罗伊适应模式辅以疼痛管理应用于股骨头坏死患者的效果分析

Effect of Roy's adaptation model combined with pain management in patients with osteonecrosis of femoral head

目的 剖析将罗伊适应模式辅以疼痛管理应用于股骨头坏死患者对其疼痛程度及生存质量的影响,为这类群体的优质诊疗照护积累临床依据。方法 将本院在2015年9月至2016年8月收治的41例股骨头坏死患者视为对照组,予以常规护理;将本院在2016年9月至2017年8月收治的40例股骨头坏死患者视为研究组,在对照组常规护理基础上予以罗伊适应模式辅以疼痛管理。在干预前和干预后第7 d,对两组患者的疼痛程度、生存质量和适应性进行对比。结果 研究组干预后的VAS评分较对照组低[(2.1±0.3)分比(3.8±0.6)分],差异有统计学意义(P<0.05)。研究组干预后的躯体功能、躯体职能、总体健康、躯体疼痛、活力、社交功能、情感职能、心理健康评分分别为(78.5±4.7)、(76.4±5.1)、(72.4±5.1)、(67.4±4.8)、(64.2±4.6)、(73.5±4.7)、(79.5±6.3)、(78.3±4.1)分,高于对照组的(67.3±4.3)、(67.8±4.6)、(65.4±3.8)、(56.4±3.6)、(53.2±2.8)、(66.3±3.7)、(68.5±4.5)、(64.2±3.5)分,差异有统计学意义(P<0.05)。研究组干预后的适应性优者22例,高于对照组的16例,差异有统计学意义(P<0.05)。结论 罗伊适应模式辅以疼痛管理应用于股骨头坏死患者,能减轻患者的躯体痛感,且能提高其生存质量和适应性。

Objective To analyze the effect of Roy's adaptation model assisted by pain management on the degree of pain and quality of life in patients with osteonecrosis of femoral head,and to accumulate clinical evidence for high quality treatment and care for these groups.Methods Forty-one patients with osteonecrosis of femoral head treated in our hospital from September 2015 to August 2016 were given traditional care(control group),and 40 patients with osteonecrosis of femoral head treated in our hospital from September 2016 to August 2017 were given Roy's adaptation model assisted by pain management on the basis of traditional care(study group).Before the intervention and on the 7th day after the intervention,the pain degree,quality of life,and adaptability of the two groups were compared.Results The VAS score of the study group after intervention was lower than that of the control group[(2.1±0.3)vs.(3.8±0.6)],with statistically significant difference(P<0.05).The scores of somatic function,role physical,general health,somatic pain,vitality,social function,emotional function,and mental health in the study group were(78.5±4.7),(76.4±5.1),(72.4±5.1),(67.4±4.8),(64.2±4.6),(73.5±4.7),(79.5±6.3),(78.3±4.1),respectively,higher than(67.3±4.3),(67.8±4.6),(65.4±3.8),(56.4±3.6),(53.2±2.8),(66.3±3.7),(68.5±4.5),(64.2±3.5)in the control group,with statistically significant differences(P<0.05).After intervention,22 cases in the study group had excellent adaptability,which was higher than 16 cases in the control group(P<0.05).Conclusion For patients with osteonecrosis of femoral head,Roy's adaptation model assisted by pain management in this group can reduce the patients'somatic pain and improve their quality of life and adaptability.