Application of Narrative Nursing Intervention in Internal Medicine Nursing Management
叙事护理干预在内科护理管理中的应用

摘要

目的 了解内科护理管理中叙事护理干预的具体应用方法，并对其使用效果进行评价。方法 本次研究由我院内科临床护士参与进行，共计人数56例，在内科护理管理中，基于常规管理、叙事医学干预方法的不同应用，所有护士以1:1的比例进行分配，对应分组为对照组、观察组进行比较研究。结果 从两组护士干预后躯体化、强迫、人际敏感等各维度SCL-90评分比较上来看，观察组对应分值明显更低，组间数值差异符合统计学标准（P＜0.05）。结论 在叙事医学干预方法的应用下，通过故事的方式引导护士进入具体的情景，加上正向的引导，让护士去肯定自身的能力，树立信心。与此同时，叙事干预还能帮助护士有效调整情绪及心理问题，凸显出了其较高的使用价值。

Abstract

Objective To understand the specific application methods of narrative nursing intervention in internal medicine nursing management, and to evaluate its use effect.
Methods This study was conducted by the clinical nurses of the internal medicine department of our hospital, with a total of 56 cases. In internal medicine nursing management, based on the different applications of routine management and narrative medical intervention methods, all nurses were allocated in a ratio of 1:1, and the corresponding groups were divided into groups. A comparative study was carried out for the control group and the observation group.
Results From the comparison of SCL-90 scores of somatization, com- pulsion, interpersonal sensitivity and other dimensions of nurses in the two groups after intervention, the corresponding scores in the observation group were significantly lower, and the numerical difference between the two groups met the statistical standard (P<0.05).
Conclusion   Under the application of narrative medical intervention method, nurses can be guided into specific situations through stories, plus positive guidance, so that nurses can affirm their own abilities and build confidence. At the same time, narrative intervention can also help nurses to effectively adjust emotional and psy- chological problems, which highlights its high use value.