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ADOPT模式护理在妊娠期高血压患者中的应用效果

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目的:观察ADOPT模式护理在妊娠期高血压患者中的应用效果.方法:选取 2019 年 9 月至 2022 年 5 月南阳医学高等专科学校第一附属医院和南阳市第二人民医院收治的 95 例妊娠期高血压患者进行前瞻性研究,按照随机数字表法将其分为对照组 47 例和观察组 48 例.对照组实施常规护理,观察组在对照组基础上实施ADOPT模式护理,两组均护理 8 周.比较两组护理前后疾病认知评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、自我管理能力评分,以及护理满意度.结果:护理后,观察组疾病认知评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组遵医行为、自我防护行为、日常生活行为、胎儿监护行为等自我管理能力各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为 95.83%(46/48),高于对照组的 80.85%(38/47),差异有统计学意义(P<0.05).结论:在常规护理基础上实施ADOPT模式护理可提高妊娠期高血压患者疾病认知评分、自我管理能力评分和护理满意度,降低负性情绪评分,效果优于单纯常规护理.
Application effects of ADOPT mode nursing in patients with gestational hypertension
Objective:To observe application effects of ADOPT mode nursing in patients with gestational hypertension.Methods:A prospective study was conducted on 95 patients with gestational hypertension admitted to the first affiliated hospital of Nanyang medical college and Nanyang second general hospital from September 2019 to May 2022.According to the random number table method,they were divided into control group(47 cases)and observation group(48 cases).The control group was given routine nursing,while the observation group was given the ADOPT mode nursing on the basis of that of the control group.Both groups were treated for 8 weeks.The disease cognition score,the negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the self-management ability score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the disease cognition score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of each dimension of self-management ability such as compliance behavior,self-protection behavior,daily life behavior and fetal monitoring behavior in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.83%(46/48),which was higher than 80.85%(38/47)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The ADOPT mode nursing on the basis of the routine nursing can improve the disease cognition scores,self-management ability scores and nursing satisfaction of the patients with gestational hypertension,and reduce the negative emotion scores.Moreover,it is superior to single routine nursing.

ADOPT modeNursingGestational hypertensionDisease cognitionNegative emotionSelf-management abilitySatisfaction

梁霜、靳博

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南阳医学高等专科学校第一附属医院产一科,河南 南阳 473000

南阳市第二人民医院产二科,河南 南阳 473000

ADOPT模式 护理 妊娠期高血压 疾病认知 负性情绪 自我管理能力 满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(10)
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