基于Cox理念的阶段性叙事疗法对胃癌患者自我管理水平的影响

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【关键词】 理念阶段性叙事疗法胃癌患者自我管理水平护理干预

Effect of Phased Narrative Therapy Based on the Cox Concept on the Level of Self-management of Gastric Cancer Patients/CUI Wenxiu， ZHU Huixiu， YAN Kaiyue. //Medical Innovation of China， 2025， 22（12）： 085-089

[Abstract]Objective： To analyze the efect of phased narative therapy based on Cox concept on the selfmanagementlevelof gastriccancerpatients.Method： A total of 92patients with gastriccancer whoreceived surgery and hospitalization intheFirstAfiliatedHospitalof BengbuMedicalUniversityfromJune2022to June2023were selected as the study objects， andthey weredivided intocontrol groupand study groupaccording to random number table method， with 46 cases ineach group.Thecontrol group was given routine nursing intervention program， andthe study group was given phased narative therapy based on Cox concept.The self management behavior scale （SMBS）， herth hope index（HHI），burden scale for family caregivers （BSFC）and quality of life scores of the two groups before and after intervention were compared. Result： Before intervention，there were no significant differences in SMBS， HHI， BSFC and quality of life scores between the two groups （ P> 0.05）.After the intervention， the scores of alldimensions of SMBS and HHIin the study group were significantly higher than those in the control group， and the scoresof alldimensions of BSFC inthe study group weresignificantlylower than those inthe control group，the differences were statistically significant （ P <0.05）. After intervention， scores of all dimensions of the quality of life of the study groupwere significantlyhigherthanthose of thecontrolgroup，thedifferences were statisticallsignificant （ P <0.05）. Conclusion：The phased narative therapy based on Cox concept can improve the self-management level of gastriccancerpatients，improvethementalhealthstatusandqualityof lifeofpatients，andsignificantlyreducethe family burden of patients， which has a good clinical application prospect.

在胃癌患者治疗过程中，化疗为主要临床手段，虽然能够延长患者生存期，但也会对患者造成严重身体不适和心理压力，对患者对自身疾病的症状管理、治疗依从性、心理调适等多个方面均存在一定限制[-2]。（剩余5289字）