以Roy适应模式为基础的健康行为训练对抑郁症患者的效果

Effect of health behavior training based on Roy adaptation model on the patients with depression

目的 探讨Roy适应模式对抑郁症患者健康行为训练的效果.方法 将90例患者随机分为干预组（45例）和对照组（45例）.干预组以Roy适应模式为基础健康行为训练8周,对照组给予常规治疗护理,予Zung抑郁自评量表（SDS）、汉密尔顿抑郁量表（24项,HAMD）和简易应对方式问卷（SCSQ）评定患者抑郁状态,WHO生存质量测定量表简表（WHOQOL-BREF）评定生活质量满意度.结果干预组SDS、HAMD评分显著低于对照组（P〈0.01）,SCSQ（积极、消极）积极评分显著高于对照组,消极评分低于对照组,WHOQOL-BREF评分（心理、生理、社会关系领域）显著高于对照组（P〈0.05）.环境领域差异无统计学意义（P〉0.05）.结论 运用Roy适应模式进行健康行为训练,可以促进抑郁症的有效适应,改善应对方式和抑郁状态,提高生活质量.

Objective To explore the Roy adaptation model and health behavior training on the effect of depression. Methods Ninty patients were randomly divided into research group （ n = 45） and control group （n=45）. The research group participated in Roy adaptation model and health behavior training for 8 weeks. The control group received conventional treatment and care. Two group were compare with Zung＇S self-rating depression scale （ SDS）, Hamilton Depression Rating Scale （24 items, HAMD） , Simple Coping Style Questionnaire （ SCSQ） and the WHOQOL-BREF scores. Results After nursing intervention with Roy adaptation model,the SDS,HAMD scores of intervention group were lower than that of control group in 8-week （P 〈0. 01） , the SCSQ scores （positive） of intervention group were higher than that of control group, while the negative score of intervention group were lower than that of control group in 8-week, and the WHOQOL-BREF scores of intervention group were higher than control group （ P 〈 0. 05 ）. No significant difference in the environmental field （ P 〉 0. 05）. Conclusions Application Roy adaptation and health behavior training model in depressed inpatients can improve the quality of life and improve the coping style.