罗伊适应模式用于急性心肌梗死恢复期对躯体功能及社会功能的影响
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摘要
目的剖析罗伊适应模式应用于急性心肌梗死恢复期病人对其躯体功能和社会功能的影响。方法选取南通大学附属海安医院2015年9月至2016年8月收治的42例处于恢复期的急性心肌梗死病人作为对照组;2016年9月至2017年8月收治的42例处于恢复期的急性心肌梗死病人作为研究组。其中对照组予以传统护理照护方案,研究组予以罗伊适应模式。利用症状自评量表(SCL-90)、社会功能缺陷筛选量表(SDSS)对两组病人在干预前及干预后第14天的躯体功能及社会功能进行评价,比较两组病人的护理满意度。结果研究组干预后的躯体功能评分中,躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执及精神病项目评分分别为(1.7±0.3)分、(2.8±0.7)分、(2.2±0.6)分、(2.2±0.5)分、(2.1±0.4)分、(2.2±0.5)分、(2.3±0.5)分及(2.1±0.5)分,均显著优于对照组各项目评分,差异有统计学意义(t=5.557、6.808、7.789、6.183、5.072、8.243、4.809、7.534,均P<0.05);研究组干预后社会功能评分为(3.8±1.0)分,显著低于对照组,差异有统计学意义(t=13.937,P<0.05);研究组满意度为97.6%,高于对照组,差异有统计学意义(χ~2=6.098,P<0.05)。结论将罗伊适应模式应用于急性心肌梗死病人,可改善病人的躯体功能,且能促进社会功能的提高。
Objective To analyze the effect of Roy adaptation model on the somatic and social functions of convalescent patients with acute myocardial infarction.Methods Forty-two convalescent patients with acute myocardial infarction who were treated in Hai'an Hospital Affiliated to Nantong University from September 2015 to August 2016 were selected as control group,and 42 convalescent patients with acute myocardial infarction who were treated in the same hospital from September 2016 to August 2017 were selected as research group.The control group was given the traditional nursing care program,and the research group received Roy adaptation model.The Symptom Check List 90(SCL-90) and Social Disability Screening Schedule(SDSS) were used to evaluate the physical and social functions of the two groups before intervention and 14 days after intervention.Besides,the satisfaction with nursing was compared between the two groups.Results Among the physical function scores of the research group,the scores of somatization,compulsion,depression,anxiety,hostility,terror,paranoia,and psychiatric items were(1.7±0.3) points,(2.8±0.7) points,(2.2±0.6) points,(2.2±0.5) points,(2.1±0.4) points,(2.2±0.5) points,(2.3±0.5) points and(2.1±0.5) points,respectively,which were superior to the scores of the control group with statistically significant differences(t=5.557,6.808,7.789,6.183,5.072,8.243,4.809,7.534,respectively;P<0.05).The social function score of the research group was(3.8±1.0) points,which was significantly lower than the control group;the difference was statistically significant(t=13.937,P <0.05).The satisfaction rate of the research group was 97.6%,which was higher than the control group;the difference was statistically significant(χ~2=6.098,P<0.05).Conclusion The application of Roy adaptation model in patients with acute myocardial infarction can improve the patients' physical function,and promote the improvement of social function.
Objective To analyze the effect of Roy adaptation model on the somatic and social functions of convalescent patients with acute myocardial infarction.Methods Forty-two convalescent patients with acute myocardial infarction who were treated in Hai'an Hospital Affiliated to Nantong University from September 2015 to August 2016 were selected as control group,and 42 convalescent patients with acute myocardial infarction who were treated in the same hospital from September 2016 to August 2017 were selected as research group.The control group was given the traditional nursing care program,and the research group received Roy adaptation model.The Symptom Check List 90(SCL-90) and Social Disability Screening Schedule(SDSS) were used to evaluate the physical and social functions of the two groups before intervention and 14 days after intervention.Besides,the satisfaction with nursing was compared between the two groups.Results Among the physical function scores of the research group,the scores of somatization,compulsion,depression,anxiety,hostility,terror,paranoia,and psychiatric items were(1.7±0.3) points,(2.8±0.7) points,(2.2±0.6) points,(2.2±0.5) points,(2.1±0.4) points,(2.2±0.5) points,(2.3±0.5) points and(2.1±0.5) points,respectively,which were superior to the scores of the control group with statistically significant differences(t=5.557,6.808,7.789,6.183,5.072,8.243,4.809,7.534,respectively;P<0.05).The social function score of the research group was(3.8±1.0) points,which was significantly lower than the control group;the difference was statistically significant(t=13.937,P <0.05).The satisfaction rate of the research group was 97.6%,which was higher than the control group;the difference was statistically significant(χ~2=6.098,P<0.05).Conclusion The application of Roy adaptation model in patients with acute myocardial infarction can improve the patients' physical function,and promote the improvement of social function.
引文
[1] 陀健琳,叶少武,黎志革,等.急性心肌梗死患者实施双轨道互动干预的实践与效果[J].护理实践与研究,2017,14(15):34-36.
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[11] 闫娜.基于时机理论的家庭护理对PCI术后再发心肌梗死患者家属照顾能力及生活质量的影响[J].齐鲁护理杂志,2017,23(23):25-27.
[12] 陈有玺.抢救护理在急性心肌梗死患者急救中的应用研究[J].实用临床医药杂志,2017,21(22):7-9.
[13] 冯明华,罗琳,杨彦,等.早期康复护理措施在急性心肌梗死介入治疗中的应用效果[J].实用临床医药杂志,2017,21(22):4-6.
[14] 吴海燕,潘媛媛,吴红英,等.心理护理干预对急性心肌梗死患者的不良情绪及心理状态的影响研究[J].四川医学,2017,38(10):1221-1225.
[15] 武国涛.临床护理路径在急性心肌梗死病人急诊PCI绿色通道中的应用效果[J].护理研究,2017,31(21):2681-2683.
[16] 江丹.延续性护理对老年心肌梗死患者医嘱遵从率和生活质量的影响[J].齐鲁护理杂志,2017,23(21):10-12.
[2] 张文,李志枚.医护一体化护理在急性抬高型心肌梗死患者PCI术中的应用[J].齐鲁护理杂志,2017,23(11):100-101.
[3] 毛佳鑫.全方位护理对心肌梗死患者舒适度和满意度的影响[J].检验医学与临床,2017,14(Z1):273-275.
[4] 毛楠.优质护理对急性心肌梗死后心律失常患者睡眠质量与住院时间的影响[J].护理实践与研究,2017,14(11):42-43.
[5] 李荣彦."四化"院前急救护理在急性心肌梗死患者中的应用[J].护理实践与研究,2017,14(15):15-17.
[6] 张晓萍,马琳,陈艺娜,等.hs-cTnI在慢性心力衰竭与急性心肌梗死患者中的鉴别价值[J].中国实验诊断学,2017,21(7):1146-1147.
[7] 苏娟娟,陈玉芬.急诊护理路径与传统护理用于急性心肌梗死抢救的效果分析[J].中国基层医药,2017,24(15):2398-2400.
[8] 周红梅.急性心肌梗死急诊PCI术后的早期康复护理体会[J].实用临床医药杂志,2017,10(22):1-3.
[9] 陈美,陈洪,李丽丽,等.优质护理在急性心肌梗死患者中的应用[J].中华现代护理杂志,2017,7(20):2675-2678.
[10] 张丽,唐雯琦,章左艳.临床护士对罗伊适应模式护理理论的认知调查[J].护理研究,2012,26(12):1096-1097.
[11] 闫娜.基于时机理论的家庭护理对PCI术后再发心肌梗死患者家属照顾能力及生活质量的影响[J].齐鲁护理杂志,2017,23(23):25-27.
[12] 陈有玺.抢救护理在急性心肌梗死患者急救中的应用研究[J].实用临床医药杂志,2017,21(22):7-9.
[13] 冯明华,罗琳,杨彦,等.早期康复护理措施在急性心肌梗死介入治疗中的应用效果[J].实用临床医药杂志,2017,21(22):4-6.
[14] 吴海燕,潘媛媛,吴红英,等.心理护理干预对急性心肌梗死患者的不良情绪及心理状态的影响研究[J].四川医学,2017,38(10):1221-1225.
[15] 武国涛.临床护理路径在急性心肌梗死病人急诊PCI绿色通道中的应用效果[J].护理研究,2017,31(21):2681-2683.
[16] 江丹.延续性护理对老年心肌梗死患者医嘱遵从率和生活质量的影响[J].齐鲁护理杂志,2017,23(21):10-12.