Effect of Roy's adaptive nursing model on the perioperative psychological resilience, coping style and quality of life in patients with angle-closure glaucoma

ObjectiveTo observe the effects of Roy's adaptive nursing model on perioperative psychological resilience, coping style and quality of life of patients with angle closure glaucoma.

MethodsSixty patients with angle closure glaucoma were randomly divided into the control group and observation group(30 cases each group).The observation group were treated with Roy's adaptive nursing intervention until discharge, and the control group were treated with routine ophthalmic nursing.The Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS), Connor-Davidson Resilience Scale, Medical Coping Style Questionnaire(MCMQ) and MOS item short from health survey(SF-36) were used to evaluate the degree of anxiety and depression, psychological resilience, coping style and quality of life of all patients.The differences of the SAS score, SDS score, psychological resilience, coping style and SF-36 were compared between two groups before and after intervention.

ResultsThe scores of SAS and SDS in observation group after intervention were lower than those in control group(P < 0.05), the scores of resilience, self-improvement, optimism and total score of psychological toughness in observation group were higher than those in control group(P < 0.01), the face score in observation group was higher than that in control group(P < 0.05), the avoidance and yield scores in observation group were lower than those in control group(P < 0.05), and the score of each item of SF-36 in observation group were higher than those in control group(P < 0.01).

ConclusionsRoy's adaptive nursing model can reduce the intensity of perioperative stimulus source, promote adaptive response, and improve patients'psychological resilience, coping style and quality of life in patients with angle closure glaucoma.