ADOPT模式护理干预在前列腺癌根治术后患者中的应用效果

Application Effect of ADOPT Mode Nursing Intervention in Patients After Radical Prostatectomy for Prostate Cancer

目的探讨前列腺癌根治术后患者采用态度-定义-开放思维-制定计划-实施(ADOPT)模式护理干预的应用效果。方法选取医院2019年4月至2021年7月收治的129例前列腺癌患者根治术后患者作为研究对象,采用随机数表法分为对照组(64例,常规护理)和干预组(65例,常规护理和ADOPT模式护理干预)两组均连续干预至患者出院,比较两组患者干预前、后自我护理能力[自我护理能力量表(ESCA)]、生命质量[前列腺癌生命质量特异模块量表(QLQ-PR25)]、心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)],并统计两组尿失禁发生情况。结果干预后,两组ESCA各维度评分低于干预前,且干预组更低(P<0.05);干预后,两组QLQ-PR25各维度评分均高于干预前,且干预组更高(P<0.05);干预后,两组SAS评分、SDS评分低于干预前,且干预组更低(P<0.05);干预组尿失禁发生率低于对照组(P<0.05)。结论ADOPT模式下护理可提高前列腺癌根治术后患者自我护理能力,改善生命质量及心理状况,降低尿失禁发生率。

Objective To exploring the application effect of nursing intervention under the attitude definition open thinking plan implementation(ADOPT)model in patients after radical prostatectomy for prostate cancer.Methods One hundred and twenty-nine patients with prostate cancer treated in Zhumadian Central Hospital from April 2019 to July 2021 were randomly divided into control group(64 cases,routine nursing)and intervention group(65 cases,nursing mode under routine care and ADOPT mode),and both groups continued to intervene until the patients were discharged.Self-care ability[exercise of self-care agency scale(ESCA)],quality of life[quality of life questionnaire-prostate cancer 25(QLQ-PR25)]and psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]were compared between the two groups before and after intervention,and the incidence of urinary incontinence was counted.Results After the intervention,the scores of each dimension of ESCA in the two groups were lower than those before the intervention,and even lower in the intervention group(P<0.05).After the intervention,the scores of QLQ-PR25 in both groups were higher than those before the intervention,and the scores in the intervention group were higher(P<0.05).After the intervention,the scores of SAS and SDS in the two groups were lower than those before the intervention,and even lower in the intervention group(P<0.05).The incidence of urinary incontinence in the intervention group was lower than that in the control group(P<0.05).Conclusion Nursing under ADOPT mode can improve the self-care ability of patients after radical prostatectomy,improve their quality of life and psychological status,and reduce the incidence of urinary incontinence.