ADOPT护理模式在膀胱癌尿路造口病人中的应用

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Application of ADOPT nursing mode in patients with bladder cancer undergoing urostomy

ZHAO Wenting， ZHANG Xiaoqing， SU Xiu'e， ZHANG Shu*

Shanxi Bethune Hospital（Shanxi Academy of Medical Sciences）， Third Hospital of Shanxi Medical University， Tongji Shanxi Hospital， Shanxi 030032 China

*Corresponding Author  ZHANG Shu， E⁃mail： sxszhang@163.com

Abstract  Objective：To observe the effects of ADOPT nursing mode on self⁃care ability and complications of patients with bladder cancer undergoing urostomy.Methods：70 patients with bladder cancer undergoing urostomy in our hospital from June 2020 to June 2022 were selected as the study subjects.They were divided into routine nursing group and ADOPT nursing group using random number table，with 35 cases in each group.Compare the incidence of complications，self⁃care ability，depression，and satisfaction with nursing between two groups of patients in the near and distant future.Results：The incidence of complications in the ADOPT nursing group was 5.71%，which was lower than that in the conventional nursing group（22.86%）during three months after surgery，the difference was statistically significant（P<0.05）；One day before discharge and three months after surgery，the scores of the self⁃care maintenance scale，self-care detection scale，self-care management scale，and self⁃care confidence scale in the ADOPT nursing group were higher than those in the conventional nursing group，and the differences were statistically significant（P<0.05）；One day before discharge and three months after surgery，the Hamilton Depression Rating Scale（HAMD） scores of patients in the ADOPT nursing group were lower than those in the conventional nursing group，the difference was statistically significant（P<0.05）；At discharge，the nursing satisfaction rate of patients in the ADOPT nursing group was 97.14%，which was higher than the 82.86% in the conventional nursing group.And the difference was statistically significant（P<0.05）.Conclusions：ADOPT nursing mode for patients with bladder cancer undergoing urostomy can improve their self⁃care ability，reduce the incidence of complications，alleviate their depression and improve their satisfaction with nursing.

Keywords  ADOPT nursing model； bladder cancer； urinary tract stoma； self⁃care ability； complication； nursing

摘要  目的：观察ADOPT护理模式对膀胱癌尿路造口病人自我护理能力和并发症发生情况的影响。（剩余8334字）