罗伊适应模式护理对肺癌放化疗患者心理及生活质量的影响

Influence of Roy's adaptive model nursing on psychology and quality of life in lung cancer patients after radiotherapy and chemotherapy

目的 探讨罗伊适应模式护理对肺癌放化疗患者心理及生活质量的影响.方法 本研究选择我院2019年6月~2021年6月76例肺癌放化疗患者研究对象,随机均分为两组,对照组采用常规护理,观察组在常规护理基础上联合罗伊适应模式护理.护理前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价焦虑、抑郁等不良心理情绪,采用卡氏(KPS)评价患者健康状况,采用生活质量评价量表(SF-36)评价生活质量,记录两组患者不良反应发生情况.结果 护理后两组患者SAS评分、SDS评分均较护理前降低,且护理后组间比较显示观察组两项评分均显著低于对照组(P<0.05),护理后两组KPS评分均显著升高,且护理后观察组显著高于对照组(P<0.05);护理后两组患者SF-36量表中躯体、认知、角色、社会功能以及精力、健康状况评分均显著增加,且护理后组间比较显示观察组各项评分均显著高于对照组(P<0.05);观察组胃肠道反应、心血管系统毒性发生率显著低于对照组(P<0.05),两组骨髓抑制、放射性食管炎、放射性口腔黏膜炎、脱发差异无统计学意义(P>0.05).结论 罗伊适应模式护理能够显著改善肺癌放化疗患者焦虑、抑郁等不良心理情绪,提升生活质量以及健康状况.

Objective To explore the effects of Roy's adaptive model nursing on the psychology and quality of life of patients with lung cancer after radiotherapy and chemotherapy.Methods In this study,76 patients with lung cancer radiotherapy and chemotherapy in our hospital from June 2019 to June 2021 were selected and randomly divided into two groups.The control group was given routine nursing,and the observation group was combined with Roy's adap-tive model nursing on the basis of routine nursing.Before and after nursing,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate anxiety,depression and other adverse psychological emotions.The health status of the patients was assessed using the Karnofsky(KPS)method.The quality of life was assessed using the Quality-of-Life Scale(SF-36),to record the occurrence of adverse reactions in the two groups of patients.Results After nursing,the SAS and SDS scores in the two groups were lower than those before nursing,and the comparison be-tween the two groups after nursing showed that the two scores in the observation group were significantly lower than those in the control group(P<0.05).After nursing,the KPS scores of the two groups were significantly increased,and the observation group was significantly higher than the control group after nursing(P<0.05).After nursing,the scores of body,cognition,role,social function,energy and health status in the SF-36 scale of the two groups of patients were significantly increased,and the comparison between the two groups after nursing showed that the scores of the observa-tion group were significantly higher than those of the control group(P<0.05).The incidences of gastrointestinal reac-tions and cardiovascular system toxicity in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in bone marrow suppression,radiation esophagitis,radiation oral mucositis and alopecia between the two groups(P>0.05).Conclusion Roy's adaptive model nursing can significantly improve anxiety,depression and other negative psychological emotions in patients with lung cancer after radiotherapy and chemotherapy,and improve their quality of life and state of health.