| Abstract |
【Abstract】 Objective To investigate the effect of Roy adaptation model on stress response and q uality of life in patients undergoing laparoscopic myomectomy (LM). Methods From January 2015 to June 2016, 112 patients with uterine fibroids in our hospital were enrolled, accorded to the random number table were equally divided into the observation group and control group,56 cases in each group.All patients were given LM,the control group received conventional care,the observation group received Roy adaptation model on the basis of control group.The perioperative condition and postoperative complications were compared between the two groups,the Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Scale (HAMD) score, Nottingham Health Profile (NHP) score before and after operation were evaluated,the blood pressure, heart rate (HR), serum cortisol (Cor) levels were detected. ResultsThe operative time, blood loss and total hospital stay between the two groups were no significant deference (P>0.05),while the postoperative exhaust time in observation group was significantly shorter than that of the control group (P<0.05);At 10 min after pneumoperitoneum and at the end of operation,the SBP, DBP, HR and Cor in the observation group were significantly lower than those in the control group (P<0.05);At 1 day before operation and the time of discharge,the scores of HAMA, HAMD and NHP in the observation group were significantly lower than those in the control group (P<0.05);The postoperative complication rate in the observation group was 1.79%, significantly lower than 14.29% in the control group (P<0.05). Conclusion Roy adaptation model can alleviate the psychological and physiological stress of patients with LM,which can reduce the rate of postoperative complications, thereby promoting patient rehabilitation and improve the quality of life.
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