思维导图在结直肠癌PICC带管早期患者健康教育中的应用研究  

Study on the application of mind mapping for health education of early stage patients with colorectal cancer with PICC

作　　者：夏丽敏[1] 詹健[1] 李雪艳[1] 戴敏智 尹志勤[1] 

机构地区：[1]温州医科大学护理学院,浙江温州325015

出　　处：《护士进修杂志》2017年第4期308-311,共4页Journal of Nurses Training

基　　金：浙江省温州市科技局项目(编号:Y20160578)

摘　　要：目的探讨运用思维导图对结直肠癌PICC带管早期患者进行健康教育的效果。方法将109例结直肠癌PICC带管早期患者随机分为对照组和观察组。对照组采用传统宣教方式对患者进行健康教育;观察组设计并应用思维导图进行健康教育。在患者出院时评价健康教育效果及满意度;在下一疗程再次住院时评价患者导管自我管理能力及导管相关并发症的发生情况。结果观察组患者对带管相关知识的知晓度、自我管理能力及健康教育的满意度均显著高于对照组(P<0.05),观察组患者PICC导管相关并发症的发生显著低于对照组(P<0.01)。结论对结直肠癌PICC带管患者进行早期的思维导图式健康教育,能显著提高结直肠癌患者带管相关知识的掌握及导管自我管理能力,减少PICC相关并发症的发生,保证了带管的安全性。Objective To study the effect of health education of patients with coloreetal cancer with peripheral inserted central venous catheter （PICC） by using mind mapping. Methods A total of 109 colorectal cancer patients with PICC were randomly divided into control group and observation group. Patients in the control group were given health education by traditional methods; patients in observation group designed and applied mind mapping to health education. The effectiveness and satisfaction of health education were evaluated at the time of discharge. Self-management of the catheter and the incidence of PICC related complications were evaluated during the next course of re admission. Results The knowledge of caring PICC, the ability of self-management and the satisfaction of health education of the patients in the observation group were significantly higher than that of the control group （P 〈0.05）, the incidence of catheter-related complications in observation group was significantly lower than that of the control group（ P 〈0. 01）. Conclusions Early health education using mind mapping for colorectal cancer patients with PICC can significantly improved the knowledge and self-management ability of the tube, reduced the incidence of catheter- related complications, and ensured the safety of the carrying catheter.

关 键 词：思维导图 健康教育 PICC导管 结直肠癌 

分 类 号：R472[医药卫生—护理学] R735.35[医药卫生—临床医学]