思维导图在经腹全子宫切除术后并发症预防护理中的应用  

Application of mind mapping in nursing to prevent complications after trans-abdominal hysterectomy

作　　者：曾丽华[1] 乔成平 王爱琳[1] 徐颖[1] 陈燕[1] 李卉[1] 

机构地区：[1]南京医科大学附属南京妇幼保健院妇科肿瘤科,江苏南京210029

出　　处：《护理学杂志》2014年第18期75-77,共3页

摘　　要：目的探讨思维导图式健康教育对经腹全子宫切除术患者并发症发生的影响。方法选择符合纳入标准的经腹全子宫手术患者139例，将2013年2～8月收治的60例患者设为对照组，2013年9月至2014年5月收治的79例患者设为导图组，两组术后均按妇科良性肿瘤治疗、护理常规进行，并针对经腹全子宫切除术后常见并发症进行健康教育。对照组采用随机的口头宣教方式进行健康教育，导图组予思维导图式健康教育。结果导图组切口愈合不良、腹部胀气、尿路感染、下肢静脉血栓发生率低于对照组，除下肢静脉血栓外，其他三项两组发生率比较，差异有统计学意义（均P〈0．05）。结论思维导图式健康教育可降低经腹全子宫切除术后并发症发生率，促进患者术后早日康复。Objective To explore the effect of health education with mind mapping to prevent complications after trans-abdominal hysterectomy. Methods A historical controlled study was carried out, with 60 patients treated between February to August 2013 as a control group and 79 patients treated between September 2013 to May 2014 as a mind mapping group. The control group was given routine health education to prevent the postoperative complications, while the mind mapping group was given mind mapping assissted health education to prevent them. Results The occurence rates of poor wound healing, abdominal distension and urinary tract infection of the mind mapping group were significantly lower than the control group（P〈0.05 for all）, while the incidence of deep venous thrombosis of the former had no significant difference between the 2 groups（P〉0.05）. Conclusion The health education with mind map is effective to reduce the occurence rate of complications and promote recoverv.

关 键 词：经腹全子宫切除术 思维导图 术后并发症 切口愈合不良 腹部胀气 尿路感染 静脉血栓 护理 

分 类 号：R473.71[医药卫生—护理学]