基于罗伊适应模式对老年烧伤患者护理的干预研究

Study on nursing intervention of elderly burn patients based on Roy’s adaptation model

目的探究基于罗伊适应模式对老年烧伤患者护理价值。方法选取2020年1月至2021年12月右江民族医院附属医院烧伤整形与创面修复外科老年烧伤患者84例,以随机数字表法将其分为A组和B组,各42例。A组实施常规护理,B组在A组基础上实施基于罗伊适应模式的护理。比较两组血清炎症因子水平、情绪状态、疼痛程度、睡眠质量及并发症发生情况。结果护理后,两组降钙素原、C反应蛋白水平均低于护理前,且B组低于A组(P<0.05);两组焦虑自评量表、抑郁自评量表评分低于护理前,且B组低于A组(P<0.05);两组疼痛视觉模拟评分法、匹兹堡睡眠质量指数评分低于护理前,且B组低于A组(P<0.05);两组简易生活质量量表评分高于护理前,且B组高于A组(P<0.05);B组并发症总发生率低于A组(P<0.05)。结论对老年烧伤患者应用基于罗伊适应模式的护理干预,效果理想。

Objective To explore the study on nursing intervention of elderly burn patients based on Roy’s adaptation model.Methods A total of 84 elderly burn patients with burn plastic surgery and wound repair in the Department of Burn Plastic Surgery and Wound Repair,Affiliated Hospital of Youjiang Medical College for Nationalities from January 2020 to December 2021 were selected.They were divided into group A and group B by random number table method,with 42 cases in each group.Group A received routine care,and group B received care based on Roy’s adaptation model on the basis of group A.Serum inflammatory factor levels,emotional state,pain degree,sleep quality,and complications were compared between the two groups.Results After nursing,the levels of procalcitonin and C-reactive protein in two groups were lower than before nursing,and those of the group B were lower than group A(P<0.05);the scores of self-rating anxiety scale and self-rating depression scale in two groups were lower than before nursing,and those of the group B was lower than group A(P<0.05).The scores of visual simulation of pain and Pittsburgh sleep quality index in two groups were lower than before nursing,and group B was lower than group A(P<0.05);the score of simple quality of life scale in two groups was higher than that before nursing,and group B was higher than group A(P<0.05);the total incidence rate of adverse effect of group B was lower than that of group A(P<0.05).Conclusion The nursing intervention based on Roy’adaptation model is applied to the elderly burn patients,and the effect is ideal.