| Peng Lanya,Li Jian,Chen Xue,Xiao Yang,Liu Min,Liu Qiwang,Ran Longyao,Peng Yi,Application of narrative medical model in communication with cancer patients with low education level[J].SICHUAN MENTAL HEALTH,2021,34(2):139-143 |
| Application of narrative medical model in communication with cancer patients with low education level |
DOI：10.11886/scjsws20201207001 |
| English keywords:Narrative medical model Low education level Cancer Social support |
| Fund projects:四川省科技厅重点研发项目（项目名称：CYP2F4作为胃癌化疗耐药的预测指标及其介导化疗耐药的机制研究，项目编号：2021YFS0111） |
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| Objective To investigate the application value of narrative medical model in communication with cancer patients with low education level.Methods Retrospective 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.Results After 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）.Conclusion The 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. |
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