肝癌早期术后患者中实施叙事护理的成效探究
Study on the Effectiveness of Narrative Nursing in Early Postoperative Patients with Liver Cancer

目的：对于肝癌早期术后患者中实施叙事护理的成效探究。方法：选取2023年10月~2024年1月于我院就诊的140例早期原发性肝癌患者作为本次的研究对象。其中男72例，女68例；年龄为30~75岁。按照患者就诊的顺序进行标号，并用随机数字表进行确定分组将患者分为对照组和观察组，各70例。对照组应用常规的术后护理干预，观察组应用对照组护理的基础上加以叙述护理干预，出院时对比两组患者的SAS、SDS总分数和自我恢复评价量表评分。结果：观察组SAS总分数为(41.18 ± 1.29)分、SDS总分数为(36.47 ± 3.28)分低于对照组SAS总分数为(57.35 ± 2.67)分、SDS总分数为(56.12 ± 3.54)分，(P < 0.05)；观察组个人状态、人际关系、生活状态评分分别为(26.13 ± 1.26)分、(27.28 ± 1.03)分、(35.14 ± 2.63)；对照组个人状态、人际关系、生活状态评分分别为(19.43 ± 2.35)分、(21.05 ± 2.42)分、(27.83 ± 1.45)，经比较对照组的各项自我恢复评价评分均低于观察组，(P < 0.05)。结论：实施叙事护理对肝癌早期术后患者能够减少患者的SAS和SDS总分数，同时改善患者的心态，也能提高患者的自我恢复评分，让患者能够缩短恢复时间并减少术后的影响。
Objective: To explore the effectiveness of narrative nursing in patients with early postoperative liver cancer. Methods: A total of 140 patients with early primary liver cancer who were treated in our hospital from October 2023 to January 2024 were selected as the research objects. Among them, 72 were male and 68 were female; the ages were 30~75 years old. The patients were labeled according to the order of patient visits, and the patients were divided into control group and observation group by random number table, 70 cases each. The control group applied routine postoperative nursing intervention, and the observation group described nursing intervention on the basis of control group nursing. The SAS, SDS total scores and self-recovery evaluation scale scores of the two groups were compared when they were discharged from the hospital. Results: The total scores of SAS (41.18 ± 1.29) and SDS (36.47 ± 3.28) in the observation group were lower than those in the control group (57.35 ± 2.67) and SDS (56.12 ± 3.54) (P < 0.05); the scores of personal status, interpersonal relationship and life status in the observation group were (26.13 ± 1.26), (27.28 ± 1.03) and (35.14 ± 2.63), respectively; the scores of personal status, interpersonal relationship and life status in the control group were (19.43 ± 2.35), (21.05 ± 2.42) and (27.83 ± 1.45), respectively. Conclusion: The implementation of narrative nursing can reduce the total scores of SAS and SDS in patients with early postoperative liver cancer, improve the patient’s mindset, and improve the patient’s self-recovery score, so that patients can shorten the recovery time and reduce the postoperative impact.