摘要
为探讨Roy适应模式护理对直肠癌患者术后心理状态及生活质量的影响，本研究将g011年1月至2012年7月于我院行Miles手术治疗的80例直肠癌患者随机分为观察组和对照组，各40例，对照组给予常规护理，观察组给予Roy适应模式护理；采用汉密顿抑郁量表（HAM-D）和SF-36健康调查量表对两组患者术后的心理状态和生活质量进行评价，并进行对比分析。结果显示，HAM—D因子分析显示，观察组患者在焦虑／躯体化、认知障碍、绝望感方面明显优于对照组，P〈0．05或P〈0．01；SF-36健康调查量表测评显示，观察组患者在生理职能、躯体疼痛、一般情况、精力、社会功能、精神健康方面显著优于对照组，P〈0．05。结果表明，Roy适应模式护理可明显改善直肠癌患者术后心理状态，提高患者生活质量。
This study was to explore the influence of nursing according to Roy adjustment mode on postop- erative psychological situation and quality of life of rectal carcinoma patients. The 80 patients with rectal carcinoma who admitted in author＇s hospital and received Miles procedure from Jan. 2011 yr. to July. 2012 yr. were randomly divided into observation group and control group,40 cases each group;the former was given with nursing according to Roy adjustment mode, the latter with routine nursing; by using Hamilton Depression Rating Scale（HAM-D） and SF-36 health survey scale evaluating the postoperative psychological situation and quality of life was taken in the both groups, and obtained score ratings were compared and an- alyzed between both groups. As results, HAM-D factor analysis showed that in anxiety/somatization, cog- nition disorder and despair sense observation group was significantly superior to control group（ P 〈0.05, or P 〈0.01）;SF-36 scale results showed that in physiological function, body pain, general status, vigour, social function and mental health also superior to control group（ P 〈0.05）. Results show that nursing as Roy adjustment mode can significantly improve the postoperative mental situation of patients and enhance their quality of life.
出处
《中国肛肠病杂志》
2013年第4期30-32,共3页
Chinese Journal of Coloproctology
关键词
ROY适应模式
护理
直肠癌
术后
心理状态
生活质量
Roy adjustment mode
Nursing
Rectal carcinoma
Postoperation
Psychological situation
Lifequality
