基于Roy适应模式的干预在青中年原发性肝癌患者中的应用效果  

Application effect of Roy adaptation model-based intervention in young and middle-aged patients with primary liver cancer

作　　者：史正艳 李爱改 白金丽 SHI Zhengyan;LI Aigai;BAI Jinli(Ward I,Department of Hepatobiliary Pancreatic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院肝胆胰外科一病区,郑州4500000

出　　处：《癌症进展》2024年第20期2316-2320,共5页Oncology Progress

摘　　要：目的探讨基于Roy适应模式的干预在青中年原发性肝癌患者中的应用效果。方法根据干预方式的不同将84例青中年原发性肝癌患者分为观察组(n=43)和对照组(n=41),对照组患者接受常规干预,观察组患者接受基于Roy适应模式的干预。比较两组患者的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、希望水平[Herth希望量表(HHI)]、癌因性疲乏程度[Piper疲乏修订量表(PFS-R)]、生活质量[肝癌患者生命质量测定量表(QOL-LC)]和不良反应发生情况。结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者HHI各维度评分均高于本组干预前,PFS-R各维度评分均低于本组干预前,观察组患者HHI各维度评分均高于对照组,PFS-R各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者QOL-LC各维度评分和总分均高于本组干预前,观察组患者QOL-LC各维度评分和总分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的不良反应总发生率为9.30%,低于对照组患者的29.27%,差异有统计学意义(P﹤0.05)。结论基于Roy适应模式的干预可有效缓解青中年原发性肝癌患者的负性情绪,提高希望水平,改善癌因性疲乏程度,从而提高生活质量。Objective To explore the application effect of Roy adaptation model-based intervention in young and middle-aged patients with primary liver cancer.Method A total of 84 young and middle-aged patients with primary liver cancer were divided into observation group(n=43)and control group(n=41)according to different intervention methods.Patients in the control group received routine intervention,while patients in the observation group received Roy adaptation model-based intervention.The negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],hope level[Herth hope index(HHI)],cancer-related fatigue degree[revised Piper fatigue scale(PFS-R)],quality of life[quality of life scale for liver cancer(QOL-LC)],and incidence of adverse reactions were compared between the two groups.Result After intervention,the SAS,SDS scores in both groups were lower than those before intervention,the SAS,SDS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of HHI in both groups were higher than those before intervention,and the scores of dimensions of PFS-R were lower than those before intervention,the scores of dimensions of HHI in observation group were higher than those in control group,and the scores of dimensions of PFS-R were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of QOL-LC and total score in both groups were higher than those before intervention,the scores of dimensions of QOL-LC and total score in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in observation group was 9.30%,which was lower than 29.27%in control group,and the difference was statistically significant(P<0.05).Conclusion Roy adaptation model-based intervention can effectively alleviate negative emotions,improve hope leve

关 键 词：基于Roy适应模式的干预 青中年 原发性肝癌 焦虑 抑郁 癌因性疲乏 

分 类 号：R735.7[医药卫生—肿瘤]