The effect of nursing intervention based on ADOPT problem-solving model on self-efficacy and anxiety and depression in middle-aged and young patients with hypertension
基于ADOPT问题解决模式的护理干预对中青年高血压患者自我效能感及焦虑抑郁情绪的影响

摘要

目的 探究态度-定义-开放思维-计划-实施（ADOPT）问题解决模式护理干预运用于中青年高血压患者护理中，对其自我效能及焦虑抑郁情绪的作用影响。方法 自2023年1月起，收集诊治中青年高血压的病例资料，至2024年12月止共纳入126例，通过盲选法平均分组。一组63例开展常规护理作为参照组；一组63例开展ADOPT问题解决模式护理作为试验组。对比两组血压、自我效能、焦虑抑郁等情况。结果 试验组舒张压、收缩压均较参照组明显偏低（P<0.05）。试验组自我效能评分较参照组明显偏高（P<0.05）；而焦虑、抑郁评分较参照组明显偏低（P<0.05）。结论 ADOPT问题解决模式护理干预运用于中青年高血压患者护理中，能明显提高其自我效能，改善焦虑抑郁情绪，有利于高血压的控制，值得临床借鉴。

Abstract

Objective To explore the effect of Attitude‑Definition‑Open mind‑Planning‑Try it out (ADOPT) problem-solving model nursing intervention on self-efficacy and anxiety and depression in middle-aged and young hypertensive patients.
Methods Starting from January 2023, data on the diagnosis and treatment of hypertension in young and middle-aged patients were collected. By December 2024, a total of 126 cases were included and evenly divided into groups through blind selection. A group of 63 cases received routine nursing as the reference group; A group of 63 patients underwent ADOPT problem-solving mode nursing as the experimental group. Compare the blood pressure, self-efficacy, anxiety and depression between two groups.
Results The diastolic and systolic blood pressure in the experimental group were significantly lower than those in the reference group (P<0.05). The self-efficacy score of the experimental group was significantly higher than that of the reference group (P<0.05); And the anxiety and depression scores were significantly lower than those of the reference group (P<0.05).
Conclusion   The ADOPT problem-solving model nursing intervention applied in the care of middle-aged and young hypertensive patients can significantly improve their self-efficacy, alleviate anxiety and depression, and facilitate the control of hypertension. It should be actively promoted.