摘要
目的 分析叙事护理在老年疼痛患者中的应用效果。方法 研究样本为2024年6月至2025年6月医院疼痛科收入的60例老年慢性疼痛患者，基于随机数字表法将其分为对照组与研究组，各30例，分别实施常规护理与常规护理+叙事护理。对比疼痛恐惧、自我管理能力、疼痛程度、生活质量。结果 研究组护理后的自我管理能力、生活质量评分高于对照组，疼痛恐惧评分、疼痛程度低于对照组，组间均有统计学差异（P＜0.05）。结论 在老年疼痛患者中应用叙事护理，能够减轻患者的疼痛恐惧，增强患者的自我管理能力，帮助患者有效控制疼痛，进而提升患者的生活质量。
关键词： 叙事护理；慢性疼痛；老年患者；自我管理；生活质量
Abstract
Objective To analyze the application effect of narrative nursing in elderly patients with chronic pain. Methods The research subjects were 60 elderly patients with chronic pain admitted to the pain department of the hospital from June 2024 to June 2025. They were randomly divided into a control group and a study group, each with 30 cases, and received conventional nursing and conventional nursing plus narrative nursing respectively. The fear of pain, self-management ability, pain intensity, and quality of life were compared. Results The self-management ability and quality of life scores of the study group after nursing were higher than those of the control group, while the fear of pain scores and pain intensity were lower than those of the control group, with statistically significant differences between the groups (P < 0.05). Conclusion The application of narrative nursing in elderly patients with chronic pain can reduce their fear of pain, enhance their self-management ability, help them effectively control pain, and thereby improve their quality of life.
Key words： Narrative nursing; Chronic pain; Elderly patients; Self-management; Quality of life
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