The Application Effect of the Discharge Preparation Plan Based on the ADOPT Nursing Model in Patients with First-Visit Ischemic Stroke
Abstract
Objective: To investigate the application effect of the discharge preparation plan based on the ADOPT nursing model in patients with first-visit ischemic stroke. Methods: Eighty patients with first-visit ischemic stroke admitted to our hospital from June 1, 2024 to November 31, 2024 were selected and divided into a control group (June 1, 2024 to August 30, 2024) and an intervention group (September 1, 2024 to November 31, 2024) according to different admission times, with 40 cases in each group. The control group received routine care and discharge guidance, while the intervention group received a discharge preparation plan based on the ADOPT model on the basis of routine care. The discharge readiness [Discharge Readiness Scale (RHDS)] of patients on the day of discharge was compared. Self-efficacy at 3 months after discharge [evaluated using the Chronic Disease Self-Efficacy Scale (SECD6)], activities of daily living [evaluated using the Barthel index (BI)], blood glucose and blood pressure indicators (diastolic blood pressure, systolic blood pressure, FPG, 2 h PG), and readmission rate within 3 months after discharge were also compared between the two groups. Results: On the day of discharge, the RHDS-related dimension scores of the intervention group were higher than those of the control group (t = 17.993, 8.560, 10.243, p < 0.05); Three months after discharge, the SECD6 score and BI score of the intervention group were higher than those of the control group (t = 8.910, 10.899, both p < 0.05); Systolic blood pressure, diastolic blood pressure, FPG and 2h PG in the intervention group were lower than those in the control group (t = 8.868, 4.794, 3.829, 7.121, all p < 0.05); Within 3 months after discharge, the readmission rate of the intervention group was lower than that of the control group (χ2 = 5.165,2 p < 0.05). Conclusion: The discharge preparation plan based on the ADOPT nursing model, when applied to patients with first-visit ischemic stroke, can not only enhance self-efficacy and discharge preparation, improve activities of daily living, but also optimize blood glucose and blood pressure indicators and reduce the readmission rate, which is worthy of reference.
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