摘要
目的探讨基于罗伊适应模式护理对乳腺癌患者术后放疗期间的临床价值。方法将2017年1月至2021年12月在滁州市第一人民医院行术后放射治疗的67例乳腺癌患者为研究对象,采用随机数字表法分为观察组和对照组,其中观察组31例,予以基于罗伊适应模式护理,对照组36例,实施肿瘤科常规护理。比较分析两组患者入院时和出院时的心理健康、生命质量和自我护理能力。结果心理健康方面,出院时对照组患者在强迫症状、焦虑和睡眠饮食3个方面得到显著改善,而观察组患者在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖和睡眠饮食7个方面得到显著改善(P<0.05,P<0.01)。生命质量方面,对照组患者在生理状况和功能状况2个方面得到显著改善,而观察组在生理状况、社会/家庭状况、功能状况和附加关注4个方面得到显著改善(P<0.05,P<0.01)。自我护理能力方面,对照组患者在自我护理技能和健康知识水平2个方面得到显著改善,而观察组在自我概念、自我责任感、自我护理技能和健康知识水平4个方面得到显著改善(P<0.05,P<0.01)。结论基于罗伊适应模式护理干预在乳腺癌放疗期间,可以从多维度改善患者的心理健康、生命质量和自我护理能力。
Objective To investigate the clinical value of nursing based on Roy’s adaptive model for breast cancer patients during postoperative radiotherapy. Methods A total of 67 breast cancer patients receiving postoperative radiotherapy in the First People’s Hospital of Chuzhou from January 2017 to December 2021 were selected and randomly divided into observation group(with Roy’s adaptive model nursing, n=31) and control group(with routine nursing care, n=36). The mental health, quality of life and self-care ability were observed on admission and discharge and compared berween two groups. Results In terms of mental health at discharge, the obsessive-compulsive symptoms, anxiety and sleep and eating disorder(four aspects) were significantly improved in control group, while somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, phobia and sleep and eating disorder(seven aspects) were significantly improved in observation group(P<0.05,P<0.01).In terms of quality of life, the physiological and functional status were significantly improved in control group, while the physiological status, social/family status, functional status and additional concerns were obviously improved in observation group(P<0.05,P<0.01). In control group, the patients got improved in self-care skills and health knowledge, while the patients got significantly improved in self-concept, self-responsibility, self-care skills and health knowledge in observation group(P<0.05,P<0.01). Conclusion During postoperative radiotherapy for breast cancer, nursing intervention based on Roy’s adaption model can significantly improve the patients’ mental health, quality of life and self-care ability from multiple dimensions.
作者
严德英
魏洁
夏晓阳
YAN De-ying;WEI Jie;XIA Xiao-yang(Department of Oncology,Affiliated Chuzhou Hospital of Anhui Medical University,First People's Hospital of Chuzhou,Chuzhou,Anhui 239001,China)
出处
《中国临床研究》
CAS
2022年第9期1314-1318,共5页
Chinese Journal of Clinical Research
基金
滁州市医疗卫生重点专科建设项目(滁卫科秘[2021]261号)。
关键词
罗伊适应模式
乳腺癌
放疗
心理健康
生命质量
Roy adaptation model
Breast cancer
Radiotherapy
Mental health
Quality of life
