罗伊—纽曼综合模式护理对前列腺癌患者希望水平的影响分析

Effect of nursing of Roy-Neuman comprehensive model on the hope level of prostate cancer patients

目的 探讨前列腺癌患者接受罗伊—纽曼综合模式护理后,其希望水平和疼痛症状的改善情况。方法 本研究的对象为南通市肿瘤医院收治的100例前列腺癌患者(收治时间为2020年1月至2023年1月),按随机数字表法将患者分为2组,对照组(50例,接受常规护理)和观察组(50例,接受罗伊—纽曼综合模式护理)。比较2组在干预前、干预1个月和干预3个月后的希望水平、疼痛症状、疾病应对方式、生存质量,以及干预期间的并发症发生率。结果 组内中文版Herth希望量表、疼痛视觉模拟评分法、医学应对问卷和生存质量量表评分经对比,2组在干预1个月和3个月后的评分均较干预前更优(P均<0.05);组间上述评分经对比,观察组均优于同期对照组(P均<0.05)。与对照组的并发症(如肠梗阻等)总发生率相比,观察组较低(P<0.05)。结论 罗伊—纽曼综合模式护理可提高前列腺癌患者的希望水平和生存质量,缓解其疼痛,改善其疾病应对方式,并降低并发症发生率。

Objective To explore the improvement of hope level and pain symptom in prostate cancer patients receiving nursing of Roy-Neuman comprehensive model.Methods The subjects of this study were 100 prostate cancer patients admitted to Nantong Tumor Hospital from January 2020 to January 2023.The patients were randomly divided into two groups using a random number table:a control group(50 cases receiving routine care)and an observation group(50 cases receiving nursing of Roy-Neuman comprehensive model).The hope level,pain symptom,disease coping style,quality of life,and the incidence of complications during the intervention were compared between the two groups before intervention and after 1 and 3 months of intervention.Results Compared with those before intervention,both groups had improved scores after 1 and 3 months of intervention in the scores of the Chinese version of the Herth Hope Index,the Visual Analogue Scale,the Medical Coping Modes Questionnaire,and the Quality of Life Questionnaire(all P<0.05).The above scores were also compared between the two groups,and the observation group showed better scores than the control group(all P<0.05).Compared with the total incidence of complications(such as intestinal obstruction)in the control group,it was lower in the observation group(P<0.05).Conclusion The nursing of Roy-Neuman comprehensive model can improve the hope level and quality of life of prostate cancer patients,alleviate their pain,improve their disease coping style,and reduce the incidence of complications.