罗伊适应护理模式联合自我效能在女性情感障碍患者中的应用效果  

Application effect of Roy adaptive nursing model combined with self-efficacy in female patients with affective disorder

作　　者：陆叶[1] 沈棫华 祁家梅 程万良[1] Lu Ye;Shen Yuhua;Qi Jiamei;Cheng Wanliang(The Fourth People's Hospital of Wuhu,241003,China)

机构地区：[1]芜湖市第四人民医院,241003

出　　处：《国际护理学杂志》2022年第14期2583-2587,共5页international journal of nursing

摘　　要：目的探讨罗伊适应护理模式联合自我效能在女性情感障碍患者中的应用效果。方法选取2019年6月至2020年6月芜湖市第四人民医院住院治疗的情感障碍患者100例,按住院时间分为对照组和观察组,各50例。对照组给予精神科常规护理,观察组在常规护理的基础上给予罗伊适应护理模式联合自我效能,干预前1 w、干预后2、4、6 w后对两组患者采用一般自我效能感量表(GSES)评估患者的能力和信心,干预6 w后统计焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、护士用住院患者观察量表(NOSIE)评分以及满意度和意外事件发生率。结果干预后两组患者一般自我效能感明显提高,差异有统计学意义(P<0.01);焦虑、抑郁评分观察组明显优于对照组,差异有统计学意义(P<0.01);观察组NOSIE中积极因素(社会功能、社会兴趣、个人卫生项目)评分高于对照组,消极因素(激惹、迟缓、抑郁)项目得分低于对照组,差异有统计学意义(P<0.01);观察组患者及家属满意度高于对照组,差异有统计学意义(P<0.01);观察组意外事件发生率低于对照组,差异有统计学意义(P<0.01)。结论罗伊适应模式联合自我效能,能明显改善住院情感障碍患者的焦虑、抑郁状态,增强患者应对各种刺激的能力,显著改善患者社会功能,提高社会适应能力和自我管理能力,提高患者及家属满意度,降低意外事件的发生率。Objective To explore the application effect of Roy adaptive nursing model combined with self-efficacy in female patients with affective disorder.Methods A total of 100 patients with emotional disorders were selected and divided into control group and observation group according to the length of stay,50 cases in each group.The control group was given routine psychiatric nursing,while the observation group was given Roy adaptive nursing model combined with self-efficacy on the basis of routine nursing.The General Self-Efficacy Scale(GSES)was used to evaluate the ability and confidence of patients in the two groups 1 week before intervention and 2 weeks,4 weeks and 6 weeks weeks after intervention.After 6 weeks of intervention,the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Nurse's Observation Scale Inpatient Evaluation(NOSIE),satisfaction and accident incidence were analyzed.Results After intervention,the general self-efficacy of the two groups was significantly improved,and the difference was statistically significant(P<0.01).The scores of anxiety and depression in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.01).The scores of positive factors(social function,social interest and personal hygiene items)in NOSIE in the observation group were higher than those in the control group,while the scores of negative factors(irritability,delay and depression)were lower than those in the control group,and the differences were statistically significant(P<0.01).The satisfaction of patients and their families in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.01).The incidence of accidents in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.01).Conclusions Roy adaptation model combined with self-efficacy can significantly improve the anxiety and depression of hospitalized patients with

关 键 词：罗伊适应模式 自我效能 情感障碍患者 

分 类 号：R473.74[医药卫生—护理学]