罗伊适应模式干预对前列腺癌手术患者生活质量、心理状态、希望水平及心理韧性的影响

Effect of Roy’s adaptation mode intervention on quality of life,mental state,hope level and psychological resilience in patients undergoing prostate cancer surgery

目的探讨罗伊适应模式干预对前列腺癌手术患者生活质量、心理状态、希望水平及心理韧性的影响。方法采用奇偶数分组法将186例前列腺癌手术患者随机分为对照组和观察组,每组93例,对照组患者术后进行常规干预,观察组患者在对照组的基础上进行罗伊适应模式干预。比较两组患者的生活质量[癌症康复评价系统简表(CARES-SF)]、心理状态[抑郁自评量表(SDS)和焦虑自评量表(SAS)]、心理韧性[Connor-Davidson心理韧性量表(CD-RISC)]、希望水平[Herth希望量表(HHI)]以及满意度。结果干预后,两组患者CARES-SF评分均高于本组干预前,SDS、SAS评分均低于本组干预前,观察组患者CARES-SF评分高于对照组,SDS、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者CD-RISC各维度评分及总分均高于本组干预前,观察组患者CD-RISC各维度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者HHI评分和满意度均高于对照组,差异均有统计学意义(P<0.05)。结论罗伊适应模式干预可改善前列腺癌手术患者的生活质量,缓解患者的抑郁焦虑情绪,提高患者的心理韧性、希望水平及满意度。

Objective To investigate the effect of Roy’s adaptation mode intervention on quality of life,mental state,hope level and psychological resilience of patients undergoing prostate cancer surgery.Method A total of 186 surgically treated patients with prostate cancer were randomly divided into control group(n=93,received routine intervention after surgery)and observation group(n=93,received Roy’s adaptation mode intervention on the basis of the control group)by odd-even grouping method,with 93 cases in each group.The quality of life[cancer rehabilitation evaluation system-short form(CARES-SF)],mental state[self-rating depression scale(SDS)and self-rating anxiety scale(SAS)],psychological resilience[Connor-Davidson resilience scale(CD-RISC)],hope level[Herth hope index(HHI)]and satisfaction were compared between the two groups.Result After intervention,the scores of CARES-SF in both groups were higher than those before intervention,the SDS and SAS scores were lower than those before intervention,with higher CARES-SF score and lower SDS and SAS scores in observation group than those in control group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores and total scores of CD-RISC in both groups were higher than those before intervention,with higher scores in observation group than those in control group,and the differences were statistically significant(P<0.05).After intervention,the HHI score and satisfaction of observation group were significantly higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion Roy’s adaptation model intervention can improve the quality of life of patients undergoing prostate cancer surgery,relieve depression and anxiety,and improve the psychological resilience,hope level and satisfaction.