基于 ADOPT 模式的团体激励管理在减重代谢术患者中的应用研究  

Application of group incentive management based on ADOPT model in patients with metabolic and bariatric surgery

作　　者：孙念芝 付丽平 周霞[1] 杨慧英[1] 梁銮盛 SUN Nianzhi;FU Liping;ZHOU Xia;YANG Huiying;LIANG Luansheng(Department of Bariatric and Metabolic Surgery,Xiaolan People's Hospital of Zhongshan,Zhongshan 528415,China)

机构地区：[1]中山市小榄人民医院减重代谢外科,528415

出　　处：《护理管理杂志》2024年第4期315-320,共6页Journal of Nursing Administration

基　　金：中山市卫健局科研立项项目(2019J270)。

摘　　要：目的探究态度-定义-开放思维-计划-实施模式的团体激励管理方案在减重代谢术患者中的应用效果。方法便利选取2021年1月至2022年12月某医院收治的200例减重代谢术患者,以数字表随机分为观察组与对照组,各100例。对照组实施常规管理方案,研究组实施基于态度-定义-开放思维-计划-实施模式的团体激励管理方案。结果干预后观察组患者的自我管理能力评分、健康管理达标率较对照组更高,空腹血糖、餐后2 h血糖、糖化血红蛋白、胰岛素抵抗指数、三酰甘油、总胆固醇、低密度脂蛋白胆固醇指标水平较对照组更低,高密度脂蛋白胆固醇水平较对照组更高,体重、腰围、臀围与体质指数均大于对照组,腰臀比小于对照组;观察组满意度评分高于对照组(P<0.05)。结论态度-定义-开放思维-计划-实施模式团体激励管理方案能够提高减重代谢术患者的疾病认知及自我管理水平,纠正糖脂代谢紊乱,优化减重效果,患者满意度高。Objective To explore the effect of group incentive management based on attitude-defination-openmind-planning-try it out(ADOPT)in metabolic and bariatric surgery(MBS)patients.Methods A total of 200 patients with MBS from January 2021 to December 2022 were randomly divided into observation group(n=100)and control group(n=100).The control group were given conventional management and the control group received group incentive management based on ADOPT mode.Results The score of self-management and the rate of health management compliance in the observation group were higher than those of the control group after intervention(P<0.05).The levels of fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),hemoglobinA1c(HbA1c),homeostatic model assessment of insulin resistance(HOMA-IR),triacylglycerol(TG),totalcholesterol(TC)and low density lipoprotein cholesterol(LDL-C)in the observation group were lower than those of the control group after intervention(P<0.05).The level of high density lipoprotein cholesterol(HDL-C)was higher than that of the control group(P<0.05).The body weight,waist circumference,hip circumference and body mass index in the observation group were higher than that of the control group,and the waist-leg ratio was lower than that of the control group(P<0.05).The score of satisfaction in the observation group was higher than that of the control group(P<0.05).Conclusion Group incentive management program based on ADOPT model can improve the disease cognition and self-management level of patients with MBS,correct the disorder of glucose and lipid metabolism,optimize the weight loss effect,and the patient satisfaction is high.

关 键 词：减重代谢术 ADOPT模式 团体激励 饮食管理 运动管理 

分 类 号：R473.1[医药卫生—护理学]