ADOPT护理模式在脑梗死合并糖尿病患者中的应用效果及对自护能力的影响  

Effect of ADOPT Nursing Model in Cerebral Infarction Combined with Diabetes Mellitus Patients and the Impact on Self-care Ability

作　　者：陈慧[1] 陈雅洁 张翼 CHEN Hui;CHEN Yajie;ZHANG Yi(Department of Neurology,Affiliated Hospital of Yangzhou University,Yangzhou 225000,Jiangsu,China;Depart-ment of Imaging,Affiliated Hospital of Yangzhou University,Yangzhou 225000,Jiangsu,China;Department of Emergency,Affiliated Hospital of Yangzhou University,Yangzhou 225000,Jiangsu,China)

机构地区：[1]扬州大学附属医院神经内科,江苏扬州225000 [2]扬州大学附属医院影像科,江苏扬州225000 [3]扬州大学附属医院急诊科,江苏扬州225000

出　　处：《糖尿病新世界》2025年第2期155-158,共4页Diabetes New World

摘　　要：目的探讨态度-定义-开放思维-制订计划-尝试实施(Attitude,Definition,Open mind,Planning,Try it out,ADOPT)护理模式在脑梗死(cerebral infarction,CI)合并糖尿病(diabetes mellitus,DM)患者中的应用效果。方法选取2023年1月—2024年3月在扬州大学附属医院接受治疗的104例CI合并DM患者,根据不同的护理方法分为对照组(n=52,接受常规护理模式),观察组(n=52,接受ADOPT护理模式)。对比两组血糖水平、自我管理能力评分、护理满意度。结果护理后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平低于对照组,差异均有统计学意义(P均<0.05)。护理8周后,观察组自我管理能力评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论ADOPT护理模式应用在CI合并DM患者中,能有效控制血糖水平,显著提升患者的自我管理能力及护理满意度。Objective To explore the application effect of Attitude,Definition,Open mind,Planning,Try it out(ADOPT)nursing model in patients with cerebral infarction(CI)complicated with diabetes mellitus(DM).Methods A total of 104 patients with CI and DM who were treated in the Affiliated Hospital of Yangzhou University from January 2023 to March 2024 were selected and divided into control group(n=52,receiving routine nursing model)and observa-tion group(n=52,receiving ADOPT nursing model)according to different nursing methods.The blood glucose level,self-management ability score and nursing satisfaction were compared between the two groups.Results After nursing,the levels of fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After 8 weeks of nursing,the self-management ability score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of ADOPT nursing model in CI with DM patients can effectively control blood glucose level and significantly improve pa-tients'self-management ability and nursing satisfaction.

关 键 词：ADOPT护理模式 脑梗死 糖尿病 自护能力 护理满意度 

分 类 号：R473[医药卫生—护理学]