罗伊适应模式对肺癌患者术后生活质量的影响

Effect of Roy adaptation model on quality of life in patients with lung cancer after surgery

目的探讨罗伊适应模式对肺癌患者术后生活质量的影响。方法将2012年3月—2015年7月来我院就诊的178例肺癌术后患者,随机分为试验组85例和对照组93例;对照组患者按护理常规进行护理,试验组在常规护理基础上给予罗伊适应模式护理干预;出院时分别比较两组患者住院适应性、治疗依从性、病人满意度及患者生活质量评分。结果试验组住院适应率为87.1%(74例),对照组住院适应率为66.7%(62例),两组差异有显著性(P<0.01);试验组治疗依从性优良率为88.2%(75例)、对照组治疗依从性优良率72.0%(67例),两组差异有显著性(P<0.01);试验组患者满意度为89.4%(76例),高于对照组患者满意度73.1%(68例),两组差异有显著性(P<0.01);试验组生活质量评分,总体健康得分(74.1±8.3)高于对照组(56.7±5.9),且差异有统计学意义(P<0.01)。结论罗伊适应模式护理干预,可以提高肺癌患者手术后的住院适应性、治疗依从性及病人满意度,显著改善患者生活质量,在临床推广罗伊适应模式护理干预具有现实意义。

Objective To investigate the effect of Roy adaptation model on quality of life in patients for lung cancer af-ter surgery. Methods 1 78 cases of patients with lung cancer after surgery operation were randomly divided into observation groups （85 cases）and control groups （93 cases）.The control group was treated with routine nursing care and the observation group was treated on the basis of routine nursing care plus Roy adaptation model nursing interventions.When the two groups were compared in patients hospitalized and discharged adaptability,treatment compliance,patient satisfaction and patient quality of life score. Results Hospitalization adaptation in the observation group was 87.1 % （74 cases）and control group was 66.7%（67 cases）.There was statistically significant difference between two groups （P 〈0.01 ）;Excellent treatment compliance of ob-servation group was 88.2% （75 cases）and control group was 72.0% （67 cases）.There was statistically significant difference between two groups （P 〈0.01 ）;the observation group patient satisfaction were 89.4% （76 cases）,it was higher than 73.1 %（68 cases）of control group.There was statistically significant difference between two groups （P 〈0.01 ）;quality of life in gen-eral health score （74.1 ±8.3）in the observation group was higher than that of control group （56.7 ±5.9）,and there was sta-tistically significant difference between two groups （P 〈0.01 ）. Conclusion Roy adaptation model nursing intervention may improve the adaptability hospitalized the patients with lung cancer after surgery,treatment compliance and the patient satisfac-tion,and significantly improve the quality of life of patients.It is worthy of promotion clinically.