罗伊适应模式对子宫肌瘤患者负性情绪及躯体功能症状的影响

发布时间：2018-06-13 21:29

本文选题：子宫肌瘤 + 罗伊适应模式　；参考：《中国妇幼保健》2016年23期

【摘要】：目的探究罗伊适应模式应用于子宫肌瘤患者对其消极情感状态及躯体症状的影响。方法选取该院妇科于2013年4月-2015年2月收治的88例子宫肌瘤患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组各44例。其中对照组开展常规护理干预,研究组则实施罗伊适应模式展开干预。两组患者均于干预前及干预后第5天末接受焦虑自评量表(SAS)、抑郁自评量表(SDS)及躯体症状自评量表(SCL-90)测评,记录数据并做好对比。结果两组在干预前的SAS和SDS评分差异无统计学意义(t值分别为0.891、0.703,均P0.05);干预后,研究组SAS和SDS评分均低于对照组,且差异有统计学意义(t值分别为9.089、11.427,均P0.05)。两组患者在干预前的躯体化症状评分(敌对性、躯体化、恐怖、强迫、人际关系、偏执、抑郁、焦虑及精神病性方面)差异无统计学意义(t值分别为0.781、1.267、0.980、1.125、0.843、0.764、1.084、0.463和0.356,均P0.05);干预后,研究组在敌对性、躯体化、恐怖、强迫、人际关系、偏执、抑郁、焦虑及精神病性方面评分均低于对照组,差异有统计学意义(t值分别为7.901、8.350、11.267、9.378、10.270、8.462、9.301、6.470和8.972,均P0.05)。结论罗伊适应模式应用于子宫肌瘤患者,有助于减轻其焦虑、抑郁情绪,且能改善机体躯体功能症状,取得较为满意的护理成效,值得进一步推广应用。
[Abstract]:Objective to investigate the effects of Roy's adaptation model on the negative emotional state and somatic symptoms in patients with uterine leiomyoma. Methods Eighty-eight patients with uterine leiomyoma admitted in our hospital from April 2013 to February 2015 were divided into study group and control group with 44 cases in each group. The control group carried out routine nursing intervention, while the study group implemented Roy adaptation model intervention. The patients in both groups were assessed with self rating anxiety scale (SAS), self rating Depression scale (SDS) and somatic symptom Checklist (SCL 90) before and at the end of 5 days after intervention, and the data were recorded and compared. Results there was no significant difference in SAS and SDS scores between the two groups before intervention (P < 0.05), and the scores of SAS and SDS in the study group were lower than those in the control group (P < 0.01), and the difference was statistically significant (P < 0.05). The scores of somatization symptoms (hostility, somatization, phobia, compulsion, interpersonal relationships, paranoid ideation, depression, anxiety and psychosis) were not significantly different between the two groups before intervention (P < 0.05). The scores of hostility, somatization, phobia, compulsion, interpersonal relationship, paranoid ideation, depression, anxiety and psychosis in the study group were all lower than those in the control group. The difference was statistically significant (7.901 / 8.350 / 11.2679.378/ 10.2708.4629.301/ 9.3016.470 and 8.972respectively). Conclusion the application of Roy's adaptation model in patients with uterine leiomyoma is helpful to alleviate anxiety and depression, and can improve the symptoms of body function and obtain satisfactory nursing effect. It is worth further popularizing.
【作者单位】：无锡市妇幼保健院手术室;扬州市妇幼保健院妇产科;
【基金】：江苏省卫生计生委科研项目(Z201524)
【分类号】：R473.73

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