罗伊适应模式联合结构式团体心理干预在颌面创伤患者中的应用  

Application of Roy Adaptation Model Combined with Structural Group Psychological Intervention in Maxillofacial Trauma Patients

作　　者：赵娣 闻璐璐 张敏 ZHAO Di;WEN Lulu;ZHANG Min(Department of Stomatology,Fuyang People's Hospital,Fuyang 236000,Anhui,China)

机构地区：[1]阜阳市人民医院口腔科,安徽阜阳236000

出　　处：《中国美容医学》2024年第9期156-160,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨罗伊适应模式联合结构式团体心理干预在颌面创伤患者中的应用。方法:选取2020年1月-2023年7月阜阳市人民医院口腔科收治的颌面创伤患者62例作为此次研究的研究对象,按照随机数表法分为A组(常规护理干预,31例)和B组(罗伊适应模式联合结构式团体心理干预,31例),均自患者入院时干预至患者出院后1个月。比较两组干预前、随访1个月后的心理弹性、医学应对、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、自我感受负担量表(Self-perceived burden scale,SPBS)、疼痛视觉模拟评分(Visual analogue scale,VAS)评分、生活质量,随访1个月后美学效果满意度。结果:与干预前比,随访1个月后两组患者坚韧、乐观、自强各个维度及心理弹性总分、面对评分、生活质量各个维度评分及总分均升高,且B组高于A组;回避、屈服、PSQI、SPBS、VAS评分则均降低,且B组低于A组(P<0.05)。随访1个月后,B组美学效果总满意度高于A组(P<0.05)。结论:罗伊适应模式联合结构式团体心理干预应用于颌面创伤患者中,能够帮助提高患者的心理弹性水平,降低患者的自我感受负担感,缓解其疼痛,使其能够积极面对疾病,改善患者的睡眠质量,提升生活质量的同时还能提高患者对美学效果的满意程度。Objective To explore the application of Roy adaptation model combined with structural group psychological intervention in maxillofacial trauma patients.Methods A total of 62 patients with maxillofacial trauma admitted to Fuyang people's hospital stomatology from January 2020 to July 2023 were selected as the research objects of this study,and were divided into group A(routine nursing intervention,31 cases)and group B(Roy's adaptation model combined structural group psychological intervention,31 cases)according to random number table method,from the time of admission to 1 month after discharge.Psychological resilience,medical coping,Pittsburgh Sleep Quality Index(PSQI),self-perceived Burden Scale(SPBS),visual analogue scale of pain(VAS),quality of life before intervention and after 1 month of follow-up and aesthetic satisfaction after 1 month of follow-up were compared between the two groups.Results Compared with before intervention,after 1 month of follow-up,the total score of toughness,optimism,self-reliance and mental resilience,face score,quality of life were all increased in both groups,and the group B was higher than the group A,while the scores of avoidance,submission,PSQI,SPBS and VAS all decreased.The group B was lower than the group A(P<0.05).After 1 month of follow-up,the total satisfaction of aesthetic effect in the group B was higher than that in the group A(P<0.05).Conclusion Roy's adaptation model combined with structural group psychological intervention in maxillofacial trauma patients can help improve the level of psychological resilience of patients,reduce patients'sense of self-perceived burden,relieve their pain,enable them to positively face the disease,improve patients'sleep quality,improve quality of life,and improve patients'satisfaction with aesthetic effects.

关 键 词：颌面创伤 罗伊适应模式 结构式团体 心理干预 美学效果 满意度 

分 类 号：R473.78[医药卫生—护理学]