ADOPT问题解决模式对急性胰腺炎患者自我管理行为和情绪状态的影响

Effects of ADOPT Problem-Solving Model on Self-Management Behavior and Emotional State in Patients with Acute Pancreatitis

目的探讨ADOPT问题解决模式对急性胰腺炎(AP)患者自我管理行为和情绪状态的影响。方法选取驻马店市中心医院2019年1月至2020年1月诊治的89例AP患者为研究对象,采用随机数表法将其分成常规组(44例)和研究组(45例)。常规组患者接受常规护理干预,研究组患者接受ADOPT问题解决模式干预。在干预前1 d及出院前1 d评定两组患者自我管理能力、健康信念及健康生活方式、情绪状态、依从性及护理满意度。结果干预后,研究组患者自我概念、自我责任感、护理技能评分均高于常规组(P<0.05);研究组患者健康信念评分和健康生活方式评分高于常规组(P<0.05);研究组患者焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分低于常规组(P<0.05)。研究组患者总依从率(93.33%)高于常规组(68.18%)(P<0.05)。研究组患者护理总满意率(95.56%)高于常规组(70.45%)(P<0.05)。结论ADOPT问题解决模式可以提升AP患者自我管理能力,促使自身健康信念及健康生活方式形成,保持良好的情绪状态。

Objective To investigate the effects of ADOPT problem-solving model on self-management behavior and emotional state in patients with acute pancreatitis(AP).Methods Eighty-nine patients with AP in Zhumadian Central Hospital from January 2019 to January 2020 were enrolled,and they were classified into routine group(44 cases)and study group(45 cases)by random number table method.Routine group received routine nursing intervention,and study group received ADOPT problem-solving model.Then the self-management ability,health belief,healthy lifestyle,emotional state,compliance and nursing satisfaction of the two groups were evaluated at one day before intervention and one day before discharge,respectively.Results After intervention,the scores of self-concept,self-responsibility and self-care skills in study group were higher than those in routine group(P<0.05).The scores of health belief and healthy lifestyle were higher than those in routine group(P<0.05).The scores self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were lower than those of the routine group(P<0.05).The overall compliance rate of patients in the study group(93.33%)was higher than that in the routine group(68.18%)(P<0.05).The overall nursing satisfaction rate of patients in the study group(95.56%)was higher than that in the routine group(70.45%)(P<0.05).Conclusion Application of ADOPT problem-solving model in AP patients can effectively improve the self-management behavior,promote the development of health beliefs and healthy lifestyles,and maintain a good emotional state.