罗伊适应护理模式对闭角型青光眼病人围术期心理韧性、应对方式及生活质量的影响

Effect of Roy′s adaptive nursing model on the perioperative psychological resilience, coping style and quality of life in patients with angle-closure glaucoma

目的:观察罗伊适应护理模式对闭角型青光眼病人围术期心理韧性、应对方式及生活质量的影响。方法:将60例闭角型青光眼病人随机分为2组,观察组(30例)给予罗伊适应护理模式干预至出院,对照组(30例)给予常规眼科护理。应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、Connor-Davidson韧性量表、医学应对方式问卷(MCMQ)、健康调查简表(SF-36)评价病人焦虑抑郁程度、心理韧性、应对方式、生活质量,并对比2组病人干预前后SAS评分、SDS评分、心理韧性、应对方式、SF-36评分的情况。结果:观察组病人干预后SAS、SDS评分均低于对照组(P<0.01),坚韧、自强、乐观、心理韧性总评分高于对照组(P<0.01),面对评分高于对照组(P<0.01),回避、屈服评分低于对照组(P<0.01),SF-36量表各评分均高于对照组(P<0.01)。结论:罗伊适应护理模式可降低闭角型青光眼病人围术期刺激源强度,促进适应性反应,提高病人心理韧性,改善应对方式和生活质量。

Objective:To observe the effects of Roy′s adaptive nursing model on perioperative psychological resilience,coping style and quality of life of patients with angle closure glaucoma. Methods:Sixty patients with angle closure glaucoma were randomly divided into the control group and observation group(30 cases each group).The observation group were treated with Roy′s adaptive nursing intervention until discharge,and the control group were treated with routine ophthalmic nursing.The Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Connor-Davidson Resilience Scale,Medical Coping Style Questionnaire(MCMQ) and MOS item short from health survey(SF-36) were used to evaluate the degree of anxiety and depression,psychological resilience,coping style and quality of life of all patients.The differences of the SAS score,SDS score,psychological resilience,coping style and SF-36 were compared between two groups before and after intervention. Results:The scores of SAS and SDS in observation group after intervention were lower than those in control group( P <0.05),the scores of resilience,self-improvement,optimism and total score of psychological toughness in observation group were higher than those in control group( P <0.01),the face score in observation group was higher than that in control group( P <0.05),the avoidance and yield scores in observation group were lower than those in control group( P < 0.05 ),and the score of each item of SF-36 in observation group were higher than those in control group( P <0.01). Conclusions:Roy′s adaptive nursing model can reduce the intensity of perioperative stimulus source,promote adaptive response,and improve patients′psychological resilience,coping style and quality of life in patients with angle closure glaucoma.