Roy适应模式用于Stanford B型主动脉夹层患者围术期的价值

目的研究罗伊（Roy）适应模式用于Stanford B型主动脉夹层患者围术期的价值。 方法选取江苏省人民医院心脏大血管外科2019年2月至2021年2月收治的100例Stanford B型主动脉夹层手术患者100例，数字表法随机分为对照组（n=50）和观察组（n=50）。对照组行常规护理，观察组在此基础上行Roy适应模式。对比2组护理前后焦虑情绪自评量表（SAS）、抑郁情绪自评量表（SDS）及自我效能（GSES）评分，比较2组护理前后生活质量（SF-36）、日常生活能力（ADL）及健康行为能力评分（SRAHP），观察2组护理满意度。 结果2组护理后SAS、SDS评分较护理前降低（P＜0.05），GSES评分较护理前升高（P＜0.05）；观察组护理后SAS、SDS评分低于对照组（P＜0.05），GSES评分高于对照组（P＜0.05）。2组SF-36、ADL评分较护理前升高（P＜0.05）；观察组护理后SF-36、ADL评分高于对照组（P＜0.05）。2组护理后营养管理、健康责任、运动管理、心理安适及SRAHP总分较护理前升高（P＜0.05）；观察组护理后健康责任、心理安适及SRAHP评分高于对照组（P＜0.05），营养管理、运动管理较对照组比较差异无统计学意义（P＞0.05）。观察组护理满意度为96.00%，高于对照组的84.00%（P＜0.05）。 结论Roy适应模式用于Stanford B型主动脉夹层患者护理中效果显著，可减轻患者抑郁、焦虑等不良情绪，提升自我管理能力和日常生活能力，且可通过提高患者自我健康行为能力，改善生活质量，提高患者护理满意度，值得推广。

Value of Roy adaptation model in perioperative period of patients with Stanford B aortic dissection

ObjectiveTo evaluate the value of Roy adaptation model in the perioperative period of patients with Stanford B aortic dissection. MethodsA total of 100 patients with Stanford type B aortic dissection who were admitted to the Department of Cardiovascular Surgery of Jiangsu Province Hospital from February 2019 to February 2021 were selected and randomly divided into a control group (n=50) and an observation group (n=50). The control group received routine nursing care, and the observation group followed the Roy adaptation model on this basis. The two groups were compared for anxiety self-rating scale (SAS), depression self-rating scale (SDS), and self-efficacy (GSES) scores, as well as the quality of life (SF-36), ability of daily living (ADL), and health behavior ability score (SRAHP) before and after nursing. The satisfaction with nursing was also recorded in the two groups. ResultsSAS and SDS scores after nursing were lower than those before nursing in both groups (P＜0.05), while GSES scores were higher than before nursing (P＜0.05); SAS and SDS scores of the observation group were lower than those of the control group after nursing (P＜0.05), but the GSES score was higher than that of the control group (P＜0.05). The SF-36 and ADL scores after nursing were higher than those before nursing (P＜0.05); the SF-36 and ADL scores of the observation group were higher than those of the control group after nursing (P＜0.05). The total score of SRAHP and the scores of nutrition management, health responsibility, exercise management, and psychological well-being after nursing were higher than those before nursing in both groups (P＜0.05); the total score of SRAHP and the scores of health responsibility and psychological well-being of the observation group after nursing were higher than those of the control group (P＜0.05), though there was no significant difference in the scores of nutrition management and exercise management between the two groups (P＞0.05). The nursing satisfaction of the observation group was 96.00%, which was higher than that (84.00%) of the control group (P＜0.05). ConclusionThe Roy adaptation model has a significant effect in the care of patients with Stanford B aortic dissection. It can reduce depression, anxiety, and other negative emotions, improve self-management ability and daily life ability, and improve the quality of life by improving the patient's self-healthy behavior ability. The Roy adaptation model also improve patients' satisfaction with nursing care satisfaction.