].护士进修杂志,2024,39(09):939-944+963.DOI:10.16821/j.cnki.hsjx.2024.09.007.
基金信息: