ADOPT问题解决模式对腹腔镜疝气修补术患者情绪状态及适应能力的影响

Impacts of ADOPT problem-solving mode on emotional state and adaptability of patients undergoing laparoscopic hernia repair

目的探讨ADOPT问题解决模式对腹腔镜疝气修补术患者情绪状态及适应能力的影响。方法回顾性分析我院2019年1月至2020年9月间收治的90例行腹腔镜疝气修补术患者临床资料,据护理方法不同分为研究组与对照组,每组各45例,对照组采用常规护理,研究组采用ADOPT问题解决模式护理,观察术后恢复情况(下床时间、术后1 d、3 d疼痛评分及住院时间)、并发症(切口感染、尿潴留、阴囊水肿、肺部感染);干预前后情绪状态与干预后适应能力。结果研究组下床时间、住院时间短于对照组,术后1 d、3 d疼痛评分低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为4.44%,高于对照组的22.22%,差异有统计学意义(P<0.05);干预后,两组SAS、SDS评分低于干预前(P<0.05),且研究组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);研究组适应能力总分高于对照组,差异有统计学意义(P<0.05)。结论对腹腔镜疝气修补术患者采用ADOPT问题解决模式护理,可促进患者尽快恢复,降低并发症,改善情绪状态,进一步提高术后适应能力。

Objective To investigate the impacts of ADOPT problem-solving mode on emotional state and adaptability of patients undergoing laparoscopic hernia repair.Methods The clinical data of 90 patients undergoing laparoscopic hernia repair admitted to and treated in our hospital from January 2019 to September 2020 were analyzed retrospectively.According to different nursing methods,they were divided into the study group(n=45)and the control group(n=45).The control group was treated with conventional nursing,while the study group was treated with ADOPT problem-solving nursing mode.The postoperative recovery(time of off-bed activity,pain score on the first and third day after operation and hospitalization time),complications(incision infection,urinary retention,scrotal edema and pulmonary infection),the emotional state before and after intervention,and adaptability after intervention were observed.Results The time of offbed activity and hospitalization in the study group was shorter than that in the control group,and the postoperative pain scores on the first and third day were lower than those in the control group,with statistically significant differences(P<0.05).The complication rate of the study group was 4.44%lower than that of the control group 22.22%,with statistically significant difference(P<0.05).After the intervention,the SAS and SDS scores of the two groups were lower than before the intervention(P<0.05),and the scores of SAS and SDS in the study group were lower than those in the control group,with statistically significant differences(P<0.05).The total score of adaptability in the study group was higher than that in the control group,with statistically significant difference(P<0.05).Conclusion The application of ADOPT problem-solving nursing mode for patients undergoing laparoscopic hernia repair can promote patients'recovery as soon as possible,reduce complications,improve emotional state and further boost postoperative adaptability.