首页|ADOPT护理模式在妊娠糖尿病患者中的应用效果

ADOPT护理模式在妊娠糖尿病患者中的应用效果

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目的 探索态度-诊断-开放思维-制定计划-问题解决(ADOPT)护理模式对妊娠糖尿病(GDM)患者血糖控制、自我管理及心理健康状态的影响.方法 选取医院2020年4月至2022年9月收治的98例GDM患者为研究对象,按照护理模式不同分为对照组和研究组,各49例.对照组接受常规护理模式,研究组接受ADOPT护理模式,比较两组患者血糖对照水平、自我管理能力、心理健康状态、妊娠结局.结果 干预8周后,两组糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2hPG)水平较干预前降低,研究组低于对照组(P<0.05);问题解决、情绪处理、自我护理、集体关系评分较干预前升高,研究组高于对照组(P<0.05);抑郁、焦虑、恐怖评分较干预前降低,研究组低于对照组(P<0.05).结论 ADOPT护理模式可调节GDM患者血糖对照水平,改善心理健康状态,调节自我管理.
Application Effect of ADOPT Nursing Mode in Patients with Gestational Diabetes
Objective To explore the effects of attitude-diagnostic-open-minds-planning-problem solving(ADOPT)nursing model on blood glucose control,self-management and mental health status in patients with gestational diabetes mellitus(GDM).Methods A total of 98 GDM patients admitted to the hospital from April 2020 to September 2022 were selected as the research subjects.They were divided into a control group and a study group according to different nursing modes,with 49 cases in each group.The control group received routine nursing mode,while the study group received ADOPT nursing mode.The blood glucose control level,self-management ability,psychological health status,and pregnancy outcomes of the two groups of patients were compared.Results After 8 weeks of intervention,the levels of glycosylated hemoglobin(HbA1c),fasting blood glucose(FPG),and 2-hour postprandial blood glucose(2 h PG)in both groups decreased compared to before intervention,and the study group was lower than the control group(P<0.05),the scores of problem-solving,emotional processing,self-care,and collective relationships increased compared to before intervention,and the study group was higher than the control group(P<0.05),the depression,anxiety,and terror scores decreased compared to before intervention,and the study group was lower than the control group(P<0.05).Conclusion The ADOPT nursing model can regulate the blood glucose control level of GDM patients,improve their mental health status,and regulate self-management.

attitude-diagnosis-open thinking-planning-problem solvinggestational diabetes mellitusself-management

冯莉、明静祎、张瀛

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郑州大学第一附属医院,河南郑州 450000

态度-诊断-开放思维-制定计划-问题解决 妊娠糖尿病 自我管理

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(2)
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