Effect of ADOPT-based individualized nursing on mental health and adaptive ability of patients undergoing orthognathic surgery
10.3760/cma.j.issn.1674-2907.2020.02.022
- VernacularTitle:基于ADOPT问题解决模式的个体化护理对正颌手术患者心理健康和适应能力的影响
- Author:
Huichuan LI
1
;
Yehua WANG
Author Information
1. 郑州大学第一附属医院口腔颌面外科，郑州 450052
- Keywords:
Surgery, oral;
Orthodontics;
Problem-solving model;
Individualized nursing;
Mental health
- From:
Chinese Journal of Modern Nursing
2020;26(2):247-251
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of individualized nursing based on the ADOPT problem solving model on the mental health and adaptive ability of patients undergoing orthognathic surgery.Methods:150 patients undergoing orthognathic surgery from January 2017 to April 2019 in the Oral and Maxillofacial Surgery of the First Affiliated Hospital of Zhengzhou University was selected as subjects by convenient sampling, they were divided into observation group and control group with 75 cases each. The mental health of patients before the intervention was surveyed and compared with the domestic adult norms. The control group received routine inpatient care, and the observation group received ADOPT model individualized care. Intervention was continuous from admission to 3-month follow-up. Symptom Check List-90 (SCL-90) and Social Psychological Adjustment Scale (SPAS) were performed to evaluate and compare psychological health symptoms and adaptability in both groups.Results:The scores of the five dimensions of obsessive-compulsive symptoms, interpersonal sensitivity, anxiety, hostility, and paranoia on the SCL-90 of 150 patients before the intervention were higher than those of domestic adult norms, the differences were statistically significant ( P<0.05) . After the intervention, the obsessive-compulsive symptoms, interpersonal sensitivity, anxiety, hostility, and paranoia in the observation group were lower than those in the control group with statistically significant differences ( P<0.05) . The dimissions scores and total scores of SPAS of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The application of individualized nursing based on ADOPT problem-solving model in patients undergoing orthognathic treatment can improve their mental health, especially obsessive-compulsive symptoms, interpersonal sensitivity, anxiety, hostility, and paranoia.
