摘要
Abstract
Objective To explore the application value of Roy adaptation model in patients of refractory pleural effu-sion with lung cancer undergone continuous thoracic drainage with central venous catheter. Methods 40 cases of re-fractory pleural effusion with lung cancer undergone continuous thoracic drainage with central venous catheter were se-lected as the research object.Roy adaptation model was implemented.The main causes for refusing to continuous chest drainage,the score of Hamilton anxiety scale,Zung depression score and recognition degree of central venous continuous chest drainage before and after intervention was compared. Results The rate of refusing to continuous chest drainage because of the fear of pain,fear of infection and pneumothorax,pessimistic sense of suicide after intervention was lower than that before intervention,with significant difference (P<0.05).The score of Hamilton anxiety scale and Zung depres-sion was lower than that before intervention,with significant difference(P<0.05).The rates of active cooperation after in-tervention was 57.5%,which was higher than 27.5% before intervention,with significant difference (P<0.05).The rates of Refusing to implement after intervention was 5.0%,which was lower than 30.0% before intervention,with significant dif-ference(P<0.05). Conclusion Roy adaptation model can effectively guide the nurses to assess the psychological status of the patients and discovery the reason of refusing treatment causes,so it can improve compliance of treatment.关键词
罗伊适应模式/肺癌/顽固性胸腔积液/中心静脉导管/持续胸腔引流Key words
Roy adaptation model/Lung cancer/Refractory pleural effusion/Central venous catheter/Continuous thoracic drainage分类
医药卫生
