ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 ›› 2026, Vol. 23 ›› Issue (7): 869-875.doi: 10.3761/j.issn.1672-9234.2026.07.016

• 职业成长与发展研究 • 上一篇    下一篇

肿瘤科安宁疗护临床培训方案构建及应用研究

张蕊1(), 王丹1,*(), 韩静2, 李春3, 谷丰4, 张素婷2, 姚丽1   

  1. 1 徐州医科大学附属医院肿瘤内科 徐州市 221000
    2 徐州医科大学护理学院 徐州市 221000
    3 河北中石油中心医院心理科 河北省廊坊市 065000
    4 徐州医科大学附属医院护理部 徐州市 221000
  • 收稿日期:2025-12-29 出版日期:2026-07-15 发布日期:2026-07-17
  • 通讯作者: *王丹，E-mail：770020211445@xzhmu.edu.cn
  • 作者简介:张蕊：女，本科，主管护师，E-mail：305515771@qq.com
    第一联系人：

    张蕊、王丹、韩静：研究构思与设计，论文撰写与修改；李春：理论指导，方案论证，论文审校；谷丰：研究设计，数据统计分析，论文修改；张素婷、姚丽：数据收集与处理，临床培训实施；所有作者均阅读并同意最终论文的发表

  • 基金资助:
    国家自然科学基金青年项目(72204209)

Construction and effect evaluation of a clinical training program for palliative care based on narrative nursing

ZHANG Rui1(), WANG Dan1,*(), HAN Jing2, LI Chun3, GU Feng4, ZHANG Suting2, YAO Li1   

  1. 1 Department of Oncology， the Affiliated Hospital of Xuzhou Medical University， Xuzhou 221000， China
    2 School of Nursing， Xuzhou Medical University， Xuzhou 221000， China
    3 Department of Psychology， Petrochina Central Hospital of Hebei，Langfang 065000， Hebei Province， China
    4 Department of Nursing， the Affiliated Hospital of Xuzhou Medical University， Xuzhou 221000， China
  • Received:2025-12-29 Online:2026-07-15 Published:2026-07-17
  • Contact: *WANG Dan，E-mail：770020211445@xzhmu.edu.cn
  • Supported by:
    Youth Program of the National Natural Science Foundation of China(72204209)

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摘要：

目的 构建叙事护理安宁疗护临床培训方案，并评价其对护理实习生及新入职护士关怀能力的影响。方法 基于本土化叙事护理模型和Kolb体验式学习理论构建安宁疗护临床培训方案。便利选取江苏省某三级甲等医院46名肿瘤相关科室护理本科实习生及入职1年内护士，实施为期4周的基于叙事护理的“感知—反思—模拟—实践”四阶渐进式安宁疗护临床培训。采用配对样本t检验比较研究对象培训前后关怀能力量表得分差异；目的选取12名研究对象围绕培训体验、临床护理能力变化等方面进行访谈。结果 培训后关怀能力量表总分及各维度得分均得到提高（P<0.05，Cohen’s d=1.48）；访谈资料提炼出“态度转向—技术领悟—价值重构”的递进式成长轨迹。结论 构建的安宁疗护临床培训方案有助于培养肿瘤相关科室护理实习生及新入职护士的安宁疗护与人文关怀能力，具有良好可行性与接受度。

关键词: 安宁疗护, 在职培训, 叙事护理, 人文关怀

Abstract:

Objective To develop a localized clinical training program for narrative-based palliative care and to evaluate its impact on the caring ability of nursing interns and newly recruited nurses. Methods A clinical training program for palliative care was constructed based on the localized narrative nursing model and Kolb’s Experiential Learning Theory. A convenience sampling method was used to select 46 undergraduate nursing interns and nurses with less than one year of working experience from a Grade A tertiary hospital in Jiangsu Province. A 4-week progressive clinical training program for palliative care，which included four stages of “perception-reflection-simulation-practice” based on narrative nursing，was implemented. Paired-samples t-test was used to compare the differences in scores of the Caring Ability Inventory（CAI） before and after the training. Purposive sampling was adopted to select 12 participants for one-on-one interviews focused on training experience，changes in clinical nursing ability and influencing factors. Results After the training，the total score and scores of each dimension of the CAI were significantly improved（P<0.05，Cohen’s d=1.48）. The interview data revealed a progressive growth trajectory of “attitude shift-technical comprehension-value reconstruction”. Conclusion The developed clinical training program for palliative care is conducive to cultivating the palliative care and humanistic caring ability of nursing interns and newly recruited nurses in oncology-related departments. It has good feasibility and promotion value，and can provide an initial localized scheme for palliative care training of junior nurses in oncology-related departments.

Key words: Palliative Care, In-service Training, Narrative Nursing, Humanistic Care