目的 探讨叙事护理改善初诊恶性肿瘤患者负性情绪及睡眠质量的临床效果，为心理护理与干预提供参考。 方法 2024年6-12月，以便利抽样法选取广东省珠海市某三级甲等医院初诊恶性肿瘤的94例患者，对照组47例接受常规护理，试验组47例在常规护理基础上接受叙事护理。在基线期（T₀）、干预后第3周（T₁）、干预后第5周（T₂），使用焦虑自评量表（self-rating anxiety scale,SAS）、抑郁自评量表（self-rating depression scale,SDS）及匹兹堡睡眠质量指数量表（Pittsburgh sleep quality index,PSQI）评估效果。 结果 共90例患者完成全程研究，每组各45例。两组患者SAS及SDS总分存在交互效应（P＜0.05），T₂期试验组SAS总分与PSQI总分低于对照组（均P＜0.05）；T₀~T₂期试验组SAS、SDS及PSQI总分呈逐渐下降趋势（均P＜0.01）。 结论 叙事护理可改善初诊恶性肿瘤患者焦虑、抑郁情绪及睡眠质量，为临床心理护理与干预提供参考。

Objective To explore the clinical effect of narrative nursing in improving negative emotions and sleep quality in newly diagnosed malignant tumor patients,and to provide references for psychological care and interventions in this population.Methods From June to December 2024,94 patients with newly diagnosed malignant tumors in a tertiary A hospital in Zhuhai City,Guangdong Province were selected by convenient sampling method.The control group (n=47) received routine nursing,and the experimental group (n=47) received narrative nursing on the basis of routine nursing.On the baseline period (T0),the 3rd week after intervention (T₁),and the 5th week after intervention (T₂),the self-rating anxiety scale (SAS),self-rating depression scale (SDS),and Pittsburgh sleep quality index (PSQI) were used to evaluate the effect.Results A total of 90 patients completed the whole study,with 45 cases in each group.There was an interaction effect on the total scores of SAS and SDS between the two groups (P＜0.05).At T₂,the total scores of SAS and PSQI in the experimental group were lower than those in the control group (all P＜0.05).From T0 to T₂,the total scores of SAS,SDS,and PSQI in the experimental group gradually decreased (all P＜0.01).Conclusions Narrative nursing can improve anxiety,depression,and sleep quality in patients with newly diagnosed malignant tumors,providing a reference for clinical psychological nursing and intervention.

R473.73

广东省研究生教育创新计划项目（2025KCJS_022）