Application of Roy Adaptation Model in nursing of a patient with thoracic deformity, bilateral pleural effusion and type ii respiratory failure
运用Roy适应模式护理1例胸廓畸形合并双侧胸腔积液并发二型呼吸衰竭患者

摘要

本研究选取我院1例84岁胸廓畸形合并双侧胸腔积液并发二型呼吸衰竭患者，对患者实施Roy适应模式护理，通过对患者病情进行密切评估，加强病情评估、辅助通气管理、体位管理、气道管理、病情监测与并发症管理、休息与活动、营养支持、心理护理与健康教育等护理。患者治疗通过护理干预，气体交换功能明显改善，缺氧、二氧化碳潴留缓解，呼吸道顺畅，血氧饱和度恢复正常范围。患者治疗期间情绪稳定，建立积极治疗信心，积极配合治疗，未发生并发症，经医生准许出院。结果提示，Roy适应模式护理在胸廓畸形合并双侧胸腔积液并发二型呼吸衰竭患者护理中具有较高的应用价值。

Abstract

This study selected a 84-year-old patient with thoracic deformity, bilateral pleural effusion and type II respiratory failure in our hospital. The patient was given Roy Adaptation Model nursing. Through close assessment of the patient's condition, strengthening of disease assessment, auxiliary ventilation management, body position management, airway management, disease monitoring and complication management, rest and activity management, nutritional support, psychological care and health education. Through the nursing intervention, the gas exchange function of the patient was significantly improved, hypoxia and carbon dioxide retention were relieved, the respiratory tract was smooth, and the blood oxygen saturation returned to the normal range. During the treatment period, the patient’s emotions were stable, a positive attitude towards treatment was established, and they cooperated actively with the treatment. No complications occurred, and the patient was discharged with the permission of the doctor. The results suggest that Roy Adaptation Model nursing has a high application value in the nursing of patients with thoracic deformity, bilateral pleural effusion and type II respiratory failure.