摘要
目的探讨Roy适应模式对肝硬化并上消化道出血患者心理护理的效果。方法选取2013年1月-2014年12月收治的115例肝硬化并上消化道出血患者为研究对象,随机分为观察组和对照组,其中观察组65例,对照组50例,对照组患者采用护理常规进行心理护理,观察组在此基础上采用Roy适应模式进行心理护理。采用焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及症状自评量表(SCL-90)评分评价两组患者护理前后的心理状态,并调查患者满意度和治疗依从性。结果两组患者护理前后分别进行比较,SAS评分、SDS评分及SCL-90各因子评分均有所降低,差异均有统计学意义(对照组P<0.05,观察组P<0.001);护理后观察组患者的SAS评分、SDS评分和SCL-90各因子评分均明显低于对照组,差异有统计学意义(P<0.001);观察组的满意率和治疗依从率分别为98.5%和96.9%,对照组的满意率和治疗依从率分别为70.0%和32.0%,两组相比差异有统计学意义(均P<0.001)。结论 Roy适应模式可有效改善肝硬化并上消化道出血患者的焦虑、抑郁,有利于增强患者克服疾病的信心,提高患者对治疗的依从性和满意率。
OBJECTIVE To investigate the clinic performance of Roy adaptation model of psychological nursing applied in liver cirrho-sis patients with upper gastrointestinal hemorrhage. METHODS 115 cases of liver cirrhosis with upper gastrointestinal hemorrhage inour hospital from January 2013 to December 2014 were randomly selected and divided into two groups：control group（50 cases） andobservation group（65 cases）. The control group was treated with routine psychological nursing and the observation group was treatedon the basis of Roy adaptation mode of psychological nursing. The self rating anxiety scale（SAS） score,self rating depressionscale（SDS） score and symptom self rating scale（SCL-90） score were used to evaluate the psychological status of each patient in twogroups before and after nursing,and the satisfaction of patients and their treatment compliance were investigated.RESULTS Theeach factor scores of the SAS,SDS and SCL-90 of the two groups after nursing significantly decreased to some extent compared withthe same scores before nursing（the control group P〈0.05,the observation group P〈0.001）. The each factor scores of the SAS,SDSand SCL-90 of the observation group were obviously lower than those of the control group after nursing（P〈0.001）. The satisfactionrate and treatment compliance rate of the observation group were 98.5% and 96.9% respectively. The rates of control group were70.0% and 32.0%. There were significant difference both in satisfaction rate and treatment compliance rate between two groups（P〈0.001）.CONCLUSION Roy adaptation model can significantly improve the psychological state of liver cirrhosis patients with uppergastrointestinal hemorrhage including their anxiety,depression and so on,help to enhance the patient＇s confidence to overcomethe disease and improve satisfaction rate and treatment compliance.
出处
《中国初级卫生保健》
2015年第7期117-119,111,共4页
Chinese Primary Health Care
关键词
肝硬化
上消化道出血
ROY适应模式
心理护理
liver cirrhosis
upper gastrointestinal hemorrhage
Roy adaptation model
psychological nursing
