罗伊适应模式对子宫肌瘤患者负性情绪及躯体功能症状的影响

Effect of Roy adaptation model on negative mood and somatic symptoms in patients with uterine leiomyoma

目的探究罗伊适应模式应用于子宫肌瘤患者对其消极情感状态及躯体症状的影响。方法选取该院妇科于2013年4月-2015年2月收治的88例子宫肌瘤患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组各44例。其中对照组开展常规护理干预,研究组则实施罗伊适应模式展开干预。两组患者均于干预前及干预后第5天末接受焦虑自评量表(SAS)、抑郁自评量表(SDS)及躯体症状自评量表(SCL-90)测评,记录数据并做好对比。结果两组在干预前的SAS和SDS评分差异无统计学意义(t值分别为0.891、0.703,均P>0.05);干预后,研究组SAS和SDS评分均低于对照组,且差异有统计学意义(t值分别为9.089、11.427,均P<0.05)。两组患者在干预前的躯体化症状评分(敌对性、躯体化、恐怖、强迫、人际关系、偏执、抑郁、焦虑及精神病性方面)差异无统计学意义(t值分别为0.781、1.267、0.980、1.125、0.843、0.764、1.084、0.463和0.356,均P>0.05);干预后,研究组在敌对性、躯体化、恐怖、强迫、人际关系、偏执、抑郁、焦虑及精神病性方面评分均低于对照组,差异有统计学意义(t值分别为7.901、8.350、11.267、9.378、10.270、8.462、9.301、6.470和8.972,均P<0.05)。结论罗伊适应模式应用于子宫肌瘤患者,有助于减轻其焦虑、抑郁情绪,且能改善机体躯体功能症状,取得较为满意的护理成效,值得进一步推广应用。

Objective To explore the effect of Roy adaptation model on negative emotional state and somatic symptoms of patients with uterine fibroids. Methods Eighty-eight patients with uterine fibroids treated in Department of Gynecology in the hospital from April 2013 to February 2015 were selected, then they were randomly divided into study group and control group, 44 patients in each group. The patients in control group received routine nursing intervention, while the patients in study group received Roy adaptation model intervention. Self-rating Anxiety Scale （SAS）, Self-rating Depression Scale （SDS）, and Symptom Checklist-90 （SCL-90） were used to evaluate the patients in the two groups before intervention and at the end of the fifth day after intervention, the data was recorded and compared. Results Before intervention, there was no statistically significant difference in SAS and SDS scores between the two groups （t=0. 891, P〉0. 05; t=0. 703, P〉 0. 05 ） . After intervention, SAS and SDS scores in study group were statistically significantly lower than those in control group （ t = 9. 089, P〈0. 05 ; t = 11. 427, P〈0.05 ） . There was no statistically significant difference in somatic symptoms scores （ hostility, somatization, terror, compulsion, interpersonal relationship, paranoia, depression, anxiety, and psychoticism ） before intervention between the two groups （t = 0. 781, 1. 267, 0. 980, 1. 125,0. 843, 0. 764, 1. 084, 0. 463, 0. 356, P〉0. 05） . The scores of hostility, somatization, terror, compulsion, interpersonal relationship, paranoia, depression, anxiety, and psychoticism after intervention in study group were statistically significantly lower than those in control group （ t = 7. 901, 8. 350, 11. 267, 9. 378, 10. 270, 8. 462, 9. 301, 6. 470, 8. 972, P 〈 0. 05 ） . Conclusion Roy adaptation model can reduce anxiety and depression of patients with uterine fibroids and improve somatic symptoms, the nursing effect is satisfactory, which is worthy of clinical promotion and application.