Study On The Intervention Of Narrative Care On Anxiety Depression,quality Of Life And Self-efficacy In Patients With Systemic Lupus Erythematosus

Objective:This study applied narrative nursing to patients with systemic lupus erythematosus to investigate its intervention effects on anxiety and depression,quality of life and self-efficacy in patients with systemic lupus erythematosus,and provided a reference basis for the development of narrative nursing in the clinic.Methods:Using a pilot study-like research method,80 patients with SLE who met the inclusion and exclusion criteria and were admitted to the rheumatology department of a tertiary care hospital in Yunnan Province from December 2019 to September 2020 were conveniently selected as the subjects of this study,and the subjects were divided into 40 cases in the intervention group and 40 cases in the control group using the random number table method.Both groups of SLE patients underwent baseline assessment using the General Information Questionnaire,Self-Assessment Scale for Anxiety(SAS),Self-Rating Scale for Depression(SDS),Short Form Health Survey(SF-36)and Self-Efficacy in Chronic Disease Scale(SECD6)before the intervention.The control group was given routine care in the rheumatology department.In the intervention group,a narrative nursing intervention was added to the usual care,with a specific narrative process consisting of four steps: attention phase,understanding phase,reflection phase and response phase.The intervention cycle was 4 weeks.The intervention effect was evaluated again after the intervention(after 4 weeks)using SAS,SDS,SF-36 and SECD6.Data were entered and analysed using SPSS 25.0 statistical software.Results:1.With the exclusion of drop-out and lost cases,there were 38 final valid cases in the control group and 39 in the intervention group,for a total of 77 cases.The demographic and disease-related data of the two groups were comparable and not statistically different(P > 0.05).2.Comparison of SAS and SDS scores: At the time of admission,the SAS and SDS scores of the two groups were comparable,with no statistical difference(P>0.05);after 4weeks of intervention,the SAS and SDS scores of the two groups decreased compared with those before the intervention,but the decrease was more significant in the intervention group,and the comparison between the groups was statistically significant(P<0.05).3.Comparison of SF-36 scores: At the time of admission,there was no statistical difference between the two groups in terms of the SF-36 scale dimensions and total scores(P>0.05).The other dimensions and total scores were statistically significant(P<0.05).4.Comparison of SECD6 scores: At the time of admission,the dimensions and total scores on the SECD6 scale were comparable between the two intervention groups,with no statistical difference(P>0.05).After 4 weeks of intervention,the scores of all dimensions of SECD6 and total scores of the intervention group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusions:1.Narrative care improves anxiety and depression in SLE patients.2.The narrative nursing intervention improved the quality of life of SLE patients.3.Narrative nursing intervention for SLE patients improved the level of self-efficacy of SLE patients by developing an individualised psychological care plan for each patient.