Application of the ADOPT Problem-Solving Model: An Integrated Care Framework for the Continuous Nursing Management of Diabetic Foot Patients
Keywords:
ADOPT problem-solving mode, Diabetic foot, Continuing care, Self-management, Quality of lifeAbstract
This study aims to explore the effect of the ADOPT problem-solving model on self-management ability, quality of life, and self-care ability in patients with diabetic foot disease. A total of 67 patients with diabetic foot admitted to the Department of Endocrinology, Affiliated Hospital of Youjiang Medical University for Nationalities between February 2023 and February 2025 were enrolled. Participants were assigned to two groups based on nursing method: the control group (n=33) received conventional continuous nursing care, while the intervention group (n=34) received continuous nursing intervention guided by the ADOPT problem-solving model. Self-management ability, quality of life, and self-care ability scores were compared between the two groups. At 3 and 6 months after discharge, the intervention group showed significantly higher scores in self-management ability, quality of life, and self-care ability compared to the control group (P < 0.05). The ADOPT problem-solving model can effectively improve glycemic control, enhance self-management and self-care abilities, and promote quality of life in patients with diabetic foot disease, providing a useful nursing strategy for long-term disease management.
References
Burn and Trauma Branch of Chinese Geriatrics Society, Burn Surgery Branch of Chinese Medical Association, & Wound Repair Professional Committee of Chinese Medical Doctor Association. (2024). National expert consensus on surgical diagnosis and treatment of diabetic foot ulcer with lower extremity vascular disease (2024 edition). Chinese Journal of Burns and Wound Repair, 40(3), 206–220.
Harding, J. L., Pavkov, M. E., Gregg, E. W., et al. (2019). Trends of nontraumatic lower-extremity amputation in end-stage renal disease and diabetes: United States, 2000-2015. Diabetes Care, 42(8), 1430–1435.
Fan, Y., Wu, Y., & Xing, M. (2020). Effect observation of health education based on ADOPT mode for discharged patients with PICC. Journal of Nursing, 27(8), 73–76.
Li, R., Wen, Y., He, J., et al. (2022). The application of ADOPT problem solving model in the continuous nursing of diabetic foot. Chongqing Medicine, 51(5), 898–900.
Anon. (2025). Application of ADOPT nursing model in bladder cancer patients with urinary tract stoma. Nursing Research, 39(7), 1161–1166.
Anon. (2024). Application effect of family cardiac rehabilitation based on ADOPT model in elderly patients with coronary heart disease and frailty. Guangxi Medicine, 46(8), 1172–1177.
Tu, M., Hu, S., & Jie, J. (2024). Application of ADOPT problem solving model in the nursing of patients with hypertension. Qilu Nursing Journal, 30(8), 12–15.
Chinese Society of Preventive Medicine Organizational Infection and Injury Prevention and Control Professional Committee, Chinese Medical Association Parenteral and Enteral Nutrition Branch, & Chinese Society of Integrated Traditional Chinese and Western Medicine Peripheral Vascular Disease Professional Committee Diabetic Foot Group. (2024). Chinese diabetic foot diagnosis and treatment guidelines. Chinese Journal of Clinicians, 52(11), 1287–1296.
Wan, Q., Shang, S., Lai, X., et al. (2008). Study on the reliability and validity of self-management behavior scale for patients with type 2 diabetes mellitus. Chinese Journal of Practical Nursing, 24(7), 26–27.
Tang, X., Zhang, L., Shi, Q., et al. (2025). The application of PCSMEI model in the continuous nursing of patients with type 2 diabetes. General Nursing, 23(6), 1101–1105.
Zhao, Q., Guo, Y., Gu, L., et al. (2023). Comparison of two instruments for hypertension self-care assessments among older adults from China. Nursing Open, 10(3), 1672–1683.
Chen, Q., Ran, W., & Ye, Y. (2021). Application of ADOPT problem-solving model in hemodialysis nursing of patients with diabetic nephropathy. Chinese Primary Medicine, 28(6), 950–953.
Huang, S. (2025). Application of continuous nursing based on ADOPT problem solving model in patients with diabetic foot. Medical Equipment, 38(7), 150–153.
Yuan, C., Chen, X., Wu, Y., et al. (2020). Qualitative research on the needs of internet health education for patients with type 2 diabetes. Shanghai Nursing, 20(3), 40–43.
Wang, D., & Wei, L. (2021). Analysis of the status quo and influencing factors of foot self-care behavior in patients with diabetic foot risk. Chinese Journal of Modern Nursing, 27(17), 2317–2321.
Liu, D., Wang, M., et al. (2023). Application of exercise intervention based on ADOPT model in hemodialysis patients. Journal of Nursing, 38(13), 78–88.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Lanfang Qin, Yuna Ou, Hongyun Ji, Jiansheng Huang
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
