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罗伊适应模式在乳腺癌手术患者中的应用效果

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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.
Application effect of Roy adaptation model in breast cancer patients undergoing surgery
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.

breast cancerRoy adaptation modelpsychological state

焦颖范、李琳、罗瑞雪

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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

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

乳腺癌 罗伊适应模式 心理状态

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(8)