罗伊适应模式对腹腔镜手术患者负性情绪及护理满意度的影响
|
摘要
目的:探讨罗伊(Roy)适应模式对腹腔镜手术患者负性情绪及满意度的影响。方法:选取2015年12月-2017年3月我院择期行腹腔镜手术患者100例为研究对象,按就诊顺序编号后随机分为观察组(n=55)、对照组(n=45),对照组在围术期给予常规干预,观察组在此基础上应用罗伊适应模式进行干预,记录两组手术一般情况、围术期负性情绪[汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、疼痛数字评分(NRS)、不良反应发生率及满意度。结果:两组手术时间、术中出血量对比差异无统计学意义(P>0.05),观察组术后住院时间、首次下床活动时间、首次排气时间短于对照组(t=-2.491,-2.223,-2.355;P<0.05);观察组干预后3d HAMA、HAMD、NRS评分均明显低于对照组(t=-16.221,-9.529,-22.181;P<0.01);观察组不良反应发生率低于对照组(χ~2=4.341,P<0.05);观察组满意度较对照组高(Z=11.552,χ~2=11.191;P<0.05)。结论:罗伊适应模式应用于腹腔镜手术患者干预中,可明显改善其术前与术后负性情绪,提高满意度,同时有利于患者术后早期下床活动,减少不良反应,促进康复。
Objective:To explore the effects of Roy adaption model on negative emotions and satisfaction of patients with laparoscopic surgery.Methods:A total of 100 cases of patients treated with elective laparoscopic surgery in our hospital from December 2015 to March 2017 were selected for the study and numbered by visiting sequence,and then randomly divided into the observation group(n=55)and the control group(n=45).The control group was given the perioperative routine,and the observation group was given the Roy adaption model intervention on this basis.The surgery general conditions,perioperative negative emotions[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],numerical rating scale(NRS),the incidence rate of adverse reactions and satisfaction were recorded between the two groups.Results:There were no significant differences in the operative time and intraoperative blood loss between the two groups(P>0.05),and the postoperative hospital stay,the first ambulation time and the first exhaust time in the observation group were shorter than those in the control group(t=-2.491,-2.223,-2.355;P<0.05).The scores of HAMA,HAMD and NRS in the observation group were significantly lower than those in the control group at operation and at 3 d after intervention(t=-16.221,-9.529,-22.181;P<0.01).The incidence rate of adverse reactions in the observation group was lower than that in the control group(χ~2=4.341,P<0.05).The satisfaction in the observation group was higher than that in the control group(Z=11.552,χ~2=11.191,P<0.05).Conclusion:Roy adaption model in the of patients with laparoscopic surgery can significantly improve the preoperative and postoperative negative emotions and the satisfaction,and help patients with early out-of-bed activities after surgery,and reduce adverse reactions and promote rehabilitation.
Objective:To explore the effects of Roy adaption model on negative emotions and satisfaction of patients with laparoscopic surgery.Methods:A total of 100 cases of patients treated with elective laparoscopic surgery in our hospital from December 2015 to March 2017 were selected for the study and numbered by visiting sequence,and then randomly divided into the observation group(n=55)and the control group(n=45).The control group was given the perioperative routine,and the observation group was given the Roy adaption model intervention on this basis.The surgery general conditions,perioperative negative emotions[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],numerical rating scale(NRS),the incidence rate of adverse reactions and satisfaction were recorded between the two groups.Results:There were no significant differences in the operative time and intraoperative blood loss between the two groups(P>0.05),and the postoperative hospital stay,the first ambulation time and the first exhaust time in the observation group were shorter than those in the control group(t=-2.491,-2.223,-2.355;P<0.05).The scores of HAMA,HAMD and NRS in the observation group were significantly lower than those in the control group at operation and at 3 d after intervention(t=-16.221,-9.529,-22.181;P<0.01).The incidence rate of adverse reactions in the observation group was lower than that in the control group(χ~2=4.341,P<0.05).The satisfaction in the observation group was higher than that in the control group(Z=11.552,χ~2=11.191,P<0.05).Conclusion:Roy adaption model in the of patients with laparoscopic surgery can significantly improve the preoperative and postoperative negative emotions and the satisfaction,and help patients with early out-of-bed activities after surgery,and reduce adverse reactions and promote rehabilitation.
引文
[1]魏巍,滕秀飞,杨延超,等.观察经皮穴位电刺激对妇科腹腔镜手术患者术后认知功能的影响[J].中华中医药学刊,2016,34(5):1186-1189
[2]路威,卢兆桐.食管癌患者围手术期心理健康状况的研究进展[J].中国健康心理学杂志,2015,23(3):464-468
[3]徐韶怡,黄玉霜,陈雄为,等.经皮穴位电刺激对腹腔镜胆囊摘除术全麻复苏期应激反应的影响[J].中华中医药学刊,2016,34(5):1209-1211
[4]刘楠,祝爱敏,李娜,等.心理护理在腹腔镜胃癌术后护理中的应用与体会[J].实用医学杂志,2015,31(16):2752-2753
[5]代远香.心理干预对老年患者肺癌根治术后抑郁和焦虑情绪的影响[J].中国健康心理学杂志,2017,25(11):1726-1730
[6]Azarmi S,Farsi Z.Roy's adaptation model-Guided education and promoting the adaptation of veterans with lower extremities amputation[J].Iranian Red Crescent Medical Journal,2015,17(10):e25810
[7]Seah X Y,Tham X C.Management of bulimia nervosa:A case study with the Roy adaptation model[J].Nursing science quarterly,2015,28(2):136-141
[8]吕天歌,王柏春.罗伊适应模式对小儿急诊科患儿生理应激状态及家属负性情绪的影响[J].检验医学与临床,2017,14(5):680-682
[9]张作记.行为医学量表手册[M].北京:学电子音像出版社.2005:214-214,225-225
[10]严广斌.NRS疼痛数字评价量表numerical rating scale[J].中华关节外科杂志(电子版),2014,8(3):410-410
[11]陈星,吴锦红,陈珊珊,等.腹腔镜下盆腔脓肿清除术联合中药应用的疗效及预后分析[J].中华中医药学刊,2016,34(12):3057-3059
[12]史瑞杰,高丽,李亚娟,等.音乐疗法联合护理干预对381名择期手术患者家属焦虑的影响[J].中国健康心理学杂志,2016,24(4):581-584
[13]郑娟如,吴丹燕,黄旭华,等.心理干预对泌尿外科后腹腔镜手术患者焦虑和抑郁的影响[J].广东医学,2016,37(21):3318-3319
[14]李红霞,唐玉.优质护理干预对腹腔镜手术患者术后恢复及负性情绪的影响[J].实用临床医药杂志,2016,20(20):184-185
[15]Buckner B S,Buckner E B.Post-revolution egypt:The Roy adaptation model in community[J].Nursing Science Quarterly,2015,28(4):300-307
[16]Alimohammadi N,Maleki B,Shahriari M,et al.Effect of a care plan based on Roy adaptation model biological dimension on stroke patients'physiologic adaptation level.[J].Iranian Journal of Nursing&Midwifery Research,2015,20(2):275-281
[17]李丹丹.罗伊适应模式对腹腔镜下子宫肌瘤剔除术患者尿潴留发生率及负性情绪的影响[J].护理实践与研究,2016,13(5):80-81
[18]刘微星,王琪.罗伊适应模式对子宫肌瘤患者负性情绪及躯体功能症状的影响[J].中国妇幼保健,2016,31(23):4938-4941
[2]路威,卢兆桐.食管癌患者围手术期心理健康状况的研究进展[J].中国健康心理学杂志,2015,23(3):464-468
[3]徐韶怡,黄玉霜,陈雄为,等.经皮穴位电刺激对腹腔镜胆囊摘除术全麻复苏期应激反应的影响[J].中华中医药学刊,2016,34(5):1209-1211
[4]刘楠,祝爱敏,李娜,等.心理护理在腹腔镜胃癌术后护理中的应用与体会[J].实用医学杂志,2015,31(16):2752-2753
[5]代远香.心理干预对老年患者肺癌根治术后抑郁和焦虑情绪的影响[J].中国健康心理学杂志,2017,25(11):1726-1730
[6]Azarmi S,Farsi Z.Roy's adaptation model-Guided education and promoting the adaptation of veterans with lower extremities amputation[J].Iranian Red Crescent Medical Journal,2015,17(10):e25810
[7]Seah X Y,Tham X C.Management of bulimia nervosa:A case study with the Roy adaptation model[J].Nursing science quarterly,2015,28(2):136-141
[8]吕天歌,王柏春.罗伊适应模式对小儿急诊科患儿生理应激状态及家属负性情绪的影响[J].检验医学与临床,2017,14(5):680-682
[9]张作记.行为医学量表手册[M].北京:学电子音像出版社.2005:214-214,225-225
[10]严广斌.NRS疼痛数字评价量表numerical rating scale[J].中华关节外科杂志(电子版),2014,8(3):410-410
[11]陈星,吴锦红,陈珊珊,等.腹腔镜下盆腔脓肿清除术联合中药应用的疗效及预后分析[J].中华中医药学刊,2016,34(12):3057-3059
[12]史瑞杰,高丽,李亚娟,等.音乐疗法联合护理干预对381名择期手术患者家属焦虑的影响[J].中国健康心理学杂志,2016,24(4):581-584
[13]郑娟如,吴丹燕,黄旭华,等.心理干预对泌尿外科后腹腔镜手术患者焦虑和抑郁的影响[J].广东医学,2016,37(21):3318-3319
[14]李红霞,唐玉.优质护理干预对腹腔镜手术患者术后恢复及负性情绪的影响[J].实用临床医药杂志,2016,20(20):184-185
[15]Buckner B S,Buckner E B.Post-revolution egypt:The Roy adaptation model in community[J].Nursing Science Quarterly,2015,28(4):300-307
[16]Alimohammadi N,Maleki B,Shahriari M,et al.Effect of a care plan based on Roy adaptation model biological dimension on stroke patients'physiologic adaptation level.[J].Iranian Journal of Nursing&Midwifery Research,2015,20(2):275-281
[17]李丹丹.罗伊适应模式对腹腔镜下子宫肌瘤剔除术患者尿潴留发生率及负性情绪的影响[J].护理实践与研究,2016,13(5):80-81
[18]刘微星,王琪.罗伊适应模式对子宫肌瘤患者负性情绪及躯体功能症状的影响[J].中国妇幼保健,2016,31(23):4938-4941
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |