ADOPT模式对急性胰腺炎患者的影响  

ADOPT Model in Patients with Acute Pancreatitis

作　　者：罗丹 LUO Dan(Macheng People's Hospital,Macheng 438300,China)

机构地区：[1]麻城市人民医院,湖北麻城438300

出　　处：《中外医学研究》2024年第9期91-94,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨ADOPT模式对急性胰腺炎患者的影响。方法:选取2021年1月—2022年12月麻城市人民医院肝胆外科收治的60例胰腺炎患者,以随机数表法分成研究组与对照组,各30例。对照组采用常规护理,研究组采用ADOPT模式护理。比较两组的负性情绪、自我管理能力、健康行为评分、症状改善时间及并发症发生率。结果:干预前,两组负性情绪、自我管理能力、健康行为评分比较,差异无统计学意义(P>0.05)。干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。干预后,两组自我护理能力测定量表(ESCA)评分、健康行为评分高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率为6.67%,低于对照组的26.67%,差异有统计学意义(P<0.05)。研究组腹胀消失时间、排气恢复时间、腹痛消失时间及腹压痛消失时间均早于对照组,差异有统计学意义(P<0.05)。结论:ADOPT模式护理可以提升急性胰腺炎患者的自我管理能力及健康行为能力,减轻患者的焦虑抑郁程度,改善临床症状,降低并发症发生率。Objective:To explore the effect of ADOPT model in patients with acute pancreatitis.Method:A total of 60 patients with acute pancreatitis admitted to the Department of Hepatobiliary Surgery of Macheng People's Hospital from January 2021 to December 2022 were selected,and they were divided into study group and control group by random number table method,with 30 cases in each group.The control group received routine nursing,and the study group received ADOPT model nursing.Negative emotion,selfmanagement ability,health behavior score,symptom improvement time and complication rate were compared between the two groups.Result:Before intervention,there were no significant differences in negative emotion,self-management ability and health behavior score between the two groups(P>0.05).After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before intervention,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the exercise of self-care agency scale(ESCA)and health behavior scores of the two groups were higher than those before intervention,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the study group was 6.67%,which was lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).The disappearance time of abdominal distension,exhaust gas recovery time,abdominal pain and abdominal tenderness in the study group were earlier than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:ADOPT model nursing can improve the self-management ability and health behavior ability of patients with acute pancreatitis,reduce the degree of anxiety and depression,improve clinical symptoms,and reduce the incidence of complications.

关 键 词：ADOPT 模式 胰腺炎 健康行为 自我管理能力 并发症 

分 类 号：R473.5[医药卫生—护理学]