罗伊适应模式在乳腺癌手术患者中的应用效果
Application effect of Roy adaptation model in breast cancer patients undergoing surgery
焦颖范 1李琳 2罗瑞雪1
作者信息
- 1. 郑州大学附属肿瘤医院/河南省肿瘤医院 日间诊疗三病区,郑州 4500030
- 2. 郑州大学附属肿瘤医院/河南省肿瘤医院 乳腺五病区,郑州 4500030
- 折叠
摘要
目的 探讨罗伊适应模式在乳腺癌手术患者中的应用效果.方法 根据干预方式的不同将151例乳腺癌改良根治术患者分为常规组(n=71)和罗伊组(n=80),常规组患者围手术期接受常规干预,罗伊组患者围手术期在常规干预的基础上接受罗伊适应模式干预,比较两组患者的心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)、心理弹性量表(CD-RISC)]、生活质量[乳腺癌患者生命质量测定量表(FACT-B)]、术后并发症发生情况和术后住院时间.结果 出院时,两组患者SDS、SAS评分均低于本组术前,CD-RISC和FACT-B各维度评分均高于本组术前,罗伊组患者SDS、SAS评分均低于常规组,CD-RISC和FACT-B各维度评分均高于常规组,差异均有统计学意义(P﹤0.05).罗伊组患者术后并发症总发生率明显低于常规组,术后住院时间明显短于常规组,差异均有统计学意义(P﹤0.01).结论 罗伊适应模式应用于乳腺癌手术患者中,能促进患者术后康复,降低并发症发生率,改善患者不良心理状态,并且提高生活质量.
Abstract
Objective To investigate the application effect of Roy adaptation model in breast cancer patients undergo-ing surgery.Method A total of 151 breast cancer patients with modified radical mastectomy were divided into conven-tional group(n=71)and Roy group(n=80)according to different intervention methods.The conventional group received conventional intervention,and the Roy group received Roy adaptation model on the basis of the conventional interven-tion.The psychological state[self-rating depression scale(SDS),self-rating anxiety scale(SAS),Connor-Davidson resil-ience scale(CD-RISC)],quality of life[functional assessment of cancer therapy-breast(FACT-B)],incidence of postoper-ative complications and postoperative hospital stay were compared between the two groups.Result At discharge,SDS and SAS scores in two groups were lower than those before surgery,CD-RISC scroes and each dimension scores of FACT-B were higher than those before surgery,SDS and SAS scores in Roy group were lower than those in conventional group,CD-RISC scroe and each dimension scores of FACT-B were higher than those in conventional group,and the dif-ferences were statistically significant(P<0.05).The total incidence of postoperative complications in Roy group was sig-nificantly lower than that in conventional group,the postoperative hospital stay was significantly shorter than that in con-ventional group,and the differences were statistically significant(P<0.01).Conclusion The application of Roy adapta-tion model in breast cancer patients undergoing surgery can promote postoperative rehabilitation,reduce the incidence of complications,improve the adverse psychological state of patients,and improve the quality of life.
关键词
乳腺癌/罗伊适应模式/心理状态Key words
breast cancer/Roy adaptation model/psychological state引用本文复制引用
出版年
2024
NETL
NSTL
万方数据