摘要
目的探讨ADOPT模式在高血压患者护理中的应用。方法选择2018年11月—2020年4月本院收治的175例高血压患者作为研究对象,按照就诊顺序编号采用随机数表法分为观察组(88例)与对照组(87例)两组。对照组实施常规护理干预,观察组在对照组基础上实施ADOPT模式护理干预,比较两组干预前、干预3个月后血压变化、依从性、自我管理能力及心理压力情况。结果干预3个月后,两组收缩压、舒张压低于干预前,且观察组收缩压、舒张压均低于对照组,差异均有统计学意义(P<0.05);干预3个月后,两组依从性、自我管理能力高于干预前,且观察组依从性、自我管理能力均高于对照组,差异均有统计学意义(P<0.05);干预3个月后,两组情绪幸福感、心理幸福感、社会幸福感评分低于干预前,且观察组情绪幸福感、心理幸福感、社会幸福感评分均低于对照组,差异均有统计学意义(P<0.05)。结论ADOPT模式护理干预可提高患者自我管理与依从性,缓解心理压力,控制血压水平。
Objective To explore the application of ADOPT mode in the nursing of patients with hypertension.Methods A randomized controlled research method was used to select 175 hypertensive patients those admitted to the hospital from November 2018 to April 2020,and they were divided into observation group(88 cases)and control group(87 cases).The control group implemented conventional nursing intervention,the observation group implemented ADOPT model nursing intervention on the basis of the control group.The changes in blood pressure,compliance,self-management ability and psychological stress between the two groups before and 3 months after intervention were compared.Results After 3 months of intervention,the systolic and diastolic blood pressure of the two groups were lower than those before the intervention(P<0.05),and the systolic and diastolic blood pressure of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the compliance and self-management ability of the two groups were higher than those before the intervention(P<0.05),and the compliance and self-management ability of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the emotional well-being,psychological well-being,and social well-being scores of the two groups were lower than those before the intervention(P<0.05),and the emotional well-being,psychological well-being,and social well-being scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusions ADOPT mode nursing intervention could improve self-management and compliance of patients,relieve psychological pressure,and control blood pressure level.
作者
梁添英
邓肖云
刘江
LIANG Tian-ying(Department of internal medicine,southern district of Zhongshan,Zhongshan,Guangdong,528455,China)
出处
《齐齐哈尔医学院学报》
2021年第11期1000-1004,共5页
Journal of Qiqihar Medical University
