【摘要】目的探讨叙事护理对维持性血液透析患者自我感受负担及负性情绪的影响。方法选择2020 年8月～11月符合标准的82 例维持性血液透析(maintenance hemodialysis,MHD)患者作为研究对象，采用Excel 软件随机分组，分为试验组(41 例)和对照组(41例)。试验组在常规护理基础上实施3 个月叙事护理干预(关注、理解、回应、反思)，对照组实施常规护理。采用自我感受负担、焦虑抑郁情绪评价干预效果。结果干预后试验组自我感受负担得分、负性情绪得分低于干预前(t=2.837, P=0.003；t=6.230, P=0.002)，干预后试验组自我感受负担得分、负性情绪得分低于对照组(t=-1.892, P=0.039；t=12.339, P=0.002),差异具有统计学意义。结论对MHD 患者进行叙事护理干预，有利于降低自我感受负担、减轻负性情绪，提升心理健康水平。

【Abstract】Objective To explore the effect of narrative nursing on self-perceived burden and negative emotion in maintenance hemodialysis (MHD) patients. Methods A total of 82 MHD patients who met the diagnostic standards in the period from August to November 2020 were enrolled in this study. They were randomly divided into experimental group (41 cases) and control group (41 cases). The experimental group was given narrative nursing intervention (concern, understand, response, reflect) for 3 months in addition to the routine nursing, while the control group was given routine nursing only. Self-perceived burden, anxiety and depression were used to evaluate the intervention effect. Results After the intervention, the scores of selfperceived burden and negative emotion were lower than those before the intervention in the experimental group (t=2.837, P=0.003; t=6.230, P=0.002), and were also lower in the experimental group than in the control group (t=-1.892, P=0.039; t=12.339, P=0.002). Conclusion Narrative nursing intervention for MHD patients can reduce their self-perceived burden and negative emotion, thereby improving their mental health.