ADOPT模式在肿瘤患者输液港管理中的应用

Application of ADOPT model in port management of tumor patients

目的 观察ADOPT模式对留置输液港的肿瘤患者的健康生活方式、情绪管理和生活质量管理的应用效果。方法 将该院收治的输液港置管患者80例随机分为对照组和干预组,每组40例。对照组采用常规输液港相关知识宣教,干预组在对照组的基础上采用ADOPT管理模式,比较两组患者焦虑(SAS)、抑郁自评量表(SDS)、健康促进生活方式评定量表(HPLP-Ⅱ)、输液港自我管理知识及慢性自我效能量表的评分。结果 干预3个月后,干预组患者的HPLP-Ⅱ、SAS、SDS、输液港的自我管理能力以及慢性自我效能量表等评分均明显高于对照组,差异均有统计学意义(P<0.05或0.01)。结论 对于留置输液港的肿瘤患者采用ADOPT个体化管理模式可改善其焦虑、抑郁的不良情绪,提高患者的自我管理效能。

Objective To observe the application effect of ADOPT model in the healthy lifestyle,emotional management and quality of life management of cancer patients with indwelling ports.Methods Eighty patients with indwelling ports in this hospital were randomly divided into the Control Group and the Intervention Group,40 cases in each group.The Control Group was given routine education on the knowledge related to ports,and the Intervention Group was given the ADOPT management model based on the education for the Control Group.The SAS score,SDS score,HPLP-II score,score of port self-management ability and score of Chronic Disease Self-Efficacy Scales were compared between the two groups.Results After 3 months of intervention,the HPLP-II score,SAS score,SDS score,score of port self-management ability and score of Chronic Disease Self-Efficacy Scales of the Intervention Group were significantly higher than those in the Control Group,and the differences were statistically significant(P<0.05 or 0.01).Conclusion For tumor patients with indwelling ports,the individualized management model of ADOPT can improve their anxiety and depression,and improve the efficiency of self-management.