思维导图在肺血栓栓塞症患者健康指导中的应用效果  

Effects of the mind map in health guidance among pulmonary thromboembolism patients

作　　者：张雪飞[1] 张丹羽[1] 丁莉萍[1] Zhang Xuefei;Zhang Danyu;Ding Liping(Emergency Intensive Care Unit,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院急诊监护室,100029

出　　处：《中华现代护理杂志》2018年第32期3942-3945,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨思维导图在肺血栓栓塞症(PE)患者健康指导中的应用效果。方法采用连续入组便利抽样,选取2016年11月—2017年10月在北京某三甲医院急诊重症监护室就诊治疗并最终出院的PE患者,按单双月分组进入干预组和对照组,其中单月入科的为干预组(50例),双月入科的为对照组(48例)。对照组采用常规口头宣教进行健康指导,干预组采用思维导图式健康指导。出院时分别测评两组患者的PE知识掌握水平、对护理工作满意度以及出院15 d复诊比例。结果对照组PE知识掌握情况得分(20.44±7.73)分,低于干预组的(23.24±5.37)分;干预组患者对护理工作的满意度为96.00%,高于对照组的87.50%;干预组患者出院15 d复诊率86.00%(43/50),高于对照组的66.67%(32/48);差异均有统计学意义(P<0.05)。结论思维导图用于PE患者的健康指导,可明显提高PE患者的知识水平和对护理工作的满意度,并有助于提高患者出院后的遵医行为,值得临床推广使用。Objective To explore the effects of the mind map in health guidance among pulmonary thromboembolism (PE) patients.Methods From November 2016 to October 2017, we selected PE patients, who treated in Emergency Intensive Care Unit at a Class Ⅲ Grade A hospital of Beijing and discharged from the hospital, by continuous enrollment and convenience sampling. All of the patients were divided into intervention group and control group according to odd and even-numbered month. Patients admitted in odd-numbered month and even-numbered month were in intervention group (n=50) and control group (n=48) respectively. Control group received health guidance by routinely oral propagation, while intervention group were treated with health guidance by mind map. We evaluated the knowledge of PE, satisfaction with nursing and the proportion of further consultation 15 days after discharge of patients between two groups.Results The score of knowledge on PE of control group was (20.44±7.73) , lower than that of intervention group (23.24±5.37) ; the patients' satisfaction with nursing of intervention group was 96.00% higher than that (87.50%) of control group; the proportion of further consultation 15 days after discharge of intervention group was 86.00% (43/50) higher than that [66.67% (32/48) ]of control group, all with significant differences (P<0.05) .Conclusions The application of mind map for health guidance of PE patients can significantly improve knowledge of PE patients and satisfaction with nursing, contribute to improving patient compliance after discharge which is worth to be used widely in clinical application.

关 键 词：肺栓塞 思维导图 健康指导 

分 类 号：R473.5[医药卫生—护理学]