The impact of ADOPT problem-solving mode nursing on wound healing and psychological status of patients with extensive burns
ADOPT问题解决模式护理对大面积烧伤患者创面愈合及心理状态的影响

摘要

目的 分析讨论ADOPT问题解决模式护理对大面积烧伤患者创面愈合及心理状态的影响效果。方法 选择我院2022.01-2023.12所接收的80例大面积烧伤患者为研究对象，平均分为观察组（ADOPT问题解决模式护理）与对照组（常规模式护理），将两组护理前后心理状况和创面愈合情况进行对比。结果 护理后观察组心理状况（33.6±2.1、40.32±4.43）优于对照组（P<0.05）；观察组外形恢复时间（39.09±9.45）d，功能恢复时间（17.48±3.39）d，住院时间（16.21±3.32）d，都短于对照组（P<0.05）；观察组自护能力[自我概念（27.56±3.31）分，自护技能（40.65±3.11）分，自我责任感（20.52±2.82）分，健康知识掌握水平（64.32±2.89）分]比对照组高（P<0.05）。结论 在大面积烧伤患者护理中，ADOPT问题解决模式护理实施的效果明显，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the effect of ADOPT problem-solving mode nursing on wound healing and psychological status of patients with extensive burns.
Methods 80 patients with extensive burns admitted to our hospital from January 2022 to December 2023 were selected as the research subjects, and were evenly divided into an observation group (ADOPT problem-solving mode nursing) and a control group (conventional mode nursing). The psychological status and wound healing of the two groups before and after nursing were compared.
Results The psychological status of the observation group after nursing (33.6 ± 2.1, 40.32 ± 4.43) was better than that of the control group (P<0.05); The observation group had a shorter recovery time for appearance (39.09 ± 9.45) days, functional recovery time (17.48 ± 3.39) days, and hospitalization time (16.21 ± 3.32) days compared to the control group (P<0.05); The self-care ability of the observation group [self-concept (27.56 ± 3.31) points, self-care skills (40.65 ± 3.11) points, sense of self responsibility (20.52 ± 2.82) points, and level of health knowledge mastery (64.32 ± 2.89) points] was higher than that of the control group (P<0.05).
Conclusion   In the nursing of patients with extensive burns, the implementation of ADOPT problem-solving mode nursing has a significant effect and is worthy of wide promotion and application.