Objective:To investigate the effect of peer support-based narrative therapy on postoperative self-image and stigma of patients with head and neck cancer, to provide reference for clinical nursing.Methods:A total of 78 head and neck cancer patients from August 2018 to August 2020 in Fudan University Shanghai Cancer Center were divided into experimental group and control group by random digits table method, each group were 39 cases. The control group was given conventional nursing, while the experimental group implemented support-based narrative therapy on the basis of routine nursing. The intervention time was 4 weeks. The self-image and stigma of the two groups before and after intervention were assessed by Body Image Scale (BIS) and Social Impact Scale (SIS), respectively.Results:Finally, 37 cases were included in the experimental group and 38 cases in the control group. There was no significant difference in BIS, SIS dimension scores and total scores between the two groups before intervention ( P>0.05). After intervention, the emotional demension scores, behavior dimension scores, cognitive dimension scores and total scores in BIS were 4.41 ± 1.04, 1.95 ± 0.51, 3.81 ± 0.63 and 10.16 ± 2.05 in the experimental group, significantly lower than in the control group 5.08 ± 1.08, 2.82 ± 0.60, 5.42 ± 0.76 and 13.32 ± 1.93, the differences were statistically significant ( t values were 2.76-6.86, all P<0.01); the social exclusion scores, internal shame scores, social isolation scores and total stigma scores in SIS were 17.57 ± 2.67, 9.08 ± 1.55, 12.14 ± 3.73 and 46.14 ± 4.95 in the experimental group, significantly lower than in the control group 19.18 ± 3.70, 10.68 ± 1.61, 14.18 ± 3.83 and 51.68 ± 6.09, the differences were statistically significant ( t values were 2.16-4.38, all P<0.05). Conclusions:Peer support-based narrative therapy can effectively alleviate the postoperative self-image problems and stigma of patients with head and neck cancer, which is worthy of clinical application.

目的 调查分析上海地区部分社区居民对五官科专科健康科普知识的需求.方法 2018年1-3月,采用自制调查问卷对上海市徐汇区、黄浦区、闵行区周边10个社区的300例居民进行问卷调查.结果 43.33％的居民非常愿意参加科普活动,50.67％的居民愿意参加科普活动;居民感兴趣的科目为眼科74.67％,耳科56.67％,五官科急救49.33％,口腔科和咽喉科均为48.00％,鼻科为39.67％;78.00％的居民希望以讲座形式接受健康科普知识;98.67％的居民认为帮助很大或有帮助.结论 社区居民对五官科健康科普保健知识的需求较大,五官科护理人员应将科普讲座作为普及五官科健康科普知识的主要模式推向社区,以满足社区居民的需求,提高其整体健康素养.

目的:组建护理科普志愿者团队,传播五官科科普知识并评价效果.方法:遴选五官科专业护士,成立"舒馨港湾"护理志愿者服务队,对上海市4个辖区中10个社区居民及来我院就诊的患者开展为期半年的五官科专科疾病科普知识讲座.13场讲座累计参与居民556人,并分别于科普讲座前后接受随堂科普知识问卷测试,比较科普知识掌握程度.结果:科普知识随堂测试卷满分60分,讲座前测试总体均分20(10,36)分,讲座后测试总体均分60(45,60)分.接受科普教育后居民对于五官科科普知识掌握水平优于科普讲座之前(P<0.01).结论:本研究依托我院五官科专业护士,担任护理科普志愿者,开展社区科普讲座提高了社区居民对于五官科保健知识的掌握程度,此种模式是"健康中国2030"背景下容易推广且成效显著的健康科普实践模式.