Application of narrative nursing in a narcolepsy patient with depression
叙事护理在1例伴有抑郁症的发作性睡病患者中的应用

摘要

总结1例伴有抑郁症的发作性睡病患者的叙事护理经验。本研究应用叙事护理的核心技术，帮助患者外化问题，解构自我认同与文化认同，并运用重塑对话的技巧，帮助患者穿梭在认同蓝图与行为蓝图之间，形成新的自我认同并迁移到现在和未来，邀请患者和家属共同参与对话，通过叙述、复述、再复述的界定仪式，使患者掀起自身文化认同的革命，与母亲消除隔阂，共同对抗疾病，顺利进入成长反思阶段。进入成长反思阶段后，患者可以积极配合发作性睡病的药物治疗和非药物性治疗（家庭常规作业），逐渐恢复日常生活和社会功能。在常规护理基础上采用叙事护理可以有效改善抑郁心理，提升生活质量，对伴有抑郁症的发作性睡病患者有重要意义。

Abstract

To summarize the narrative nursing experience of a patient with narcolepsy accompanied by depression. In this study, the core techniques of narrative nursing were applied to help the patient externalize problems, deconstruct self-identity and cultural identity. And by using the skills of reframing dialogue, the patient was assisted to shuttle between the identity blueprint and the action blueprint, form a new self-identity and transfer it to the present and the future. The patient and family members were invited to participate in the dialogue together. Through the defining ceremony of narration, retelling and re-retelling, the patient launched a revolution in his own cultural identity, eliminated the estrangement with his mother, and jointly fought against the disease, smoothly entering the stage of growth reflection. After entering the stage of growth reflection, the patient could actively cooperate with the drug treatment and non-drug treatment (family routine homework) for narcolepsy, and gradually restore daily life and social functions. Adopting narrative nursing on the basis of routine nursing can effectively improve depressive psychology and enhance the quality of life, which is of great significance for patients with narcolepsy accompanied by depression.