以Roy适应模式为基础的健康行为训练对抑郁症患者的效果

目的 探讨Roy适应模式对抑郁症患者健康行为训练的效果.方法 将90例患者随机分为干预组（45例）和对照组（45例）.干预组以Roy适应模式为基础健康行为训练8周,对照组给予常规治疗护理,予Zung抑郁自评量表（SDS）、汉密尔顿抑郁量表（24项,HAMD）和简易应对方式问卷（SCSQ）评定患者抑郁状态,WHO生存质量测定量表简表（WHOQOL-BREF）评定生活质量满意度.结果干预组SDS、HAMD评分显著低于对照组（P〈0.01）,SCSQ（积极、消极）积极评分显著高于对照组,消极评分低于对照组,WHOQOL-BREF评分（心理、生理、社会关系领域）显著高于对照组（P〈0.05）.环境领域差异无统计学意义（P〉0.05）.结论 运用Roy适应模式进行健康行为训练,可以促进抑郁症的有效适应,改善应对方式和抑郁状态,提高生活质量.

Effect of health behavior training based on Roy adaptation model on the patients with depression

Objective To explore the Roy adaptation model and health behavior training on the effect of depression. Methods Ninty patients were randomly divided into research group ( n = 45) and control group (n=45). The research group participated in Roy adaptation model and health behavior training for 8 weeks. The control group received conventional treatment and care. Two group were compare with Zung'S self-rating depression scale ( SDS), Hamilton Depression Rating Scale (24 items, HAMD) , Simple Coping Style Questionnaire ( SCSQ) and the WHOQOL-BREF scores. Results After nursing intervention with Roy adaptation model,the SDS,HAMD scores of intervention group were lower than that of control group in 8-week (P <0. 01) , the SCSQ scores (positive) of intervention group were higher than that of control group, while the negative score of intervention group were lower than that of control group in 8-week, and the WHOQOL-BREF scores of intervention group were higher than control group ( P < 0. 05 ). No significant difference in the environmental field ( P > 0. 05). Conclusions Application Roy adaptation and health behavior training model in depressed inpatients can improve the quality of life and improve the coping style.