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[1]张亚迎,卢琦,赵岳.基于Roy适应模式干预青年急性心肌梗死患者疾病恐惧和污名化研究[J].天津医科大学学报,2025,31(06):546-550.[doi:10.20135/j.issn.1006-8147.2025.06.0546]
　ZHANG Yaying,LU Qi,ZHAO Yue.Intervention of disease fear and stigma in young patients with acute myocardial infarction based on Roy adaptation model[J].Journal of Tianjin Medical University,2025,31(06):546-550.[doi:10.20135/j.issn.1006-8147.2025.06.0546]
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基于Roy适应模式干预青年急性心肌梗死患者疾病恐惧和污名化研究(PDF)

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
31卷
期数:
2025年06期
页码:
546-550
栏目:
临床医学
出版日期:
2025-11-20

文章信息/Info

Title:
Intervention of disease fear and stigma in young patients with acute myocardial infarction based on Roy adaptation model
文章编号:
1006-8147(2025)06-0546-06
作者:
张亚迎1; 2; 卢琦2; 赵岳2
（1.天津医科大学胸科临床学院，天津 300222；2.天津医科大学护理学院，天津 300070）
Author(s):
ZHANG Yaying1; 2; LU Qi2; ZHAO Yue2
（1. Clinical School of Chest Hospital， Tianjin Medical University， Tianjin 300222， China； 2. School of Nursing， Tianjin Medical University， Tianjin 300070， China）
关键词:
Roy适应模式; 护理干预; 青年; 急性心肌梗死; 疾病恐惧; 污名化; 治疗依从性
Keywords:
Roy adaptation model;  nursing intervention;  youth;  acute myocardial infarction;  fear of disease;  stigmatization;  treatment compliance
分类号:
R473.5
DOI:
10.20135/j.issn.1006-8147.2025.06.0546
文献标志码:
A
摘要:
目的：探讨基于Roy适应模式干预青年急性心肌梗死患者疾病恐惧和污名化、改善其治疗依从性的机制。方法：选取2023年10月至2024年9月在天津市胸科医院住院治疗的青年急性心肌梗死患者 150 例作为调查对象，随机平均分为对照组和干预组。对照组采用急性心肌梗死常规护理，干预组采用急性心肌梗死常规护理结合基于Roy适应模式的护理干预方案。对比分析两组患者治疗前后焦虑自评量表（SAS）、抑郁自评量表（SDS）、一般自我效能感量表（GSES）、恐惧疾病进展简化量表（FoP-Q-SF）、Morisky用药依从性量表（MMAS-8）、公众污名量表（PDDS）、自我耻辱感量表（SSOSH）评分的差异。结果：治疗后 1 个月、2 个月、3 个月，两组患者SAS量表评分均较治疗前降低，且干预组的评分均低于对照组（t=3.016、20.479、25.447，均P<0.05）；两组患者SDS量表评分均较治疗前降低，且干预组的评分均低于对照组（t=5.700、17.545、14.704，均P<0.05）；两组患者FoP-Q-SF量表评分均较治疗前降低，且干预组的评分均低于对照组（t=3.854、3.933、3.934，均P<0.05）；两组患者PDDS量表评分均较治疗前降低，且干预组的评分均低于对照组（t=5.243、8.777、10.149，均P<0.05）；两组患者SSOSH量表评分均较治疗前降低，且干预组的评分均低于对照组（t=6.851、10.498、6.728，均P<0.05）；两组患者GSES量表评分均较治疗前升高，且干预组的评分均高于对照组（t=3.374、4.441、10.277，均P<0.05）；两组患者MMAS-8量表评分均较治疗前升高，且干预组的评分均高于对照组（t=2.877、5.030、4.963，均P<0.05）。结论：基于Roy适应模式的护理干预可以降低青年急性心肌梗死患者的疾病恐惧和污名化，降低其焦虑抑郁水平，提高其治疗依从性和自我管理能力，改善患者生活质量。
Abstract:
Objective： To explore the mechanism of intervention with disease fear and stigma to improve treatment compliance in young patients with acute myocardial infarction based on Roy adaptation model. Methods： A total of 150 young patients with acute myocardial infarction hospitalized in Tianjin Chest Hospital from October 2023 to September 2024 were selected as the investigation objects and randomly divided into 2 groups， namely control group and intervention group. The control group received routine care for acute myocardial infarction， while the intervention group was treated with acute myocardial infarction routine nursing combined with nursing intervention scheme based on Roy adaptation model. Self-Rating Anxiety Scale（SAS）， Self-Rating Depression Scale （SDS）， General Self-Efficacy Scale（GSES）， Fear of Progression Questionnaire-Short Form（FoP-Q-SF）， Morisky medication adherence scale （MMAS-8）， Perceived defamation-Discrimination scale （PDDS）， and Self Stigma of Seeking Help Scale （SSOSH） were compared and analyzed between the two groups before and after treatment. Results： At 1 month， 2 months and 3 months after treatment， the scores of SAS scales in both groups were lower than before treatment， and the scores of the intervention group were lower than those of the control group （t=3.016， 20.479， 25.447， all P<0.05）； the scores of SDS scales in both groups were lower than before treatment， and the scores of the intervention group were lower than those of the control group （t=5.700， 17.545， 14.704， all P<0.05）； the scores of FoP-Q-SF scales in both groups were lower than before treatment， and the scores of the intervention group were lower than those of the control group （t=3.854， 3.933， 3.934， all P<0.05）； the scores of PDDS scales in both groups were lower than before treatment， and the scores of the intervention group were lower than those of the control group （t=5.243， 8.777， 10.149， all P<0.05）； the scores of SSOSH scales in both groups were lower than those before treatment， and the scores of the intervention group were lower than those of the control group （t=6.851， 10.498， 6.728， all P<0.05）； the scores of GSES scales in both groups were higher than those before treatment， and the scores of the intervention group were higher than those of the control group （t=3.374， 4.441， 10.277， all P<0.05）； the scores of MMAS-8 scales in both groups were higher than those before treatment， and the scores of the intervention group were higher than those of the control group （t=2.877， 5.030， 4.963， all P<0.05）. Conclusion： Nursing intervention based on Roy adaptation model can reduce disease fear and stigma in young patients with acute myocardial infarction， lower anxiety and depression level， improve treatment compliance and self-management ability， and enhance patients′ quality of life.

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备注/Memo

备注/Memo:
基金项目 国家自然科学基金（72274134，72204186，72574164，72404208）；天津市医学重点学科（专科）建设项目（TJYXZDXK-055B）；天津医科大学护理学科提升计划项目（2024XKHL31）
作者简介 张亚迎（1990-），女，主管护师，硕士在读，研究方向：心血管病护理；通信作者：赵岳，E-mail：yuezhao35@hotmail.com。
更新日期/Last Update: 2025-11-20