罗伊适应模式干预模式对膝关节置换术患者心理韧性及膝关节功能的影响  

Effect of Roy adaptation model intervention mode on mental toughness and knee function in patients with knee replacement

作　　者：韩丽[1] 刘佳[2] 陈雅芬[3] HAN Li;LIU Jia;CHEN Yafen(Department of Community Medical Care,Beijing Jishuitan Hospital,Beijing 100035,China;Operating Room,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Special Needs International Medical,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院社区医学保健科,北京100035 [2]北京积水潭医院手术室,北京100035 [3]北京积水潭医院特需国际医疗部,北京100035

出　　处：《中国医药导报》2023年第36期173-176,共4页China Medical Herald

摘　　要：目的 探讨罗伊适应模式(RAM)在膝关节置换术患者中的应用效果。方法 纳入2021年1月至2022年2月就诊于北京积水潭医院的膝关节置换术患者100例,通过随机数字表法分组。对照组(50例)采用常规护理,RAM组(50例)在常规护理基础上予以RAM干预。观察两组心理韧性、功能锻炼依从性、膝关节功能。结果 干预后,两组坚韧性、力量性、乐观性评分高于干预前,且RAM组高于对照组,差异有统计学意义(P<0.05)。干预后,两组心理相关依从性、主动学习相关依从性、身体相关依从性评分高于干预前,且RAM组高于对照组,差异有统计学意义(P<0.05)。干预后,两组美国膝关节协会评分高于干预前,且RAM组高于对照组,差异有统计学意义(P<0.05)。结论 膝关节置换术患者采用RAM干预模式,可帮助改善心理韧性及功能锻炼依从性,并促进术后膝关节功能恢复。Objective To explore the application effect of Roy adaptation model(RAM)in knee replacement patients.Methods A total of 100 patients with knee replacement in Jishuitan Hospital from January 2021 to February 2022 were included and grouped by random number table method.Control group(50 cases)received routine nursing,RAM group(50 cases)received RAM intervention based on routine nursing.The mental toughness,functional exercise compliance,and knee joint function of the two groups were observed.Results After intervention,the scores of fortitude,strength and optimism in two groups were higher than before intervention,and those of RAM group were higher than those of control group,and the differences were statistically significant(P<0.05).After intervention,the scores of psychological compliance,active learning compliance and physical compliance in the two groups were higher than before intervention,and those of the RAM group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the score of American Knee Society score in both groups was higher than before intervention,and those of the RAM group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion RAM intervention mode can help improve mental toughness and compliance of functional exercise,and promote functional recovery of knee joint after knee replacement.

关 键 词：罗伊适应模式 膝关节置换术 功能锻炼 关节功能 

分 类 号：R473.6[医药卫生—护理学]