罗伊适应模式在多发性骨髓瘤化疗患者护理中的应用

Application of Roy's Adaptation Model in Nursing of Patients with Multiple Myeloma Undergoing Chemotherapy

目的探讨罗伊适应模式在多发性骨髓瘤(MM)化疗患者护理中的应用效果。方法选取2020年1月至2021年1月在我院行化疗治疗的88例MM患者,随机分为观察组(n=44)和对照组(n=44)。对照组采用常规护理干预,观察组采用罗伊适应模式,均持续干预至患者出院。比较两组患者干预前后心理健康水平[焦虑自评量表(SAS)、抑郁自评量表(SDS)]及化疗期间不良反应发生情况。结果干预后,两组的SAS评分、SDS评分均低于干预前,且观察组的SAS、SDS评分低于对照组(P<0.05)。观察组化疗期间不良反应发生率为6.82%,明显低于对照组的22.73%(P<0.05)。结论罗伊适应模式在多发性骨髓瘤化疗患者护理中的应用效果显著,可明显改善患者的负性情绪,降低其化疗期间并发症发生率。

Objective To analyze the application effect of Roy's adaptation model in nursing of patients with multiple myeloma(MM)undergoing chemotherapy.Methods 88 MM patients undergoing chemotherapy in our hospital from January 2020 to January 2021 were selected and randomly divided into observation group(n=44)and control group(n=44).The mental health levels[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)]before and after intervention,and the adverse reactions during chemotherapy were compared between the two groups.Results After intervention,the SAS score and SDS score of the two groups were lower than those before intervention,and the SAS score and SDS score of the observation group were lower than those of the control group(P<0.05).The incidence of adverse reactions during chemotherapy in the observation group was 6.82%,significantly lower than 22.73%in the control group(P<0.05).Conclusions Roy's adaptation model in nursing of MM patients undergoing chemotherapy has significant application effect,which can effectively improve the patients'negative emotions and reduce the incidence of complications during chemotherapy.