目的:探究ADOPT问题解决模式护理对大面积烧伤患者伤残接受度、创面愈合及美观满意度的影响。方法:前瞻性选择2020年1月-2022年12月笔者医院收治的患者460例大面积烧伤患者为研究对象,将2020年1月-2021年3月收治的患者纳入对照组,2021年...目的:探究ADOPT问题解决模式护理对大面积烧伤患者伤残接受度、创面愈合及美观满意度的影响。方法:前瞻性选择2020年1月-2022年12月笔者医院收治的患者460例大面积烧伤患者为研究对象,将2020年1月-2021年3月收治的患者纳入对照组,2021年4月-2022年12月收治的纳入观察组,对照组采用大面积烧伤后常规护理,观察组采用ADOPT问题解决模式护理,持续护理3个月。分别于干预前和干预3个月后,采用伤残接受度量表(Acceptance of disability scale,AODS)评估患者伤残接受度,采用视觉模拟评分(Visual analogue scale,VAS)评估患者创面疼痛程度,采用简明烧伤健康量表(Burn specific health scale,BSHS-A)评估患者生活质量;干预4周后,计算创面愈合率;干预3个月后,采用(Vancouver scar scale,VSS)评估患者创面愈合后瘢痕增生情况,采用美观满意度评分表评估患者美观满意度;记录创面愈合时间。结果:干预后,观察组患者AODS评分、创面覆盖率、美观满意度、BSHS-A评分均明显高于对照组,创面愈合时间明显短于对照组,VAS评分和VSS评分明显低于对照组(P<0.05)。结论:ADOPT问题解决模式能够提高大面积烧伤患者伤残接受度和美观满意度,有利于创面愈合,患者生活质量也得以显著提高。展开更多
目的分析ADOPT[态度(attitude,A)、定义(definition,D)、开放思维(open mind,O)、计划(planning,P)、实施(try it out,T)]模式在妊娠期糖尿病产妇中的应用效果。方法以南通大学附属妇幼保健院于2022年1月至2023年2月收治的120例妊娠期...目的分析ADOPT[态度(attitude,A)、定义(definition,D)、开放思维(open mind,O)、计划(planning,P)、实施(try it out,T)]模式在妊娠期糖尿病产妇中的应用效果。方法以南通大学附属妇幼保健院于2022年1月至2023年2月收治的120例妊娠期糖尿病产妇为研究对象,根据入院顺序将其分为对照组与观察组,每组60例,其中对照组产妇年龄24~35岁[(28.35±5.06)岁],观察组产妇年龄23~36岁[(28.29±5.33)岁],对照组实行常规护理,观察组实行ADOPT模式。比较2组产妇干预前与干预7 d时的心理弹性量表评分、糖尿病自我效能量表评分以及血糖水平,并对比2组产妇不良妊娠结局发生率。结果干预前,2组产妇的心理弹性量表评分、糖尿病自我效能量表评分及血糖水平差异无统计学意义(P>0.05),干预7 d时,观察组产妇心理弹性量表评分、糖尿病自我效能量表评分均高于对照组,且观察组产妇的空腹血糖、餐后2 h血糖水平均低于对照组(P<0.05)。干预后,观察组产妇(6.67%)、新生儿(5.00%)的不良妊娠结局发生率均低于对照组产妇(20.00%)、新生儿(16.67%),差异有统计学意义(P<0.05)。结论ADOPT模式能够改善妊娠期糖尿病产妇的心理弹性,强化自我效能,有效控制其血糖水平,同时降低不良妊娠结局发生率。展开更多
Tobacco is an essential cash crop in Zimbabwe and a strategic livelihood option for hundreds of thousands of rural households. However, the crop is linked to negative environmental, economic, and social impacts. The e...Tobacco is an essential cash crop in Zimbabwe and a strategic livelihood option for hundreds of thousands of rural households. However, the crop is linked to negative environmental, economic, and social impacts. The existing studies on tobacco cultivation in Zimbabwe present contradictory findings on the determinants and impacts of adoption, leaving unanswered questions about the crop’s sustainability impact in the country. This article investigates the determinants of smallholder farmers’ decisions to grow tobacco and the associated impacts of adoption. Random and purposive sampling were used to select 273 household surveys, including tobacco and non-tobacco smallholder farmers, and 56 expert interviews to answer the research questions. We employed regression models alongside expert interviews and document analysis to identify the determinants influencing the decision-making process of smallholder farmers in Zimbabwe regarding tobacco cultivation. Additionally, our investigation aimed to elucidate the perceived impacts associated with the adoption of this agricultural practice. The regression analysis indicated that the farmer’s age, education level, farming experience, family size, household income, and perceived high farm profitability are significant drivers of tobacco adoption. We also discovered divergent and convergent perceptions of the critical impacts of tobacco cultivation. The study highlights the need for proactive multi-stakeholder collaboration and sustainable financial arrangements to address the negative impacts of tobacco production. As the primary stakeholder responsible for regulating and promoting agricultural activities, the Zimbabwean government should provide meaningful financial support, increase access to credit, and ensure better market facilities for alternative crops to reduce the over-dependence on tobacco.展开更多
目的探讨基于ADOPT问题解决模式的护理干预结合饮食疗法对糖尿病合并前列腺增生术后患者饮食行为及康复情况的影响。方法选取2020年3月至2022年4月收治的86例糖尿病合并前列腺增生术后患者为研究对象,以随机数字表法将其分为对照组与观...目的探讨基于ADOPT问题解决模式的护理干预结合饮食疗法对糖尿病合并前列腺增生术后患者饮食行为及康复情况的影响。方法选取2020年3月至2022年4月收治的86例糖尿病合并前列腺增生术后患者为研究对象,以随机数字表法将其分为对照组与观察组,各43例。对照组采用常规护理干预,观察组在对照组基础上给予基于ADOPT问题解决模式的护理干预结合饮食疗法。比较两组的干预效果。结果干预后,观察组的遵医饮食行为、日常饮食管理行为、饮食依从性态度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、CD68、碱性成纤维细胞生长因子(bFGF)水平低于对照组(P<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05)。结论基于ADOPT问题解决模式的护理干预联合饮食疗法不仅能够改善糖尿病合并前列腺增生术后患者的饮食行为,还能促进机体康复,减少术后并发症发生风险,值得推广。展开更多
文摘目的:探究ADOPT问题解决模式护理对大面积烧伤患者伤残接受度、创面愈合及美观满意度的影响。方法:前瞻性选择2020年1月-2022年12月笔者医院收治的患者460例大面积烧伤患者为研究对象,将2020年1月-2021年3月收治的患者纳入对照组,2021年4月-2022年12月收治的纳入观察组,对照组采用大面积烧伤后常规护理,观察组采用ADOPT问题解决模式护理,持续护理3个月。分别于干预前和干预3个月后,采用伤残接受度量表(Acceptance of disability scale,AODS)评估患者伤残接受度,采用视觉模拟评分(Visual analogue scale,VAS)评估患者创面疼痛程度,采用简明烧伤健康量表(Burn specific health scale,BSHS-A)评估患者生活质量;干预4周后,计算创面愈合率;干预3个月后,采用(Vancouver scar scale,VSS)评估患者创面愈合后瘢痕增生情况,采用美观满意度评分表评估患者美观满意度;记录创面愈合时间。结果:干预后,观察组患者AODS评分、创面覆盖率、美观满意度、BSHS-A评分均明显高于对照组,创面愈合时间明显短于对照组,VAS评分和VSS评分明显低于对照组(P<0.05)。结论:ADOPT问题解决模式能够提高大面积烧伤患者伤残接受度和美观满意度,有利于创面愈合,患者生活质量也得以显著提高。
文摘Tobacco is an essential cash crop in Zimbabwe and a strategic livelihood option for hundreds of thousands of rural households. However, the crop is linked to negative environmental, economic, and social impacts. The existing studies on tobacco cultivation in Zimbabwe present contradictory findings on the determinants and impacts of adoption, leaving unanswered questions about the crop’s sustainability impact in the country. This article investigates the determinants of smallholder farmers’ decisions to grow tobacco and the associated impacts of adoption. Random and purposive sampling were used to select 273 household surveys, including tobacco and non-tobacco smallholder farmers, and 56 expert interviews to answer the research questions. We employed regression models alongside expert interviews and document analysis to identify the determinants influencing the decision-making process of smallholder farmers in Zimbabwe regarding tobacco cultivation. Additionally, our investigation aimed to elucidate the perceived impacts associated with the adoption of this agricultural practice. The regression analysis indicated that the farmer’s age, education level, farming experience, family size, household income, and perceived high farm profitability are significant drivers of tobacco adoption. We also discovered divergent and convergent perceptions of the critical impacts of tobacco cultivation. The study highlights the need for proactive multi-stakeholder collaboration and sustainable financial arrangements to address the negative impacts of tobacco production. As the primary stakeholder responsible for regulating and promoting agricultural activities, the Zimbabwean government should provide meaningful financial support, increase access to credit, and ensure better market facilities for alternative crops to reduce the over-dependence on tobacco.
文摘目的探讨基于ADOPT问题解决模式的护理干预结合饮食疗法对糖尿病合并前列腺增生术后患者饮食行为及康复情况的影响。方法选取2020年3月至2022年4月收治的86例糖尿病合并前列腺增生术后患者为研究对象,以随机数字表法将其分为对照组与观察组,各43例。对照组采用常规护理干预,观察组在对照组基础上给予基于ADOPT问题解决模式的护理干预结合饮食疗法。比较两组的干预效果。结果干预后,观察组的遵医饮食行为、日常饮食管理行为、饮食依从性态度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、CD68、碱性成纤维细胞生长因子(bFGF)水平低于对照组(P<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05)。结论基于ADOPT问题解决模式的护理干预联合饮食疗法不仅能够改善糖尿病合并前列腺增生术后患者的饮食行为,还能促进机体康复,减少术后并发症发生风险,值得推广。
