【摘要】 目的 探讨基于态度-定义-开放思维-计划-实施(ADOPT)模式在成人尿源性脓毒血症中的应用效果。方法 采用前瞻性研究法，选择成人尿源性脓毒血症患者96例，根据入院号奇偶数分为对照组和观察组，每组48例。对照组采取常规护理，观察组在对照组基础上采取基于ADOPT问题解决模式的护理干预，2组患者干预时长为1个月。比较2组患者的实验室指标[降钙素(PCT)、C反应蛋白(CRP)、白细胞计数(WBC)、肌酐(Cr)]、成人健康自我管理能力量表(AHSMSRS)评分、健康信念量表(CHBMS)评分、健康促进生活方式量表(HPLP-Ⅱ)评分及依从性。结果 干预后2组患者的PCT、CRP、WBC、Cr降低，差异有统计学意义(P<0.05);观察组干预后的4项指标水平优于对照组(P<0.05)。干预后2组患者的4项AHSMSRS分值比较，差异有统计学意义(P<0.05);观察组干预后的4项AHSMSRS分值改善优于对照组(P<0.05)。干预后2组患者的CHBMS、HPLP-Ⅱ分值比较，差异有统计学意义(P<0.05);观察组干预后的CHBMS、HPLP-Ⅱ评分分值改善优于对照组(P<0.05)。观察组完全依从、部分依从的人数占比为100.00%,对照组为85.42%,差异有统计学意义(P<0.05)。结论 在成人尿源性脓毒血症中采取基于ADOPT问题解决模式护理干预，能减轻炎症反应，提高患者的自我管理能力、健康意识与依从性。更多还原

【Abstract】 Objective To investigate the effect of attitude-definition-open-plan-implementation(ADOPT) model in adult urogenic sepsis.Methods 96 patients with adult urogenic sepsis were selected and divided into control group and observation group according to the admission number, with 48 cases in each group. The control group was given routine nursing, and the observation group was given ADOPT model based on the routine nursing. The intervention duration of both groups was one month. The calcitonin(PCT),C-reactive protein(CRP),white blood cell count(WBC),creatinine(Cr),Adult health self-management ability scale(AHSMSRS) score, Health belief scale(CHBMS) score, Health promotion lifestyle scale(HPLP-II) score and compliance of the two groups were compared.Results After intervention, the levels of PCT,CRP,WBC and Cr were lower than those before intervention(P<0.05). The improvement of four indexes in the observation group was better than that in the control group(P<0.05). The scores of four AHSMSRS in the two groups after intervention were higher than those before intervention(P<0.05). After intervention, the AHSMSRS scores of the observation group were better than those of the control group(P<0.05). The CHBMS and HPLP-II scores of the two groups after intervention were higher than those before intervention(P<0.05). The CHBMS and HPLP-II scores of the observation group were better than those of the control group after intervention(P<0.05). The proportion of complete and partial compliance was 100.00% in observation group and 85.42% in control group, which was higher than that in control group(P<0.05).Conclusion ADOPT based nursing intervention in adult urogenic sepsis can reduce inflammatory response, improve self-management ability, health awareness and compliance.更多还原