摘要
目的 探讨给予甲状腺癌患者术后问题解决护理模式（attitude-definition-openthinking-planning-try in out, ADOPT）对于提升治疗效果的意义。方法 样本对象为80例于2024年1月至2025年3月期间在本院接受手术的甲状腺癌患者，随机分为对照组及观察组，对照组给予常规护理，观察组给予ADOPT模式，对比两组的护理效果。结果 观察组的遵医嘱行为及自我管理效能均高于对照组（P＜0.05）；观察组的术后并发症发生率为2.50%，显著低于对照组的15.00%（P＜0.05）。结论 给予甲状腺癌手术患者ADOPT干预能够提高患者遵医嘱行为、提高自我护理效能，并降低术后并发症，与传统护理模式相比，效果更加明显，值得临床推荐使用。
关键词： 甲状腺癌；手术护理；ADOPT；遵医嘱；自我管理效能
Abstract
Objective To explore the significance of providing postoperative problem-solving nursing model (ADOPT) for thyroid cancer patients to improve treatment efficacy. Methods The sample subjects were 80 thyroid cancer patients who underwent surgery in our hospital from January 2024 to March 2025. They were randomly divided into a control group and an observation group. The control group received routine care, while the observation group received ADOPT mode. The nursing effects of the two groups were compared. Results The compliance behavior and self-management efficiency of the observation group were higher than those of the control group (P<0.05); The incidence of postoperative complications in the observation group was 2.50%, significantly lower than the control group's 15.00% (P<0.05). Conclusion ADOPT intervention for thyroid cancer surgery patients can improve their compliance with medical advice, enhance self-care efficiency, and reduce postoperative complications. Compared with traditional nursing models, the effect is more significant and worthy of clinical recommendation.
Key words： Thyroid cancer; Surgical nursing; ADOPT; Follow medical advice; Self management efficacy
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