基于罗伊适应模式的护理在多发性骨髓瘤化疗患者中的应用  

Application of nursing based on Roy adaptation model in patients with multiple myeloma undergoing chemotherapy

作　　者：王君芬[1] 王信娟[1] 董美媛[1] 黄盼盼 查孔林 Wang Junfen;Wang Xinjuan;Dong Meiyuan;Huang Panpan;Zha Konglin(Department of Hematology Oncology,Zhoushan Hospital,Zhejiang Province,Zhoushan 316021,China)

机构地区：[1]浙江省舟山医院血液肿瘤科,316021

出　　处：《中华现代护理杂志》2020年第28期3970-3973,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于罗伊适应模式的护理对多发性骨髓瘤患者化疗期间负性情绪和不良反应的影响。方法采用便利抽样法,选取浙江省舟山医院2017年7月—2019年8月收治的100例多发性骨髓瘤患者,采用抽签法分为对照组与观察组,各50例。对照组患者予以常规护理措施,观察组在对照组的基础上予以基于罗伊适应模式的护理,且两组患者均进行相同的化疗干预。比较两组患者护理后负性情绪、化疗依从性、护理满意度以及不良反应发生率。结果护理前两组患者焦虑、抑郁评分比较,差异无统计学意义(P>0.05);两组患者护理后的焦虑、抑郁评分均低于护理前,且观察组护理后评分均低于对照组,差异有统计学意义(P<0.01)。观察组患者护理后的不良反应发生率(12.00%,6/50)低于对照组(48.00%,24/50),差异有统计学意义(P<0.01)。观察组患者的治疗依从性好所占比例为90.00%(45/50)、护理满意度为96.00%(48/50),高于对照组的64.00%(32/50)、80.00%(40/50),差异有统计学意义(P<0.05)。结论在常规护理的基础上予以基于罗伊适应模式的护理,能够改善多发性骨髓瘤患者化疗期间的不良反应,缓解患者的负性情绪,提高患者的依从性及护理满意度,值得推广应用。Objective To explore the effect of nursing based on Roy adaptation model on negative emotions and adverse reactions in patients with multiple myeloma during chemotherapy.Methods Using the convenient sampling method,a total of 100 patients with multiple myeloma who were admitted to Zhoushan Hospital in Zhejiang Province from July 2017 to August 2019 were selected.They were divided into the control group and the observation group by lottery method,with 50 cases in each group.The control group was given routine nursing measures while the observation group was given nursing based on Roy adaptation model on basis of the control group.And patients in both groups were also given the same chemotherapy intervention.The incidence of negative emotions,chemotherapy compliance,nursing satisfaction and adverse reactions after nursing were compared between the two groups.Results There were no statistically significant differences in the scores of anxiety and depression before nursing between the two groups(P>0.05).The scores of anxiety and depression of the two groups after nursing were lower than those before nursing,and the scores of the observation group after nursing were lower than those of the control group,and the differences were statistically significant(P<0.01).The incidence of adverse reactions after nursing in the observation group(12.00%,6/50)was lower than that of the control group(48.00%,24/50),and the difference was statistically significant(P<0.01).In the observation group,the proportions of patients with good treatment compliance and nursing satisfaction were respectively 90.00%(45/50)and 96.00%(48/50),which were higher than 64.00%(32/50)and 80.00%(40/50)in the control group,and the differences were statistically significant(P<0.05).Conclusions Nursing based on Roy adaptation model on the basis of routine nursing can improve the adverse reactions of patients with multiple myeloma during chemotherapy,relieve their negative emotions and improve their compliance and nursing satisfaction,which is worthy of promoti

关 键 词：多发性骨髓瘤 罗伊适应模式 化疗 不良反应 

分 类 号：R473.78[医药卫生—护理学]