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现代护理医学杂志

Journal of Modern Nursing Medicine

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Journal of Modern Nursing Medicine. 2025; 4: (10) ; 10.12208/j.jmnm.20250556 .

Impact of narrative nursing on treatment compliance and quality of life in cardiovascular patients
叙事护理对心血管患者治疗依从性及生活质量的影响研究

作者: 刘伟 *

海军第九七一医院心血管内科 山东青岛

*通讯作者: 刘伟,单位:海军第九七一医院心血管内科 山东青岛;

引用本文: 刘伟 叙事护理对心血管患者治疗依从性及生活质量的影响研究[J]. 现代护理医学杂志, 2025; 4: (10) : 170-172.
Published: 2025/10/27 15:57:38

摘要

目的 探讨叙事护理对心血管疾病患者治疗依从性及生活质量的干预效果。方法 选取2024年5月-2025年5月我院心血管内科收治的120例患者,随机分为实验组(常规护理+叙事护理)与对照组(常规护理)各60例。采用Morisky用药依从性量表(MMAS-8)和SF-36生活质量量表评估干预效果,数据分析采用SPSS 25.0。结果 干预后,实验组用药依从性评分及SF-36总分显著高于对照组(P<0.001);实验组血压达标率和复诊率相较于对照组显著更高(P<0.001)。结论 叙事护理可有效提升心血管患者治疗依从性与生活质量。

关键词: 叙事护理;心血管疾病;依从性;生活质量;护理干预

Abstract

Objective To investigate the intervention effects of narrative nursing on treatment adherence and quality of life in patients with cardiovascular diseases.
Methods A total of 120 patients admitted to the Cardiology Department of the My Hospital of the Navy from May 2024 to May 2025 were randomly divided into an experimental group (conventional nursing + narrative nursing) and a control group (conventional nursing), each comprising 60 cases. The Morisky Medication Adherence Scale (MMAS-8) and the SF-36 Health Status Questionnaire were used to assess the intervention effects, with data analysis conducted using SPSS 25.0.
Results After intervention, the medication adherence scores and SF-36 total scores in the experimental group were significantly higher than those in the control group (P < 0.001); the blood pressure control rate and follow-up rate in the experimental group were significantly higher than those in the control group (P < 0.001).
Conclusion   Narrative nursing can effectively improve treatment adherence and quality of life in cardiovascular patients.

Key words: Narrative nursing; Cardiovascular disease; Adherence; Quality of life; Nursing intervention

参考文献 References

[1] 柯丹丹,陆作林,高川,贾楠,饶睿冰,何仲.世界卫生组织心血管疾病干预政策的文本量化分析[J].医学与社会, 2025,38(07):9-16. 

[2] 刘洁,张佳,陈芳秀,周娅山.1例老年急性心肌梗死合并衰弱患者的功能康复护理[J].实用临床医学,2024, 25 (06):100-104.

[3] 梁燕秋,李林枝,杨晓霖.论叙事护理的赋能机制及其关怀伦理[J].中国医学伦理学,1-10.

[4] 郭军,王琳,江晔莎,唐薇雅.临床护理人员叙事医学教育评价模式的范围综述[J].卫生职业教育,2025,43(15):98-102.

[5] 毕瑞瑾,陈雅丽,高小培,庄严,谢莎.叙事护理联合人文关怀在老年冠心病患者中的应用[J].海南医学,2025, 36 (10): 1501-1505.

[6] 姜丹丹.基于叙事理论的心理护理对心脏瓣膜置换术患者睡眠质量、生活质量的影响[J].中华养生保健,2025, 43(05):155-158.

[7] Zeyang Zhang,Sudan Liu,Lanlan He,Jing Liu.Effect of narrative nursing intervention on anxiety in patients with cervical incompetence undergoing cervical cerclage for tocolysis[J].Asian Journal of Surgery,2025,48(7):4302-4303.

[8] 代萍,薛红梅,金晓琳.基于护理实习生叙事医学之平行病历书写方案的构建与应用研究[J].基层医学论坛,2022, 26(15):80-83.

[9] 刘禹.5步式叙事护理实践模式在老年慢性心衰患者的应用效果研究[D].延边大学, 2021.