问题解决护理模式对新型冠状病毒肺炎患者希望水平与焦虑的影响

Effects of ADOPT nursing mode on expectation and anxiety of patients with coronavirus disease 2019

目的研究问题解决护理模式对新型冠状病毒肺炎患者自信水平与焦虑情绪的影响。方法选择2020年1月22日—2月10日入住我院的24例新型冠状病毒肺炎患者,将患者随机分为试验组和对照组,每组12例。对照组接受常规健康教育,试验组在常规健康教育的基础上实施问题解决模式干预,采用个体化指导的干预方式。结果干预后,试验组希望指数量表评分高于对照组,焦虑自评量表评分低于对照组,差异有统计学意义(P<0.05)。结论新型冠状病毒肺炎患者焦虑情绪的发生率较高,临床护理中可以通过问题解决模式来改进希望水平,缓解与改善新型冠状病毒肺炎患者的焦虑情绪。

Objective To study the effect of ADOPT nursing mode on the level of self-confidence and anxiety of patients with coronavirus disease 2019(COVID-19). Methods 24 patients with COVID-19 who were admitted to our hospital from January 22 to February 7,2020 were recrited,and the patients were randomly divided into study group and control group,with 12 cases in each group. The control group received routine health education. Additionally,the study group was implemented ADOPT mode intervention by adopting personalized guidance and issued questionnaires. The patients were provided one-to-one guidance according to their different adaptation needs. To evaluate the effect,a questionnaire survey was performed on 24 patients with COVID-19 using the Hope Index Scale(HHI) and the Anxiety Self-Rating Scale(SAS). Results After the ADOPT intervention,the hope index score of the study group was significantly higher than that of the control group,meanwhile the SAS score of the study group was significantly lower than those of the control group. Both differences were statistically significant(P <0.05).Con clusion The incidence of anxiety of patients with COVID-19 is relatively high. The ADOPT mode can be used in clinical nursing to raise the expectation and relieve the anxiety of patients with COVID-19.