ADOPT护理模式在妊娠糖尿病患者中的应用效果  

Application Effect of ADOPT Nursing Mode in Patients with Gestational Diabetes

作　　者：冯莉 明静祎 张瀛 FENG Li;MING Jingyi;ZHANG Ying(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《河南医学研究》2024年第2期373-376,共4页Henan Medical Research

摘　　要：目的探索态度-诊断-开放思维-制定计划-问题解决(ADOPT)护理模式对妊娠糖尿病(GDM)患者血糖控制、自我管理及心理健康状态的影响。方法选取医院2020年4月至2022年9月收治的98例GDM患者为研究对象,按照护理模式不同分为对照组和研究组,各49例。对照组接受常规护理模式,研究组接受ADOPT护理模式,比较两组患者血糖对照水平、自我管理能力、心理健康状态、妊娠结局。结果干预8周后,两组糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平较干预前降低,研究组低于对照组(P<0.05);问题解决、情绪处理、自我护理、集体关系评分较干预前升高,研究组高于对照组(P<0.05);抑郁、焦虑、恐怖评分较干预前降低,研究组低于对照组(P<0.05)。结论ADOPT护理模式可调节GDM患者血糖对照水平,改善心理健康状态,调节自我管理。Objective To explore the effects of attitude-diagnostic-open-minds-planning-problem solving(ADOPT)nursing model on blood glucose control,self-management and mental health status in patients with gestational diabetes mellitus(GDM).Methods A total of 98 GDM patients admitted to the hospital from April 2020 to September 2022 were selected as the research subjects.They were divided into a control group and a study group according to different nursing modes,with 49 cases in each group.The control group received routine nursing mode,while the study group received ADOPT nursing mode.The blood glucose control level,self-management ability,psychological health status,and pregnancy outcomes of the two groups of patients were compared.Results After 8 weeks of intervention,the levels of glycosylated hemoglobin(HbA1c),fasting blood glucose(FPG),and 2-hour postprandial blood glucose(2 h PG)in both groups decreased compared to before intervention,and the study group was lower than the control group(P<0.05),the scores of problem-solving,emotional processing,self-care,and collective relationships increased compared to before intervention,and the study group was higher than the control group(P<0.05),the depression,anxiety,and terror scores decreased compared to before intervention,and the study group was lower than the control group(P<0.05).Conclusion The ADOPT nursing model can regulate the blood glucose control level of GDM patients,improve their mental health status,and regulate self-management.

关 键 词：态度-诊断-开放思维-制定计划-问题解决 妊娠糖尿病 自我管理 

分 类 号：R714.256[医药卫生—妇产科学]