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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P>0.05);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P<0.05)。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P>0.05);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P<0.05)。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。
Objective To explore the effect of Roy adaptive mode applied to patients with uterine fibroids on their negative emotional status and somatic symptoms. Methods Eighty-eight patients with uterine leiomyoma admitted to our hospital from April 2013 to February 2015 were enrolled in this study. They were divided into study group and control group by random number table method, with 44 cases in each group. The control group to carry out routine nursing intervention, the research group implemented Roy adaptation mode to intervene. Two groups of patients before and after the intervention by the end of the fifth day of anxiety self-rating scale (SAS), depression self-rating scale (SDS) and somatic symptoms self-rating scale (SCL-90) evaluation, record data and do Good contrast. Results There was no significant difference in SAS and SDS scores between the two groups before intervention (t = 0.891,0.703, all P> 0.05). After intervention, SAS and SDS scores in the study group were lower than those in the control group Significance (t = 9.089 and 11.427 respectively, all P <0.05). There were no significant differences in somatization symptom scores (hostility, somatization, horror, coercion, interpersonal relationship, paranoid, depression, anxiety and psychosis) between the two groups before intervention (t values were 0.781, 1.267, 0.980 , 1.125,0.843,0.764,1.084,0.463 and 0.356, all P> 0.05). After intervention, the study group had low scores in hostility, somatization, horror, compulsion, interpersonal relationship, paranoid, depression, anxiety and psychosis In the control group, the difference was statistically significant (t values were 7.901,8.350,11.267,9.378,10.270,8.462,9.301,6.470 and 8.972, all P <0.05). Conclusion Roy adapted to patients with uterine fibroids, help to reduce their anxiety and depression, and can improve the body’s functional symptoms and achieve more satisfactory results of nursing, it is worth further promotion and application.