思维导图在COPD患者健康教育中的应用  

Application of mind-map applied on health education of patients with chronic obstructive pulmonary disease

作　　者：韩瑞[1] 邹继华[2] 李永春[3] 夏明营[3] 王丽萍[4] 

机构地区：[1]哈尔滨医科大学(大庆)护理学院,大庆163319 [2]浙江丽水学院医学与健康学院,323000 [3]哈尔滨医科大学附属第五医院呼吸科,大庆163311 [4]哈尔滨医科大学附属第五医院湖滨社区卫生服务中心,大庆163700

出　　处：《中华现代护理杂志》2015年第16期1880-1883,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金资助项目（71273077）;黑龙江省教育厅科学技术研究项目（12531324）

摘　　要：目的：评价思维导图在COPD患者健康教育中的应用效果。方法将2012年12月—2013年6月呼吸科收治的70例COPD患者,按入院先后顺序分成对照组和干预组,各35例。对照组采用常规口头的健康教育,干预组应用思维导图对患者进行健康教育。干预前后采用自行设计COPD知信行问卷、中文版COPD评估测试（ CAT）问卷调查两组患者COPD相关知识掌握水平及生活质量情况,并比较两组患者FEV1%预计值和FEV1/FVC的情况。结果干预后干预组患者COPD相关知识总分为（96.7±4.9）分,CAT 总分为（16.39±3.52）分,FEV1%预计值为（69.18±13.05）%,FEV1/FVC 为（74．83±3.29）%,均优于对照组[（82.8±8.4）分,（19.72±5.32）分,（53.81±17.63）%,（63.71±7．63）%],两组比较差异均有统计学意义（t值分别为8.05,-2.96,4.00,7.59；P〈0.05）。结论应用思维导图对COPD患者进行健康教育,可以提高患者COPD相关知识掌握水平及呼吸康复训练技能,提高其生活质量和改善其肺功能。Objective To evaluate the application effect of mind map in health education among patients with chronic obstructive pulmonary disease （ COPD ） . Methods Seventy patients with COPD were equally divided into control group and intervention group according to their admission orders. Patients in the control group received health education in the form of traditional oral communication, whereas patients in the intervention group received mind-map-based health education. COPD related knowledge assessment questionnaire and COPD assessmenttest （ CAT） questionnaire （ Chinese version） were assessed at base line and after health education while quality of life, FEV1% predication and FEV1/FVC were assessed at base line and 6 months after health education. Results COPD related knowledge assessment questionnaire score was （96. 7 ± 4. 9）,CAT questionnaire score（16. 39 ± 3. 52）,FEV1%predicted（69. 18 ± 13. 05）, FEV1/FVC（74. 83 ± 3. 29）of the intervention group all improved better than [（82. 8 ± 8. 4）,（19. 72 ± 5. 32）,（53. 81 ± 17. 63）, （63. 71 ± 7. 63）] in the control group,and the differences were statistically significant （ t =8. 05, -2. 96, 4. 00,7. 59;P〈0. 05）. Conclusions Application of mind-map in health education among COPD patients can improve patients′COPD related knowledge level and rehabilitation skills, as well as quality of life and pulmonary function level.

关 键 词：COPD 健康教育 生活质量 肺功能 思维导图 

分 类 号：R473.5[医药卫生—护理学]