ADOPT模式的健康教育与情绪引导在消化内镜诊疗中的联合应用价值

The value of health education based on ADOPT mode combined with emotional guidance in the cooperation of patients undergoing digestive endoscopy diagnosis and treatment

目的 探讨基于态度-定义-开放思维-计划-实施(ADOPT)模式的健康教育联合情绪引导对消化内镜诊疗患者配合度的影响。方法 选取2020年1月—2023年1月在我院准备行消化内镜诊疗的80例住院患者,随机分为观察组与对照组各40例。对照组患者在检查前采取常规护理,观察组患者在常规护理基础上增加基于ADOPT模式的健康教育联合情绪引导,在护理前后应用简明心境量表(POMS-SF)分别评估两组患者负面情绪、诊疗配合度、基础值(T_(1))、入镜时(T_(2))、检查开始后5 min(T_(3))、检查结束时(T_(4))的Ramsay镇静评分和舒适度评分,并对比两组患者的护理满意度。结果 护理后两组患者的困惑、活力、疲劳、抑郁、生气和紧张方面的POMS-SF评分降低,且观察组低于对照组(P<0.05);观察组患者配合度为95.00%,高于对照组75.00%(P<0.05);两组患者T_(1)时间Ramsay镇静评分与舒适度评分比较差异无统计学意义(P>0.05),观察组T_(2)、T_(3)、T_(4)时间Ramsay镇静评分高于对照组,舒适度评分优于对照组(P<0.05);观察组患者的总满意度高于对照组(P<0.05)。结论 对消化内镜诊疗患者采取基于ADOPT模式的健康教育联合情绪引导可改善患者内镜诊疗过程前的负面情绪,提升患者配合度,同时能够改善患者诊疗过程中的镇静程度和舒适度,患者护理满意度较高。

Objective To explore the value of health education based on the ADOPT model combined with emotional guidance on the cooperation of patients undergoing digestive endoscopy diagnosis and treatment.Methods From January 2020 to January 2023,80 hospitalized patients who were going to have digestive endoscopy diagnosis and treatment in our hospital were selected as the research subjects.All patients were divided into observation group and control group,with 40 patients in each group.The control group patients received routine care before the examination,while the observation group patients added ADOPT based health education combined with emotional guidance on the basis of routine care.The Profile of Mood States-Short Form(POMS-SF)was used to evaluate the negative emotions of the two groups of patients before and after the examination.The diagnostic and treatment cooperation,basic value(T_(1)),at the time of endoscopy(T_(2)),and 5 minutes after the examination(T_(3)),at the end of the examination(T_(4)),the Ramsay sedation score and comfort score were compared between the two groups,and the nursing satisfaction of the two groups of patients was compared.Results After nursing,the POMS-SF scores of confusion,vitality,fatigue,depression,anger,and tension in the two groups of patients were significantly reduced,and the observation group was lower(P<0.05).The cooperation rate of 95.00%in the observation group was significantly higher than that of 75.00%in the control group(P<0.05).There was no significant difference in the Ramsay sedation score and comfort score between the two groups of patients at T_(1) time(P>0.05).The Ramsay sedation scores of the observation group at T_(2),T_(3),and T_(4) time were higher,while the comfort score was lower(P<0.05).The overall satisfaction of the observation group patients was higher(P<0.05).Conclusions Adopting ADOPT based health education combined with emotional guidance for patients undergoing endoscopic diagnosis and treatment can improve their negative emotions before the endoscopic diagnosis and treatment process,enhance their cooperation level,and improve their level of sedation and comfort during the process.Patients have a high level of nursing satisfaction.