Roy适应模式护理对恶性淋巴瘤患者化疗期疲乏和创伤后成长的影响

Effect of Roy adaptation model-based intervention on fatigue and posttraumatic growth in patient with malignant lymphoma during chemotherapy

目的探讨Roy适应模式护理对恶性淋巴瘤患者化疗期疲乏和创伤后成长的影响。方法将110例行化疗的恶性淋巴瘤患者按照随机数字表法分为试验组55例和对照组55例,对照组给予常规护理,试验组实施基于Roy适应模式的护理措施。采用中文版创伤后成长量表(PTGI)评价2组患者干预前后创伤后成长水平,采用Piper疲乏修订量表(PFS-R)评价2组患者干预前后疲乏程度。结果干预前2组患者PGTI总分及各维度得分比较差异无统计学意义(P>0.05),干预后试验组PTGI量表中与他人的关系、个人力量维度得分及总分分别为(21.49±4.43)、(17.78±4.17)、(73.16±8.85)分,显著高于对照组的(18.44±4.31)、(16.34±2.77)、(66.63±6.68)分,差异有统计学意义(t值为3.652、2.138、4.369,P<0.05)。干预前2组患者PFS-R总分及各维度得分比较差异无统计学意义(P>0.05),干预后试验组感觉、情绪、认知等维度得分和总分分别为(2.43±0.73)、(4.27±0.61)、(2.44±0.45)、(3.89±0.77)分,显著低于对照组的(4.48±0.72)、(4.90±0.75)、(3.45±0.53)、(4.60±0.57)分,差异有统计学意义(t值为4.825~14.822,P<0.05)。结论基于Roy适应模式的护理干预可以有效减轻恶性淋巴瘤患者化疗期疲乏程度和提高患者创伤后成长水平。

Objective To investigate the effect of Roy adaptation model-based intervention on fatigue and posttraumatic growth in patient with malignant lymphoma during chemotherapy.Methods A total of 110 malignant lymphoma patients who undergoing chemotherapy were randomly divided into study group and control group,with 59 cases in each group.The control group received routine nursing method,the study group carried out Roy adaptation model-based intervention.The post-traumatic growth inventorynventory(PTGI)and the revised piper fatigue scale(PFS-R)was evaluated the effect of intervention,respectively.Results Before and after chemotherapy,the new possibilities,relating to others,personal strength,appreciation of life,spiritual change and total PTGI scores were(8.90±1.00),(17.27±3.66),(15.11±2.63),(15.23±4.19),(4.16±0.87),(60.45±6.49)and(9.64±1.38),(21.49±4.43),(17.78±4.17),(19.31±5.82),(4.95±0.89),(73.16±8.85),in addition,those index scores in the control group were[(8.74±1.40),(17.13±3.86),(15.46±3.55),(15.80±2.81),(4.26±1.15),(61.43±6.93)and(9.14±1.86),(18.44±4.31),(16.34±2.77),(17.97±3.18),(4.74±1.07),(66.63±6.68)].There was no significant difference in PTGI scores between study group and control group(P>0.05),however,relating to others,personal strength and total PTGI scores were significantly increased in the study group compared to the control group(P<0.05).Before and after chemotherapy,the sensory,emotional,knowledge,behavioral and total PFS-R scores were(5.68±0.82),(4.80±1.06),(4.27±0.81),(4.16±0.47),(5.05±0.74)and(2.43±0.73),(4.27±0.61),(2.44±0.45),(4.07±0.73),(3.89±0.77),in addition,those index scores in the control group were[(5.73±1.23),(4.85±0.64),(4.37±0.74),(4.17±0.38),(4.98±0.82)and(4.48±0.72),(4.90±0.75),(3.45±0.53),(4.23±0.81),(4.60±0.57)].There was no significant difference in PFS-R scores between study group and control group(P>0.05),however,sensory,emotional,knowledge and total PFS-R scores were significantly decreased in the study group compared to the control group(P<0.05).Conclusion Roy adaptation model-based intervention can effectively alleviate fatigue and promote post-traumatic growth in patient with malignant lymphoma during chemotherapy.