The Impact of Roy-Neuman Combined Model Nursing on Elderly Patients with Advanced Prostate Cancer and Acute Urinary Retention

LIANG Yinlian; LIANG Jieping; LAI Tuqun; WANG Yanli; LIANG Weixia

doi:10.13919/j.issn.2095-6274.ZHJY202408033

Abstract：Objective To analyze the clinical value of applying the Roy-Adaptation Model-based Newman Systems Model nursing intervention for elderly patients with advanced prostate cancer complicated by acute urinary retention. Methods A total of 135 elderly patients with advanced prostate cancer and acute urinary retention,admitted to the Department of Urology at Zhaoqing First People's Hospital from April 2018 to April 2023,were se-lected for this study. The patients were randomly assigned to the Roy-Adaptation Model-based Newman Systems Model nursing group (observation group,n=68) or the conventional care group (control group,n=67). Anxiety,de-pression,hope levels,coping strategies,and quality of life were compared between the two groups. Results Dur-ing the intervention period,there were no significant differences between the two groups in SAS scores,SDS scores,HHI scores,MCMQ confrontation scores,avoidance scores,resignation scores,or QOL scores (P>0.05). After the intervention,SAS scores,SDS scores,avoidance scores,and resignation scores decreased in both groups,while HHI scores,confrontation scores,and QOL scores increased. Additionally,post-intervention,the observation group had significantly lower SAS scores,SDS scores,avoidance scores,and resignation scores compared to the control group (P<0.001),while HHI scores,confrontation scores,and QOL scores were significantly higher in the observa-tion group than in the control group (P<0.001). Con-clusion For elderly patients with advanced prostate cancer and acute urinary retention,the Roy-Adaptation Model-based Newman Systems Model nursing inter-vention is effective in alleviating anxiety and depres-sion,improving coping strategies,and enhancing hope and quality of life.