ADOPT问题解决模式在糖尿病足患者延续护理中的应用

Application of ADOPT Problem Solving Model in Continuous Nursing of Diabetic Foot Patients

摘要: 目的：探讨ADOPT问题解决模式在糖尿病足患者自我管理能力、生活质量和自我护理能力中的应用效果。方法：选取2023年2月~2025年2月在右江民族医学院附属医院内分泌科住院的67例糖尿病足患者为研究对象，按照护理方法不同进行分组，其中对照组33例，接受常规的延续护理；干预组34例，接受基于ADOPT问题解决模式的延续性护理干预。比较两组患者糖化血红蛋白、自我管理能力、生活质量和自我护理能力的得分差异。结果：出院3个月、6个月后干预组患者的糖化血红蛋白低于对照组，自我管理能力、生活质量及自我护理能力得分均高于对照组，差异具有统计学差异(P < 0.05)。结论：ADOPT问题解决模式能够有效改善糖尿病足患者的血糖控制状况，提升其自我管理能力和改善患者的生活质量，为糖尿病足患者的长期管理提供了有益的护理策略。

Abstract: Objective: To explore the application effect of ADOPT problem solving model in self-management ability, quality of life and self-care ability of diabetic foot patients. Methods: A total of 67 patients with diabetic foot who were hospitalized in the Department of Endocrinology, Affiliated Hospital of Youjiang Medical University for Nationalities from February 2023 to February 2025 were selected as the research objects. They were grouped according to different nursing methods. Among them, 33 patients in the control group received routine continuous nursing; 34 patients in the intervention group received continuous nursing intervention based on ADOPT problem solving mode. The scores of glycosylated hemoglobin, self-management ability, quality of life and self-care ability were compared between the two groups. Results: After 3 months and 6 months of discharge, the glycosylated hemoglobin of the intervention group was lower than that of the control group, and the scores of self-management ability, quality of life and self-care ability were higher than those of the control group. The difference was statistically significant (P < 0.05). Conclusion: ADOPT problem solving model can effectively improve the blood glucose control of patients with diabetic foot, enhance their self-management ability and improve the quality of life of patients, and provide a useful nursing strategy for the long-term management of patients with diabetic foot.