基于Roy的适应模式对围绝经期妇女焦虑、抑郁情绪及其生活质量的影响

Influence of Roy adaptation model on anxiety, depression and quality of life in perimenopausal women

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

开滦总医院开滦精神卫生中心 唐山市妇幼保健院

摘要
【摘要】 目的 探究基于Roy的适应模式对围绝经期妇女焦虑、抑郁情绪及其生活质量的影响。方法 选取2022年1月-2023年6月于本院问诊的156例围绝经期妇女,按照随机数字表法分为观察组(n=78例,基于Roy的适应模式护理)和对照组(n=78例,常规护理)。比较两组围绝经期妇女焦虑、抑郁情绪[汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)],神经递质水平[去甲肾上腺素(NE)、多巴胺(DA)和5-羟色胺(5-HT)水平],生活质量[围绝经期生活质量(MENQOL)量表]及症状自评量表(SCL-90)得分。结果 护理后,观察组围绝经期患者HAMA分数和HAMD分数分别为(8.16±1.27)分和(7.09±1.77)分,均低于对照组的(12.81±2.75)分和(11.37±2.28)分(P<0.05)。护理后,观察组NE、DA和5-HT水平分别为(145.62±14.27)ng/L、(39.09±4.51)ng/L和(299.19±23.57)ng/L,均高于对照组的(129.57±13.21)ng/L、(33.43±4.82)ng/L和(271.37±21.64)ng/L(P<0.05)。护理结束后,观察组围绝经期患者MENQOL评分为(80.59±9.15)分,比对照组的(87.91±10.22)分低(P<0.05)。观察组患者SCL-90总分为(7.88±1.6)分显著低于对照组的(11.14±2.59)分(P<0.05)。结论 基于Roy的适应模式可有效缓解围绝经期妇女焦虑、抑郁情绪,上调NE、DA和5-HT水平,提升围绝经期妇女的生活质量和改善心理状态。
Abstract
[Abstract] Objective To explore the influence of Roy adaptation model on anxiety, depression and quality of life in perimenopausal women. Methods 156 perimenopausal women who were inquired in our hospital from January 2022 to June 2023 were selected and divided into observation group (n=78, Roy adaptation model nursing) and control group (n=78, routine nursing) according to the random number table method. The scores of anxiety and depression [Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD)], neurotransmitters levels [norepinephrine (NE), dopamine (DA), 5-hydroxytryptamine (5-HT)], quality of life [Menopause-Specific Quality of Life (MENQOL) scale] and symptom checklist-90 (SCL-90) were compared between both groups. Results After nursing, the HAMA score and HAMD score of perimenopausal patients in observation group were (8.16±1.27) points and (7.09±1.77) points, which were lower than (12.81±2.75) points and (11.37±2.28) points in control group (P<0.05). The levels of NE, DA and 5-HT after nursing in observation group with (145.62±14.27) ng/L, (39.09±4.51) ng/L and (299.19±23.57) ng/L were higher than (129.57±13.21) ng/L, (33.43±4.82) ng/L and (271.37±21.64) ng/L in control group (P<0.05). After the end of nursing, the MENQOL score of perimenopausal patients in observation group was (80.59±9.15) points, which was lower compared with that in control group with (87.91±10.22) points (P<0.05). The total score of SCL-90 with (7.88±1.6) points in observation group was significantly lower than (11.14±2.59) points in control group (P<0.05). Conclusion Roy adaptation model can effectively alleviate the anxiety and depression of perimenopausal women, up-regulate the levels of NE, DA and 5-HT, enhance the quality of life and improve the psychological status of perimenopausal women.
关键词
【关键词】围绝经期;Roy适应模式;焦虑;抑郁;生活质量
KeyWord
[Key words] Perimenopausal period; Roy adaptation model; Anxiety; Depression; Quality of life
基金项目
页码 623-627
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陈薇, 耿会欣, 郭建兵, 王华琪, 岳玲梅, 张顺. 基于Roy的适应模式对围绝经期妇女焦虑、抑郁情绪及其生活质量的影响 [J]. 国际精神病学杂志. 2025; 52; (2). 623 - 627.

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