ADOPT问题解决模式在慢性阻塞性肺疾病合并抑郁患者中的应用研究  

Application of ADOPT problem solving model in patients with chronic obstructive pulmonary disease combined with depression

作　　者：许敏 董丽 李元艳 XU Min;DONG Li;LI Yuanyan(Shanghe County People's Hospital,Jinan 251600,China)

机构地区：[1]商河县人民医院,山东济南251600

出　　处：《心理月刊》2025年第4期185-187,共3页

摘　　要：目的探讨态度-定义-开放思维-计划-实施(ADOPT)问题解决模式在慢性阻塞性肺疾病(COPD)合并抑郁患者中的护理效果。方法2022年7月~2024年6月,选取此期间于商河县人民医院就诊的COPD合并抑郁患者96例,按照随机数字表法进行分组。对照组48例患者接受常规护理,研究组48例患者在此基础上采用ADOPT问题解决模式进行护理。比较两组COPD合并抑郁患者的汉密顿抑郁量表(HAMD)、健康坚韧性量表(HRHS)、汉化的生命意义感量表(C-MLQ)评分,以及自我管理能力优良率。结果两组干预前HAMD、HRHS、C-MLQ评分,结果未见显著差异(P>0.05);研究组干预后较对照组的HAMD评分更低,HRHS、C-MLQ评分更高(P<0.05)。研究组自我管理能力优良率93.75%较对照组75.00%更高(P<0.05)。结论ADOPT问题解决模式能够改善COPD合并抑郁患者的抑郁症状,提高其健康坚韧性与生命意义感,保障自我管理能力。Objective To explore the application effect of the attitude-definition-open mind-planning-try it out(ADOPT)problem-solving model in patients with chronic obstructive pulmonary disease(COPD)complicated with depression.Methods From July 2022 to June 2024,96 COPD patients with depression who visited Shanghe County People's Hospital were randomly divided into two groups.The control group of 48 cases received routine nursing care,while the study group of 48 cases received nursing care using the ADOPT problem-solving model on this basis.Compare the Hamilton depression scale(HAMD),health-related hardiness scale(HRHS),Chinese-meaning in life questionnaire(C-MLQ)scores,and excellent self-management ability rates between two groups of patients.Results There was no significant difference in HAMD,HRHS,and C-MLQ scores between the two groups before intervention(P>0.05);after intervention,the research group had lower HAMD scores and higher HRHS and C-MLQ scores than the control group(P<0.05).The excellent rate of self-management ability in the research group was 93.75%,which was higher than that 75.00%in the control group(P<0.05).Conclusion The ADOPT problem-solving model can improve depressive symptoms in COPD patients with depression,enhance health resilience and sense of meaning in life,and ensure self-management ability.

关 键 词：态度-定义-开放思维-计划-实施问题解决模式 慢性阻塞性肺疾病 抑郁 

分 类 号：R47[医药卫生—护理学]