罗伊适应模式在乳腺癌术后患者自我形象紊乱与重塑中的应用

Application of Roy adaptation mode in post-operative self-image disorder and reformation of patients suffered from breast cancer

目的探讨罗伊适应模式在乳腺癌术后患者自我形象紊乱与重塑中的应用价值。方法将178例乳腺癌术后患者按入院顺序先后随机分为研究组90例和对照组88例。研究组患者在手术及常规治疗的同时应用罗伊适应模式护理，而对照组在手术及常规治疗的同时采用一般护理。采取护理措施后．采用调查表以问卷形式进行调查，比较2组患者术后自我形象紊乱的发生率，并分别应用生活质垃综合评定量表（GQOU-74）进行调查，评价2组患者的生活质量；采用情感量表对2组患者的心理素质进行测评，并进行比较。结果采取护理措施后，研究组患者术后自我形象紊乱的发生率显著较对照组低；研究组患者生活质量各项评分及情感量表各项评分均明显优于对照组。结论应用罗伊适应模式对乳腺癌术后患者进行护理是很好的护理模式，有利于患者的心理调适，提高心理素质，促进其有效适应，对降低患者自我形象紊乱的发生率，重塑自我形象，早日回归社会有着极其重要的促进作用。

Objective To explore the application value of Roy adaptation mode in self-image disor- der and reformation of patients suffered from breast cancer after operation. Methods 178 cases of postoperative patients suffered from breast cancer were separately divided into the experimental group （90 cases ）and the control group（88 cases） at random according to the order of hospital admission. The experimental group adopted nursing of the Roy adaptation mode based upon operation and normal treatment, while the control group received general nursing besides operation and routine treatment. The investigation was carried out using the form of questionnaires. The occurrence rate of self-image disorder, life quality by using GQOLI-74 questionnaire, psychological quality by using emotion scale were compared between the two groups. Results The occurrence rate of the self-image disorder of the patients of the experimental group was evidently lower than that of the control group after the nursing measure was taken. Scores of all items of life quality and emotional scale of the experimental group were evidently higher than those of the control group. Conclusions Applying Roy adaptation mode to nurse post-operative patients suffered from breast cancer is a very good nursing mode, it can facilitate psychological suitability, improve psychological quality and promote their effective adaptability. It has pivotal significance to lower the occurrence rate of the self-image disorder of the patients, reform the self- image and make them return to society early.