Roy适应模式对糖尿病肾病腹膜透析患者自我感受负担的影响

Effect of Roy Adaptation Model on Self-Perceived Burden of Peritoneal Dialysis Patients With Diabetes Nephropathy

目的探讨Roy适应模式对糖尿病肾病(diabetes nephropathy,DN)腹膜透析患者自我感受负担、自我护理能力量表(exercise of self-care agency,ESCA)评分的影响。方法采用随机数字表法将2021年1月—2022年1月解放军陆军第七十三集团军医院收治的56例DN腹膜透析患者分入两组(各28例)。对照组行常规护理干预,观察组行Roy适应模式干预。比较两组患者护理满意程度,护理前、护理后的自我感受负担量表(self-perceived burden scale,SPBS)评分、ESCA评分、生活质量综合评定问卷-74(generic quality of life inventory-74,GQOLI-74)评分变化。结果护理后两组患者情感因素、身体因素、经济负担等SPBS维度评分及总分均下降,且观察组低于对照组,差异有统计学意义(P<0.05);护理后两组患者自我护理技能、自我护理责任、自我概念、健康知识等维度ESCA评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);护理后两组患者躯体功能、心理功能、社会功能、物质生活等GQOLI-74维度评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度(96.43%)高于对照组(71.43%),差异有统计学意义(P<0.05)。结论对DN腹膜透析患者实施Roy适应模式护理可有效降低其自我感受负担,提高自我护理能力,且护理满意度高。

Objective To explore the influence of Roy adaptation mode on the self-perceived burden and exercise of self-care agency(ESCA)score of peritoneal dialysis patients with diabetes nephropathy(DN).Methods A total of 56 patients with DN peritoneal dialysis admitted to Army 73rd Group Military Hospital from January 2021 to January 2022 were randomly divided into two groups.The control group was given routine nursing intervention,and the observation group was given Roy adaptive model intervention.The nursing satisfaction,self-perceived burden scale(SPBS)score,ESCA score and generic quality of life inventory-74(GQOLI-74)score before and after nursing were compared between the two groups.Results After nursing,the SPBS dimension scores and total scores of emotional factors,physical factors and economic burden of patients in both groups decreased,and the indexes in the observation group were lower when compared with the control group,and the differences were statistically significant(P<0.05).After nursing,the ESCA scores of self-care skills,self-care responsibility,self-concept,health knowledge and other dimensions of patients in both groups increased,and the indexes in the observation group were higher when compared with the control group,and the differences were statistically significant(P<0.05).After nursing,GQOLI-74 scores of physical function,psychological function,social function,material life and other dimensions of patients in both groups increased,and the scores in the observation group were higher when compared with the control group,and the differences were statistically significant(P<0.05).Nursing satisfaction in observation group(96.43%)was higher compared with control group(71.43%),and the difference was statistically significant(P<0.05).Conclusion Roy adaptive mode nursing for DN peritoneal dialysis patients can effectively reduce their self feeling burden,improve their self-care ability,and has high nursing satisfaction.