Roy适应模式护理在膀胱癌患者术后化疗期间的效果  

Effect of Roy Adaptation Mode Nursing During Postoperative Chemotherapy in Patients with Bladder Cancer

作　　者：韩晶晶 王丽娜 杨方方 王青兵[1] 王振立[1] HAN Jingjing;WANG Lina;YANG Fangfang;WANG Qingbing;WANG Zhenli(The Fifth Ward of Surgical Department,Anyang Cancer Hospital,Zhengzhou 455000,Henan,China)

机构地区：[1]安阳市肿瘤医院外科五病区,河南安阳455000

出　　处：《中国药物滥用防治杂志》2025年第2期353-356,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20191285)。

摘　　要：目的:分析Roy适应模式护理在膀胱癌术后化疗期间中的价值及对患者负性情绪的影响。方法:选取2022年4月—2024年1月我院收治的116例膀胱癌术后行灌注化疗患者为研究对象。以随机数字表法分为观察组与对照组,各58例,两组均行吡柔比星灌注化疗,对照组采取常规护理,观察组采取Roy适应模式护理。比较两组膀胱灌注依从性、负性情绪、应对方式、自我效能。结果:观察组膀胱灌注依从率为94.83%,高于对照组的81.03%,差异有统计学意义(P<0.05);观察组干预后SAS、SDS、屈服、回避评分低于对照组,面对、执行力、策略性评分高于对照组,差异有统计学意义(P<0.05);两组应变力、动机性评分比较,差异无统计学意义(P>0.05)。结论:对膀胱癌术后灌注化疗患者应用Roy适应模式护理能有效提高患者灌注化疗的依从性,并改善负性情绪积极面对疾病。Objective:To analyze the value of Roy adaptation model nursing during postoperative chemotherapy of bladder cancer and its effect on patients'negative emotions.Methods:A total of 116 patients with bladder cancer who underwent postoperative perfusion chemotherapy in our hospital from April 2022 to January 2024 were selected as the study subjects.They were divided into observation group and control group by random number table method,with 58 patients in each group.Both groups were treated with pirarubicin perfusion chemotherapy.The control group was given routine nursing,and the observation group was given Roy adaptation model nursing.Bladder perfusion compliance,negative emotion,coping style and self-efficacy were compared between the two groups.Results:The bladder perfusion compliance rate of the observation group was 94.83%,which was higher than 81.03%of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of SAS,SDS,yield and avoidance in the observation group were lower than those in the control group,and the scores of confrontation,execution and strategy were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the scores of strain and motivation between the two groups(P>0.05).Conclusion:The application of Roy adaptation model nursing in patients with bladder cancer after perfusion chemotherapy can effectively improve the compliance of patients with perfusion chemotherapy,and improve the negative emotions and positive face of the disease.

关 键 词：Roy适应模式护理 膀胱癌术 灌注化疗 负性情绪 

分 类 号：R473.73[医药卫生—护理学]