ADOPT模式的健康教育与情绪引导在消化内镜诊疗中的联合应用价值

doi:10.3969/j.issn.1000-8535.2024.02.016

摘要/Abstract

摘要： 目的探讨基于态度-定义-开放思维-计划-实施（ADOPT）模式的健康教育联合情绪引导对消化内镜诊疗患者配合度的影响。方法选取2020年1月—2023年1月在我院准备行消化内镜诊疗的80例住院患者,随机分为观察组与对照组各40例。对照组患者在检查前采取常规护理,观察组患者在常规护理基础上增加基于ADOPT模式的健康教育联合情绪引导,在护理前后应用简明心境量表（POMS-SF）分别评估两组患者负面情绪、诊疗配合度、基础值（T₁）、入镜时（T₂）、检查开始后5 min（T₃）、检查结束时（T₄）的Ramsay镇静评分和舒适度评分,并对比两组患者的护理满意度。结果护理后两组患者的困惑、活力、疲劳、抑郁、生气和紧张方面的POMS-SF评分降低,且观察组低于对照组（P<0.05）;观察组患者配合度为95.00%,高于对照组75.00%（P<0.05）;两组患者T1时间Ramsay镇静评分与舒适度评分比较差异无统计学意义（P>0.05）,观察组T₂、T₃、T₄时间Ramsay镇静评分高于对照组,舒适度评分优于对照组（P<0.05）;观察组患者的总满意度高于对照组（P<0.05）。结论对消化内镜诊疗患者采取基于ADOPT模式的健康教育联合情绪引导可改善患者内镜诊疗过程前的负面情绪,提升患者配合度,同时能够改善患者诊疗过程中的镇静程度和舒适度,患者护理满意度较高。

关键词: ADOPT模式, 健康教育, 情绪引导, 消化内镜, 配合度, 满意度

Abstract: Objective To explore the value of health education based on the ADOPT model combined with emotional guidance on the cooperation of patients undergoing digestive endoscopy diagnosis and treatment．Methods From January 2020 to January 2023,80 hospitalized patients who were going to have digestive endoscopy diagnosis and treatment in our hospital were selected as the research subjects．All patients were divided into observation group and control group,with 40 patients in each group．The control group patients received routine care before the examination,while the observation group patients added ADOPT based health education combined with emotional guidance on the basis of routine care．The Profile of Mood States-Short Form（POMS-SF）was used to evaluate the negative emotions of the two groups of patients before and after the examination．The diagnostic and treatment cooperation,basic value（T₁）,at the time of endoscopy（T₂）,and 5 minutes after the examination（T₃）,at the end of the examination（T₄）,the Ramsay sedation score and comfort score were compared between the two groups,and the nursing satisfaction of the two groups of patients was compared．Results After nursing,the POMS-SF scores of confusion,vitality,fatigue,depression,anger,and tension in the two groups of patients were significantly reduced,and the observation group was lower（P<0.05）．The cooperation rate of 95.00% in the observation group was significantly higher than that of 75.00% in the control group（P<0.05）．There was no significant difference in the Ramsay sedation score and comfort score between the two groups of patients at T₁time（P>0.05）．The Ramsay sedation scores of the observation group at T₂,T₃,and T₄ time were higher,while the comfort score was lower（P<0.05）．The overall satisfaction of the observation group patients was higher（P<0.05）．Conclusions Adopting ADOPT based health education combined with emotional guidance for patients undergoing endoscopic diagnosis and treatment can improve their negative emotions before the endoscopic diagnosis and treatment process,enhance their cooperation level,and improve their level of sedation and comfort during the process．Patients have a high level of nursing satisfaction．

Key words: ADOPT mode, health education, emotional guidance, digestive endoscopy, cooperation level, satisfaction

夏漫. ADOPT模式的健康教育与情绪引导在消化内镜诊疗中的联合应用价值[J]. 广州医药, 2024, 55(2): 192-197.

XIA Man. The value of health education based on ADOPT mode combined with emotional guidance in the cooperation of patients undergoing digestive endoscopy diagnosis and treatment[J]. Guangzhou Medical Journal, 2024, 55(2): 192-197.

参考文献

[1] DEB A,PERISETTI A,GOYAL H,et al.Gastrointestinal endoscopy-associated infections:update on an emerging issue[J].Dig Dis Sci,2022,67(5):1718-1732.
[2] TONTINI G E,RIMONDI A,VERNERO M,et al.Artificial intelligence in gastrointestinal endoscopy for inflammatory bowel disease:a systematic review and new horizons[J].Ther Adv Gastroenterol,2021(14):17562848211017730.
[3] 唐菲,张利敏,赵梅.全面综合性护理模式对消化内镜治疗患者心理应激及护理安全事件的影响[J].河北医药,2022,44(11):1758-1760.
[4] 薛静静,周利.Glasgow-Blatchford评分导向的分级护理在内镜辅助治疗消化道出血患者中的应用效果[J].临床医学研究与实践,2023,8(11):158-160.
[5] 陈宥霖,覃春梅,周华,等.ADOPT模式在缺血性脑卒中患者二级预防中的应用效果[J].广西医学,2022,44(12):1437-1440.
[6] 牛亚男,白云鹤,章德本.情绪引导法结合专案管理对肿瘤患者健康行为改善,生活质量的效果[J].河北医药,2021,43(21):3297-3299,3303.
[7] 迟松,林文娟.简明心境量表(BPOMS)的初步修订[J].中国心理卫生杂志,2003,17(11):768-770,767.
[8] 杨雪,王喜今,姜玮,等.Richmond躁动镇静评分量表评估电休克治疗后谵妄的信度及效度[J].临床精神医学杂志,2016,26(2):86-88.
[9] 周剑金. 健康信念干预与情绪引导护理配合对消化内镜检查患者不适度与配合度的影响研究[J].山西医药杂志,2022,51(7):821-823.
[10] 陈晓莉,王淑珍,邢小丽.老年消化内镜诊疗患者衰弱风险调查及logistic回归分析[J].中国卫生统计,2022,39(1):87-90.
[11] 王雪飞,张可慧.消化道专科护理联合无缝隙对接护理干预在提升消化内镜护理质量中的应用[J].中华现代护理杂志,2019,25(27):3549-3551.
[12] 李敏,乔鑫,陈艳,等.心理护理对消化内镜检查患者的影响[J].国际精神病学杂志,2022,49(4):738-740,744.
[13] 刘奉,宋文红,蔡颖,等.消化内镜护理门诊的建立与实践[J].护理学杂志,2022,37(3):53-56.
[14] 肖华. 无缝隙对接护理用于急诊消化内镜护理效果观察[J].中国药业,2022,31(S02):408-409.
[15] 王雪飞,王君芬,张可慧,等.基于人文关怀的优质护理在消化内镜诊疗患者中的应用效果研究[J].中华全科医学,2019,17(5):881-883.
[16] 秦玉芬,张桂芳.消化内镜护理过程中的问题及对策:评《消化内镜诊疗技术》[J].中国全科医学,2022,25(29):3709.
[17] 谢晶,刘龙.ADOPT问题解决模式的心理干预对慢性酒精性肝病患者戒酒情况、心理弹性及适应能力的影响[J].河北医科大学学报,2021,42(11):1282-1288.
[18] 王凌云,张帆,许丽杰,等.基于知信行理论的”四阶梯”死亡教育在社区老年人中应用的质性研究[J].中华现代护理杂志,2021,27(9):1147-1153.
[19] 黄晓琴,喻燕敏,芦肖璠,等.ADOPT护理模式联合团体干预在鼻咽癌患者中的应用效果[J].实用临床医药杂志,2021,25(2):97-100.
[20] 杨清,潘剑,谢欣,等.循证护理在胃肠息肉消化内镜诊疗中的应用效果[J].中国医药导报,2022,19(34):166-169.