摘要
目的 分析晚期结直肠癌安宁疗护患者应用叙事护理联合意义中心疗法的效果。方法 选取2024年12月-2025年12月我院收治的40例晚期结直肠癌患者。根据抛硬币法均分为研究组（叙事护理联合意义中心疗法）、基础组（常规护理），n=20。组间对比死亡焦虑水平、生命意义感水平。结果 研究组的死亡焦虑评分低于基础组（P<0.05）；研究组生命意义感评分均高于基础组（P<0.05）。结论 叙事护理联合意义中心疗法能够改善晚期结直肠癌患者安宁疗护的死亡焦虑水平，提高生命意义感。
关键词： 叙事护理；意义中心疗法；晚期结直肠癌；安宁疗护；死亡焦虑；生命意义感
Abstract
Objective To analyze the effects of narrative nursing combined with meaning-centered therapy in patients with advanced colorectal cancer receiving palliative care. Methods A total of 40 patients with advanced colorectal cancer admitted to our hospital from December 2024 to December 2025 were selected and randomly divided into a study group (narrative nursing combined with meaning-centered therapy) and a control group (conventional nursing), with 20 cases in each group. The death anxiety levels and life meaning levels were compared between the groups. Results The death anxiety score in the study group was lower than that in the control group (P<0.05), while the life meaning score in the study group was higher than that in the control group (P<0.05). Conclusion Narrative nursing combined with meaning-centered therapy can alleviate death anxiety and enhance life meaning in patients with advanced colorectal cancer receiving palliative care.
Key words： Narrative nursing; Meaning-centered therapy; Advanced colorectal cancer; Palliative care; Death anxiety; Sense of meaning in life
参考文献 References
[1] 魏秀娟,曹丽华,于华丽,等. 以社区护士为主导的居家安宁疗护实践中叙事护理体验的质性研究[J]. 叙事医学,2024,7(5):352-357.
[2] 叶蕊,岳鹏,高爽,等.综合叙事护理评估在安宁疗护病房癌症患者照护中的应用[J].医学研究与教育,2025,42(4):46-55.
[3] 夏源,王娟,张云飞,等. 焦点解决短期治疗联合叙事护理在晚期癌症患者安宁疗护中的应用研究[J]. 新疆医科大学学报,2024,47(6):907-912.
[4] 华莉,齐敏,孙海玲,等. 以意义为中心的心理辅导方案用于晚期癌症患者研究进展[J]. 护理学杂志,2023,38(20): 106-110.
[5] 李欠南. 怀旧叙事心理疗法对晚期食管癌术后患者的效果[J]. 江苏卫生保健,2025,27(1):57-60.
[6] 孟莹,范茹英,王艳艳. 叙事护理联合有氧运动在结直肠癌患者护理中的应用研究[J]. 黔南民族医专学报,2025, 38(2):191-193.
[7] 李慧,华婷. 安宁疗护对晚期结直肠癌患者癌因性疲乏及生活质量影响的研究[J].中外医学研究,2025,23(7): 82-85.
[8] 施海霞,周瑜,杨玚,等. 安宁疗护对年轻结直肠癌晚期患者心理状况、死亡态度及生活质量的影响[J]. 皖南医学院学报,2025,44(3):279-283.