ADOPT模式在妊娠期糖尿病产妇中的应用及效果观察  

Application and effect observation of ADOPT model in parturients with gestational diabetes

作　　者：吴赛赛 张丽芹[2] 陈小芳[3] 张海波 朱丹[5] Wu Saisai;Zhang Liqin;Chen Xiaofang;Zhang Haibo;Zhu Dan(Department of Obstetrics,Nantong Maternal and Child Health Hospital,Nantong University,Nantong 226018,China)

机构地区：[1]南通大学附属妇幼保健院产科,江苏南通226018 [2]南通大学附属妇幼保健院护理部,江苏南通226018 [3]南通大学附属妇幼保健院临产室,江苏南通226018 [4]南通大学附属妇幼保健院内分泌科,江苏南通226018 [5]南通大学附属妇幼保健院产科四病区,江苏南通226018

出　　处：《海军医学杂志》2024年第5期531-535,共5页Journal of Navy Medicine

基　　金：南通市卫生健康委员会科研项目(QNZ2022040);南通市妇幼健康专科联盟科研项目(TFM202304)。

摘　　要：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。Objective To analyze the application of ADOPT(attitude,definition,open mind,planning,try it out)model in parturients with gestational diabetes.Methods A total of 120 parturients with gestational diabetes admitted to Nantong Maternal and Child Health Hospital from January 2022 to February 2023 were selected as research objects.They were divided into control group and observation group according to the admission order,with 60 cases in each group.The mean age of parturients in the control group was(28.35±5.06)years(range,24-35 years).The mean age of parturients in the observation group was(28.29±5.33)years(range,23-36 years).The control group received conventional care,and the observation group were given ADOPT mode.The psychological resilience scale score,diabetes self-efficacy scale score,and blood glucose level before the intervention and at 7 d of intervention,as well as the incidence of adverse pregnancy outcomes were compared between the two groups.Results Before the intervention,there was no significant difference in the maternal psychological resilience scale score,diabetes self-efficacy scale score or blood glucose level between two groups(all P>0.05).At 7 d of intervention,the scores of maternal health knowledge rating scale and diabetes self-efficacy scale of the observation group were higher than those of the control group,and fasting blood glucose and 2-hour postprandial blood glucose in the observation group were lower than those in the control group(all P<0.05).After the intervention,the incidence of adverse pregnancy outcomes in the observation group(6.67%in parturients,5.00%in newborns)was lower than that in the control group(20.00%in parturients,16.67%in newborns)(P<0.05).Conclusion The ADOPT model can significantly improve the psychological resilience,strengthen self-efficacy,effectively control blood glucose level,and reduce the incidence of adverse pregnancy outcomes in parturients with gestational diabetes.

关 键 词：ADOPT模式 妊娠期糖尿病 心理弹性 自我效能 血糖水平 

分 类 号：R473.71[医药卫生—护理学]