基于Roy适应模式的护理干预对保胆取石术患者的影响

The effect of nursing intervention based on Roy adaptation model on patients underwent gallbladder-preserving lithotomy

目的 探讨基于Roy适应模式的护理干预对保胆取石术患者术后自我管理行为及预后的影响。方法选取2020年6月-2021年6月医院肝胆外科收治的保胆取石术患者110例为研究对象,按组间基本特征匹配的原则将患者分为观察组和对照组,每组55例。对照组行常规健康指导,观察组实施基于Roy适应模式的护理干预,比较两组干预前后不良情绪、自我管理行为及预后情况。结果 护理干预后,观察组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、术后疼痛评分(VAS)低于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组自我管理行为总评分高于对照组,观察组首次排气时间、首次下床活动时间、住院时间短于对照组,观察组并发症发生率低于对照组,组间比较差异均有统计学意义(P<0.05)。结论 基于Roy适应模式的护理干预可减轻保胆取石术患者围手术期不良情绪,提高患者自我管理能力,降低患者术后并发症,促进患者术后康复。

Objective To explore the effect of nursing intervention based on Roy adaptation model on postoperative self-management behavior and prognosis of patients underwent gallbladder-preserving lithotomy.Methods From June 2020 to June 2021, 110 cases of patients who underwent gallbladder-preserving lithotomy in the department of hepatobiliary surgery in the hospital were selected as the research objects. According to the principle of basic feature matching between groups, they were divided into an observation group and a control group, with 55 cases in each group. The control group received routine health guidance, and the observation group received nursing intervention based on Roy adaptation model. The adverse mood, self-management behavior and prognosis of the two groups were compared before and after intervention. Results After nursing intervention, the scores of Hamilton Anxiety Scale(HAMA), Hamilton Depression Scale(HAMD) and Visual Analogue Scale(VAS)in the observation group were lower than the control group, the dif ferences were statistically significant(P<0.05).After nursing intervention, the total score of self-management behavior in the observation group was higher than the control group, the first exhaust time, the first time to get out of bed and the length of hospitalization in the observation group was shorter than the control group, the incidence of complications in the observation group was lower than the control group, the differences were statistically significant(P<0.05). Conclusion Nursing intervention based on Roy adaptive model could reduce the adverse mood of patients during perioperative period of gallbladder lithotomy, improve their self-management ability, reduce postoperative complications and promote postoperative rehabilitation.