Roy适应模式在青春期精神病患者中的应用*

摘要

目的探讨Roy适应模式在青春期住院精神病患者中的应用效果。方法按照随机数字表法，将100例青春期精神病患者随机分为研究组和对照组，每组各50例。运用Roy适应模式对研究组患者实施护理干预，对照组给予常规护理和健康教育。干预后7周，采用汉密顿抑郁量表（hamilton depression rating scale，HAMD）、汉密顿焦虑量表（hamilton anxiety scale，HAMA）、社会支持评定量表（social support revalued scale，SSRS）和护士用住院患者观察量表（nurse observation scale for inpatient，NOSIE）对患者进行评定。结果干预后，研究组患者HAMD和HAMA评分较对照组低；社会功能、社会兴趣、主观支持度和支持利用度评分较对照组高，两组比较，均P＜0.01，差异具有统计学意义。结论运用Roy适应模式对青春期精神病患者进行护理，可提高其对社会环境的适应能力，改善精神状态，使患者能更好地回归社会。%Objective To investigate the effect of Roy Adaptation Model(RAM)in patients with adolescent insanity.Methods One hundred patients with adolescent insanity during October 2011 to March 2012 were randomized in equal number into two groups by random digit table:the study group and the control group.The former were intervened with RAM and the latter received routine care and health education.Seven weeks after intervention,Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Scale(HAMA) and Observation Scale(NOSIE)were used for the assessment. Results After intervention,the scores on HAMD and HAMA in the study group were significantly lower,compared to the control group(P<0.01).The scores on social function,social interest,subjective support and use of social support were all significantly higher than those of the control group(all P<0.01). Conclusions RAM can improve their ability of the patients with adolescent insanity to adapt to the environment.It may improve their mental state and their quality of life.