叙事疗法在结直肠癌术后造口患者中的应用

摘要/Abstract

摘要： 目的探讨在结直肠癌术后造口患者中应用叙事疗法的效果。方法选取2019年1月—2024年1月济南市第八人民医院收治的80例结直肠癌术后造口患者,以随机数表法分成观察组（40例）与对照组（40例）,对照组给予常规干预,观察组在对照组基础上给予叙事疗法,比较干预前后两组负性情绪、应对方式、社会心理适应水平。结果干预前,两组的贝克焦虑量表（BAI）评分、贝克抑郁量表（BDI-Ⅱ）评分比较,差异无统计学意义（P>0.05）;干预后,两组的BAI评分、BDI-Ⅱ评分均低于干预前,且观察组低于对照组,差异有统计学意义（P<0.05）。干预前,两组的积极应对评分、消极应对评分比较,差异无统计学意义（P>0.05）;干预后,两组的积极应对评分均高于干预前,且观察组高于对照组,差异有统计学意义（P<0.05）;干预后,两组的消极应对评分均低于干预前,且观察组低于对照组,差异有统计学意义（P<0.05）。干预前,两组的造口者社会心理适应量表（OAI-20）评分比较,差异无统计学意义（P>0.05）;干预后,两组的OAI-20评分均高于干预前,且观察组高于对照组,差异有统计学意义（P<0.05）。结论叙事疗法应用于结直肠癌术后造口患者干预中,可减轻负性情绪,提高社会心理适应水平,促进应对方式改善。

关键词: 结直肠癌, 造口, 叙事疗法, 负性情绪

Abstract: Objective To investigate the effect of narrative therapy in patients with postoperative colostomy for colorectal cancer. Methods A total of 80 patients with postoperative colostomy for colorectal cancer treated in our hospital from January 2019 to January 2024 were selected and divided into observation group (40) and control group (40) by random number table method. The control group was given routine intervention, and the observation group was given narrative therapy on the basis of the control group. Negative emotion, coping style and social psychological adaptation level were compared between the two groups. Results Before intervention, there was no significant difference in Beck Anxiety Inventory(BAI) score and Beck Depression Inventory-Ⅱ (BDI-Ⅱ) scores between the two groups (P>0.05). After intervention, the BAI score and BDI-Ⅱ score of the two groups were lower than before intervention, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). Before intervention, there was no difference in positive coping score and negative coping score between the two groups (P>0.05). After intervention, the positive coping scores of both groups were higher than before intervention, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). After intervention, the negative coping scores of both groups were lower than before intervention, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). Before intervention, there was no significant difference in OAI-20 scores between the two groups (P>0.05). After intervention, the Ostomy Adjustment Inventory-20 (OAI-20) scores of both groups were higher than before intervention, and the observation group was higher than the control group, with statistical significance (P<0.05). Conclusion The application of narrative therapy in the intervention of postoperative colostomy patients with colorectal cancer can reduce negative emotions, improve the level of social psychological adaptation, and promote the improvement of coping style.

Key words: colorectal cancer, stoma, narrative therapy, negative emotions

中图分类号:

R473.2

刘娇, 梅玉华, 宁继鹏, 庞国栋. 叙事疗法在结直肠癌术后造口患者中的应用[J]. 中华养生保健, 2025, 43(12): 161-164.

LIU Jiao, MEI Yu-hua, NING Ji-peng, PANG Guo-dong. Application of Narrative Therapy in Postoperative Colostomy Patients with Colorectal Cancer[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(12): 161-164.

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