思维导图引导健康教育对血液透析间期患者液体摄入的影响  

Effect of mind mapping-oriented health education on patient's fluid intake during hemodialysis intervals

作　　者：余霞[1] 王潘[1] 刘凤芹[1] 郑海燕[1] 王少媚[1] Yu Xia Wang Pan Liu Fengqin Zheng Haiyan Wang Shaomei(The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510260, China)

机构地区：[1]广州医科大学附属第二医院,广东广州510260

出　　处：《现代临床护理》2017年第6期44-49,共6页Modern Clinical Nursing

摘　　要：目的探讨思维导图引导的健康教育对血液透析患者透析期间液体摄入的影响。方法选择2015年6月至2016年4月在本院肾内血液净化中心72例液体摄入不依从的患者,采用随机数字表法将其分为对照组和观察组,每组各36例;对照组采用常规健康教育,观察组采用思维导图引导健康教育;干预前和干预后6个月比较两组患者的液体摄入依从性、每日液体摄入量、透析脱水量及透析期间体质量增加值/干体重的比值和并发症发生率。结果观察组在干预6个月后患者的液体摄入依从性,每日液体摄入量、透析脱水量及透析期间体质量增加值/干体重的比值均优于对照组(均P<0.05);观察组在治疗过程出现低血压、高血压、肌肉痉挛及心律失常等并发症发生率低于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论思维导图引导健康教育有利于增强血液透析患者液体摄入依从性认知程度,提高其液体摄入依从性,控制透析期间体质量的增长,降低治疗过程并发症的发生率,值得临床借鉴和推广。Objective To evaluate the effect of mind mapping-oriented health education on patients fluid intake during hemodialysis intervals. Methods From June 2015 to April 2016, 72 patients with poor compliance with fluid intake were randomly divided into control group （n =36） and observation group （n=36）. In the control group, routine health education was used and the observation group was treated with mind mapping-oriented health education. The two groups were compared before intervention and 6 months after that in terms of compliance with fluid intake and daily fluid intake, ultrafiltration volume and body weight gain/dry weight ratio and incidence of complications. Results In the observation group, the fluid intake compliance, daily fluid intake, ultrafiltration volume and body weight gain/dry weight ratio 6 months after intervention were superior to those of the control group （all P〈0.05）. The incidences of complications such as hypotension, hypertension, muscle spasms and cardiac arrhythmia were also significantly lower than those of the control group （P〈0.05）. Conclusion The health education based on mind mapping is helpful to enhance the degree of cognition of fluid intake compliance, improve self-efficacy of chronic diseases, control the growth of body weight during dialysis and reduce the incidence of complications.

关 键 词：思维导图 血液透析 液体摄入 健康教育 

分 类 号：R473.5[医药卫生—护理学]