Roy适应模式护理对PBC患者情绪的影响观察  

Observations on the Effect of Roy Adaptation Model Nursing on Emotion of Patients with Primary Biliary Cirrhosis

作　　者：邝彩梅 罗利娟 张秋婷 张素 邓燕妹 KUANG Caimei;LUO Lijuan;ZHANG Qiuting;ZHANG Su;DENG Yanmei(Guangdong Province Hospital of Traditional Chinese Medicine. the Second School of Clinical Medicine of Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510120, China)

机构地区：[1]广东省中医院.广州中医药大学第二临床医学院,广东广州510120

出　　处：《中国中医药现代远程教育》2018年第7期148-150,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨Roy适应模式在原发性胆汁性肝硬变(PBC)患者护理中对其情绪的影响。方法对60例诊断为PBC的患者进行回顾性分析,其中干预组和对照组各30例。对照组在常规治疗的同时实施一般护理;干预组在对照组的基础上采用Roy适应模式引导下的护理干预方法。并应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、原发性胆汁性肝硬化中医症状量表在护理前后对2组患者进行问卷调查、分析。结果 2组患者护理前后分别进行比较,治疗后,干预组SAS、SDS评分显著低于对照组,差异有统计学意义(P<0.05);对照组治疗前后SAS、SDS评分对比差异无统计学意义(P>0.05),干预组治疗前后SAS、SDS评分差异有统计学意义(P<0.05)。治疗后,干预组中医症状评分显著低于对照组,差异有统计学意义(P<0.05);对照组治疗前后评分对比差异有统计学意义(P<0.05),干预组治疗前后差异有显著统计学意义(P<0.001)。结论Roy适应模式能改善PBC患者的不良情绪状态,并能刺激他们主动参与疾病管理。Objective To explore the effect of Roy adaptation model nursing in primary biliary cirrhosis（ PBC） patients with negative emotions. Methods According to retrospective analysis, a total of 60 patients with PBC were divided into two groups, with30 cases in each group. The control group was treated with routine nursing, while the observation group was treated with Roy adaptation model nursing on the basis of the control group. The self rating anxiety scale（ SAS） score, self rating depression scale（SDS） score and PBC symptoms scale of TCM were used to survey and analyse each patient in two groups before and after nursing.Results The each factor scores of the SAS and SDS of the observation group were obviously lower than those of the control group after nursing, and the difference was statistically significant（ P 〈0.05）. The difference of the control group was not statistically significant（P〉0.05）. The each factor scores of the PBC symptoms scale of TCM of the observation group were obviously lower than those of the control group after nursing, and the difference was statistically significant（ P〈0.05）. The difference of the control group was statistically significant（ P〈0.05）. The difference of the observation group was statistically significant（ P〈0.001）. Conclusion Roy adaptation model can significantly improve the PBC patients ’ negative emotions, and stimulate their active participation in disease management.

关 键 词：ROY适应模式 原发性胆汁性肝硬变 护理 癥瘕 

分 类 号：R473.5[医药卫生—护理学]