罗伊适应模式对子宫肌瘤切除术患者预后指标的影响
| 作者: |
1李林,
2任春霞
1 海安市人民医院妇科，江苏 海安 226600 2 南京医科大学附属无锡人民医院妇产科，江苏 无锡 214023 |
| 通讯: |
李林
Email: 3430296830@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.07.011 |
| 基金: | 国家自然科学基金青年项目(81402153)。 |
摘要
目的：研究罗伊适应模式对子宫肌瘤切除术患者预后指标的影响。方法：以2017年1月至2018年6月于海安市人民医院治疗的98例实施子宫肌瘤切除术的子宫肌瘤患者为研究对象，将其随机分为对照组与研究组，每组49例，对照组采用常规干预，研究组患者采用罗伊适应模式干预，记录两组患者术后生理功能指标，如排气时间、切口缝合时间、下床时间和出院时间，评估两组患干预2个月后的自我照护能力测试量表(Exercise of Self-care Agency Scale，ESCA)以及患者的满意度，比较两组干预前后的病理症状[症状自评量表(Symptom Check List-90，SCL-90)]。结果：干预2个月后，研究组的排气时间、切口缝合时间、下床时间和出院时间分别为(1.58±0.23) d，(3.76±1.48 ) d，(3.84±1.24) d和(8.97±2.57) d，对照组以上各项临床疗效指标分别为(3.53±1.16) d，(5.13±1.73) d，(6.34±2.05) d和(14.53±3.21) d，研究组各项指标明显短于对照组，差异有统计学意义(P<0.05)；此外，干预后两组患者的SCL-90评分明显降低，其中研究组的SCL-90评分为153.14±24.72，明显低于对照组(243.99±33.64，P<0.05)，ESCA评分为114.34±10.48，明显高于对照组(80.23±7.21，P<0.05)；且对照组患者满意度为71.43%，研究组为91.84%，研究组的满意情况显著优于对照组，差异具有统计学意义(P<0.05)。结论：对实施子宫肌瘤切除术的患者进行罗伊适应模式干预，能改善患者生理功能和病理症状，提高患者自我照护能力和满意度，该种干预模式具有重要临床价值。
关键词：
罗伊适应模式；子宫肌瘤；子宫肌瘤切除术；自我照护能力；生理功能
Effect of Roy’s adaptive model on the prognostic indexes of hysteromyomectomy patients
CorrespondingAuthor: LI Lin Email: 3430296830@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.07.011
Foundation: This work was supported by the National Natural Science Foundation Youth Project, China (81402153).
Abstract
Objective: To study the effects of Roy’s adaptive nursing on postoperative physiological function, self-care ability and SCL-90 scores in patients with uterine fibroids. Methods: A total of 98 cases of patients with uterine fibroids of our hospital selected from Jan. 2017 to Jun. 2018 as the research subjects, according to random number table method. The patients were divided into two groups, 49 cases in each group. Patients in a control group were adopted the routine nursing and the other treated with Roy’s adaptation model intervention. During the nursing, record patients’ postoperative physiological indexes of the 2 groups, such as exhaust time, incision suture time, bed time and discharge time. Evaluate the self-nursing ability of the 2 groups after 2 months [(Exercise of Self-care Agency Scale, ESCA) score] and the patient’s satisfaction. The pathological symptoms [Symptom Check List-90 (SCL-90)] were compared between the 2 groups before and after nursing. Results: Two months after nursing, the scheduling time, incision suture time, bed time and discharge time in the test group were (1.58±0.23) d, (3.76±1.48) d, (3.84±1.24) d and (8.97±2.57) d, respectively, while the indicators in the control group were (3.53±1.16) d, (5.13±1.73) d, (6.34±2.05) d and (14.53±3.21) d, respectively. All the indexes in patients of the test group were significantly shorter than those of the control group, the difference was statistically significant (P<0.05). In addition, the SCL-90 score of the 2 groups of patients was significantly reduced after nursing, among which the SCL-90 score of the test group was significantly lower than that of the control group (153.14±24.72 vs 243.99±33.64, P<0.05), and the ESCA score was significantly higher than that of the control group (114.34±10.48 vs 80.23±7.21, P<0.05). The nursing satisfaction of the patients in the control group was 71.43%, and that of the test group was 91.84%. The satisfaction of the test group was significantly better than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: Roy’s adaptive nursing mode for patients with uterine fibroids undergoing hysteromyoma resection can improve their physiological function and pathological symptoms, improve their self-care ability and nursing satisfaction. This nursing mode has important clinical value.
Keywords：
Roy’s adaptive nursing; uterine fibroids; hysteromyomectomy; ability of self-care; physiological function