ADOPT护理在代谢综合征患者中的应用

Application of ADOPT nursing in patients with metabolic syndrome

目的分析态度-定义-开放思维-计划-实施(ADOPT)护理在代谢综合征(MS)患者中的应用效果。方法采用前瞻性研究法,使用随机数表法将2020年6月~2022年6月期间的MS患者120例分为对照组(n=60)和观察组(n=60),对照组采用常规临床干预,观察组采用ADOPT护理干预。对干预前1d和完成干预后1d两组的遵医行为、服药依从性、自我管理效能评分、MS相关指标水平进行比较。结果与对照组相比,干预后观察组的各项遵医行为和服药依从性均较佳;干预后观察组的各项自我管理效能评分均升高;干预后观察组的各项MS相关指标水平均降低,差异有统计学意义(P<0.05)。结论ADOPT护理的代谢综合征患者遵医行为和服药依从性改善,自我管理效能提升,能够帮助促进MS患者病情稳定。

Objective To analyze the effect of ADOPT nursing in patients with metabolic syndrome(MS).Methods 120 patients with MS from June 2020 to June 2022 were divided into control group(n=60)and observation group(n=60)by prospective study method and random number table method.The control group was treated with routine clinical intervention,and the observation group was treated with ADOPT nursing intervention.The compliance behavior,medication compliance,self-management efficacy score and the level of MS-related indicators of the two groups were compared 1 day before intervention and 1 day after intervention.Results Compared with the control group,the observation group had better compliance behaviors and medication compliance after intervention;After intervention,the scores of self-management efficacy in the observation group increased;After the intervention,the levels of all MS related indicators in the observation group decreased significantly(P<0.05).Conclusion ADOPT nursing can improve the compliance behavior and medication compliance of patients with metabolic syndrome and improve the self-management efficiency,which can help promote the stability of MS patients.