基于罗伊适应模式的护理可提高老年烧伤患者的生活质量。
Roy Adaptation Model-Based nursing care improves quality of life for elderly burn patients.
作者信息
Wang Yudan, Chang Jiang, Fei Guo, Zhou Qing, Sun Dan
机构信息
Department of Burn, Affiliated Hospital of Jiangnan University Wuxi 214000, Jiangsu, China.
出版信息
Am J Transl Res. 2025 Jun 15;17(6):4679-4688. doi: 10.62347/UWNY6958. eCollection 2025.
OBJECTIVE
To explore the effects of the Roy Adaptation Model on psychological resilience and nutritional status in elderly burn patients.
METHODS
Retrospectively, 112 elderly burn patients undergoing routine nursing care based on the Roy Adaptation Model were enrolled as the observation group, and another 112 patients receiving routine nursing care only were selected as the control group. The psychological resilience, level of hope, immunity, emotions, quality of life and sleep of enrolled patients were assessed.
RESULTS
In the observation group, patients were observed with markedly improved psychological resilience, notably higher hope and SF-36 scores, significantly lower Self-Rating Anxiety Scale, Self-Rating Depression Scale, Self-Rating Anxiety Scale and Pittsburgh Sleep Quality Index, as well as markedly elevated serum albumin, prealbumin, and hemoglobin, IgM and IgG levels, in contrast to the control group (all P<0.05).
CONCLUSION
Nursing care based on the Roy Adaptation Model can significantly enhance the psychological resilience and hope, improve emotions, pain and sleep quality, strength nutritional absorption and immunity when applied in elderly burn patients, so as to increase their compliance with treatment and quality of life.
目的
探讨罗伊适应模式对老年烧伤患者心理弹性及营养状况的影响。
方法
回顾性选取112例基于罗伊适应模式接受常规护理的老年烧伤患者作为观察组，另选取112例仅接受常规护理的患者作为对照组。评估入选患者的心理弹性、希望水平、免疫力、情绪、生活质量及睡眠情况。
结果
观察组患者心理弹性明显改善，希望和SF-36评分显著更高，自评焦虑量表、自评抑郁量表、状态-特质焦虑量表及匹兹堡睡眠质量指数显著更低，血清白蛋白、前白蛋白、血红蛋白、IgM和IgG水平显著升高，与对照组相比差异均有统计学意义（均P<0.05）。
结论
罗伊适应模式下的护理应用于老年烧伤患者时，可显著增强心理弹性和希望，改善情绪、疼痛及睡眠质量，增强营养吸收和免疫力，从而提高其治疗依从性和生活质量。
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