罗伊-纽曼综合模式护理对高龄晚期前列腺癌并急性尿潴留患者的影响  

The Impact of Roy-Neuman Combined Model Nursing on Elderly Patients with Advanced Prostate Cancer and Acute Urinary Retention

作　　者：梁银连[1] 梁洁萍[1] 赖土群[1] 王雁丽 梁伟霞 LIANG Yinlian;LIANG Jieping;LAI Tuqun;WANG Yanli;LIANG Weixia(Department of Urology,Zhaoqing First People's Hospital,Zhaoqing 526000,China)

机构地区：[1]肇庆市第一人民医院泌尿外科,广东肇庆526000

出　　处：《中华灾害救援医学》2024年第10期1223-1226,共4页Chinese Journal of Disaster Medicine

基　　金：湘南学院2022年度校级科研项目医院联合项目(2022XJ202)。

摘　　要：目的分析对于高龄晚期前列腺癌并急性尿潴留患者采取罗伊—纽曼综合模式护理干预的临床价值。方法选取2018年4月至2023年4月肇庆市第一人民医院泌尿外科收治的135例高龄晚期前列腺癌伴急性尿潴留患者,采用随机数字表法分为观察组(罗伊—纽曼综合模式护理组,68例)和对照组(常规护理组,67例)。对比两组患者的焦虑、抑郁心理,希望水平、应对方式和生活质量。结果干预前,两组患者焦虑自评量表(Self-rating Anxiety Scale,SAS)评分、抑郁自评量表(Self-rating Depression Scale,SDS)评分、Herth希望量表(Herth Hope Indes,HHI)评分、医学应对问卷(Medical Coping Modes Questionnaire,MCMQ)评分、回避评分、屈服评分、生活质量问卷(Quality Of Life,QOL)评分均无显著差异(P>0.05)。干预后,两组患者SAS评分、SDS评分、回避评分、屈服评分均降低,而HHI评分、MCMQ评分、QOL评分均提高;且干预后观察组患者的SAS评分、SDS评分、回避评分、屈服评分显著低于对照组(P<0.001),HHI评分、MCMQ评分、QOL评分显著高于对照组(P<0.001)。结论对于高龄晚期前列腺癌并急性尿潴留患者,罗伊—纽曼综合模式护理干预有利于缓解患者焦虑、抑郁的不良心理,改善应对方式,提高患者希望水平和生活质量。Objective To analyze the clinical value of applying the Roy-Adaptation Model-based Newman Systems Model nursing intervention for elderly patients with advanced prostate cancer complicated by acute urinary retention.Methods A total of 135 elderly patients with advanced prostate cancer and acute urinary retention,admitted to the Department of Urology at Zhaoqing First People's Hospital from April 2018 to April 2023,were selected for this study.The patients were randomly assigned to the Roy-Adaptation Model-based Newman Systems Model nursing group(observation group,n=68)or the conventional care group(control group,n=67).Anxiety,depression,hope levels,coping strategies,and quality of life were compared between the two groups.Results During the intervention period,there were no significant difference s between the two groups in SAS scores,SDS scores,HHI scores,MCMQ confrontation scores,avoidance scores,resignation scores,or QOL scores(P>0.05).After the intervention,SAS scores,SDS scores,avoidance scores,and resignation scores decreased in both groups,while HHI scores,confrontation scores,and QOL scores increased.Additionally,post-intervention,the observation group had significantly lower SAS scores,SDS scores,avoidance scores,and resignation scores compared to the control group(P<0.001),while HHI scores,confrontation scores,and QOL scores were significantly higher in the observation group than in the control group(P<0.001).Conclusion For elderly patients with advanced prostate cancer and acute urinary retention,the Roy-Adaptation Model-based Newman Systems Model nursing intervention is effective in alleviating anxiety and depression,improving coping strategies,and enhancing hope and quality of life.

关 键 词：前列腺 尿潴留 护理 临床方案 

分 类 号：R473[医药卫生—护理学]