罗伊适应模式对TP方案化疗晚期非小细胞肺癌患者心理状态、生活质量的影响

The Effect of Roy Adaptation Model on the Psychological State and Quality of Life in Patients with Advanced Non-small Cell Lung Cancer in TP Chemotherapy

目的:分析罗伊适应模式对TP方案化疗晚期非小细胞肺癌患者心理状态、生活质量的影响。方法:选取2019年1月-2020年1月赣南医学院第一附属医院肿瘤科接受TP方案化疗的晚期非小细胞肺癌(NSCLC)患者80例为研究对象,用随机数字表法分为参照组与研究组,每组40例。参照组予以常规护理,研究组则常规护理的基础上给予罗伊适应模式干预。比较两组的心理状态、生活质量,并统计两组患者的并发症发生情况。结果:护理后,两组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于本组护理前,且研究组均低于参照组,差异均有统计学意义(P<0.05);研究组护理后的躯体功能、角色功能、认知功能、情绪功能、社会功能评分与总体生活质量评分均高于参照组,差异均有统计学意义(P<0.05);研究组的并发症发生率(32.50%)低于参照组(85.00%)(P<0.05);研究组的护理满意度(95.00%)高于参照组(77.50%)(P<0.05)。结论:对于晚期NSCLC患者,采用罗伊适应模式进行干预,有助于改善患者抑郁、焦虑的心理状态,提升患者的生活质量,并减少化疗后并发症,提高护理满意度,值得在晚期非小细胞肺癌患者中推广。

Objective:To analyze the influence of Roy adaptation model on the psychological state and quality of life in patients with advanced non-small cell lung cancer with TP chemotherapy.Method:A total of 80 patients with advanced non-small cell lung cancer(NSCLC)who received TP chemotherapy in Department of Oncology of the First Affiliated Hospital of Gannan Medical College from January 2019 to January 2020 were selected as the research objects.They were divided into the reference group and the study group by random number table method,with 40 cases in each group.The reference group was given routine care,and the study group was given Roy adaptation model intervention on the basis of routine care.The psychological status and quality of life of the two groups were compared,and the complications of the two groups of patients were counted.Result:After nursing,the scores of self rating depression scale(SDS)and self rating anxiety scale(SAS)in the two groups were lower than those before nursing,and those in the study group were lower than those in the reference group(P<0.05);the scores of physical function,role function,cognitive function,emotional function,social function and overall quality of life in the study group were higher than those in the reference group(P<0.05);the incidence of complications in the study group(32.50%)was lower than that in the reference group(85.00%)(P<0.05);the nursing satisfaction of the study group(95.00%)was higher than that of the reference group(77.50%)(P<0.05).Conclusion:For patients with advanced NSCLC,the use of Roy adaptation model for intervention can help improve the mental state of depression and anxiety,improve the quality of life of patients,reduce complications after chemotherapy,and improve nursing satisfaction.It is worthy to be popularized in patients with advanced non-small cell lung cancer.