应用ADOPT模式提高结肠造口患者适应水平的效果评价

The effect of ADOPT model on improving the adaptation level among colostomy patients

目的:评价应用ADOPT模式对提高结肠造口患者适应水平的效果。方法:便利抽取湖南省某市两所三级甲等医院的结肠造口患者为研究对象,随机分为对照组(n=30)和实验组(n=30)。对照组按结肠造口术后护理常规进行护理,实验组在常规护理的基础上运用ADOPT模式干预,并采用造口适应量表(OAS)比较两组患者在术后第1天、出院时及出院4个月时适应水平的差异。结果:两组患者适应得分存在随时间变化的趋势,出院时和出院4个月适应总分及3个维度得分均较前上升(P<0.05),且实验组得分高于对照组(P<0.05)。结论:ADOPT模式有助于提高结肠造口患者的适应水平。

Objective： To evaluate the effect of ADOPT mode on the adjustment level among colostomy patients. Methods： A total of 60 colostomy patients were recruited from 2 tertiary Grade A hospitals in Hengyang, Hunan province by convenience sampling method and were randomly divided into 2 groups with 30 patients in each group. The patients in the control group were given traditional care and the patients in the study group were taken care of using ADOPT mode besides traditional care. Ostomy Adjustment Scale（OAS） was used to evaluate the patients＇ adjustment level on the first day after surgery, the discharged day, and 4 months after discharge. Results： The scores of OAS and 3 dimensions had significant time main effects in both groups and increased on the discharged day and 4 months after discharge（P〈0.05）, while the scores of the study group were higher than those in the control group（P〈0.05）. Conclusion： ADOPT mode could enhance the adjustment level among colostomy patients.