基于Roy适应模式的强化宣教用于老年冠状动脉搭桥术患者对负面情绪及应对方式的调节作用观察

Observation of regulation effects of intensive education based on Roy adaptation model on negative emotions and coping styles in elderly patients undergoing coronary artery bypass grafting

中文关键词: 老年  冠状动脉搭桥术  Roy适应模式  强化宣教  负面情绪  应对方式

英文关键词: elderly  coronary artery bypass grafting  Roy adaptation model  intensive education  negative emotion  coping style

中文摘要:

      目的 探讨基于Roy适应模式的强化宣教用于老年冠状动脉搭桥术患者对负面情绪及应对方式的调节作用.方法 以2022年1月-2024年1月在滨州医学院烟台附属医院就诊的102例老年冠状动脉搭桥术患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组51例.2组患者在入院后接受冠状动脉搭桥术治疗的基础上,对照组采用常规护理,观察组在与对照组相同处理的基础上实施基于Roy适应模式的强化宣教.比较2组干预前后焦虑抑郁情况、自我管理能力、自我效能感和应对方式,统计并比较2组术后并发症情况.结果 干预后,与对照组比较,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、回避和屈服评分均降低(均P＜0.05),自我效能感评分、自我管理能力各项评分、面对评分均升高(均P＜0.05).2组术后并发症总发生率差异无统计学意义(P＞0.05).结论 基于Roy适应模式的强化宣教可减轻老年冠状动脉搭桥术患者不良情绪,改善其健康管理能力与疾病应对方式,提高其自我效能感.

英文摘要:

      Objective To explore the regulation effects of intensive education based on Roy adaptation model on nega-tive emotions and coping styles in elderly patients undergoing coronary artery bypass grafting.Methods A total of 102 elderly patients undergoing coronary artery bypass grafting in Yantai Affiliated Hospital of Binzhou Medical College from January 2022 to January 2024 were enrolled as the study subjects.According to random number table method,they were divided into control group and observation group,with 51 cases in each group.Both groups received coronary artery bypass surgery after admis-sion.The control group received routine nursing care,while the observation group received intensive education based on Roy adaptation model on the same treatment as the control group.The anxiety and depression,self-management ability,self-effica-cy and coping style of the two groups were compared before and after intervention.The postoperative complications of the two groups were analyzed and compared.Results After intervention,the scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),avoidance and submission of the observation group were lower than those of the control group(P＜0.05),and the scores of self-efficacy,self-management ability and facing were higher than those of the control group(P＜0.05).There was no significant difference in total incidence of postoperative complications between the two groups(P＞0.05).Conclusion Intensive education based on Roy adaptation model can alleviate the negative emotions of elderly patients undergoing coronary artery bypass grafting,improve their health management ability and disease coping style,and enhance their self-efficacy.