罗伊适应模式在急性心肌梗死支架植入术后患者护理中的应用效果

Effects of Nursing Methods Based on Roy’s Adaption Model on Patients with Acute Myocardial Infarction Who Received PCI

摘要: 目的：探讨罗伊适应模式在急性心肌梗死支架植入术后患者的护理效果，为临床护理提供参考。方法：选取于2011年8月至2013年12月间在西安交通大学第一、二附属医院心内科住院并接受支架植入术治疗的患者96位，随机分为实验组和对照组，对实验组患者采用基于罗伊适应模式的护理，而对照组患者采用传统护理模式的护理，患者出院后6个月后对其进行随访，采用90项症状自评量表(SCL-90量表)、社会功能缺陷筛选量表(SDSS量表以及焦虑自评量表(SAS量表)对两组患者出院后的心理状况、社会功能障碍情况等进行测量并进行统计学分析)。结果：1) 实验组SCL-90, SDSS and SAS的得分均好于对照组，差异有显著性(P < 0.05)；2) 实验组患者SCl-90测试的总分、总均分、阳性项目数及躯体化、强迫症状、抑郁、焦虑、敌对、精神病性等项目的评分均低于对照组(P < 0.01)，人际关系敏感、恐怖及偏执3项指标也低于对照组(P < 0.05)，而在人际关系敏感方面两组患者无统计学差异(P > 0.05)。结论：罗伊适应模式能够促进急性心肌梗死支架植入手术患者的身心康复，改善患者出院后的生活质量和社会功能，罗伊适应模式可广泛应用在临床护理工作中。

Abstract: Objective: To evaluate the effects of nursing method based on Roy’s adaption model on patients with acute myocardial infarction who received percutaneous coronary intervention (PCI). Methods: 96 patients encharged in our hospital and received PCI from Aug. 2011 to Dec. 2013 were involved in this research. All the 96 patients were divided into two groups randomly. Patients in experimental group were given nursing care based on Roy’s adaption model while others in control group were given traditional nursing care. These patients were revisited by us using SCL-90, SDSS and SAS at sixth month after discharged to compare the effects of the two nursing methods in their mental condition, social function and anxiety level, and compared the result by statistic analysis. Results: 1) The results showed that patients in experimental group performed better in all the three tests including SCL-90, SDSS and SAS than patients in control group (P < 0.05); 2) Experimental group patients with total score of SCl-90 test, split, positive number and Symptoms of somatization, forced, depression, anxiety, hostility, psychotic ratings are lower than the control group (P < 0.01). Three indicators of the sensitive interpersonal relationship, terror and paranoid are lower than the control group (P < 0.05). The interpersonal relationships of two groups of patients have no statistical difference (P > 0.05). Conclusion: Nursing care based on Roy’s adaption model may be able to improve the psychological states and avoid the negative emotional feelings including depression and anxiety. Roy adaptation model can be widely used in the clinical nursing work.