基于循证主题的思维导图在胸腔穿刺引流患者健康教育中的应用效果  

Effects of mind mapping based on evidence-based theme in health education of patients undergoing thoracentesis and drainage

作　　者：胡秋芳 高凤莉[2] 蔡娟 王霞[1] 陈文英 宋杰[1] 张怡宁 Hu Qiufang;Gao Fengli;Cai Juan;Wang Xia;Chen Wenying;Song Jie;Zhang Yining(Infection and Clinical Microbiology Department,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Nursing Department,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;School of Nursing,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京朝阳医院感染和临床微生物科,北京100020 [2]首都医科大学附属北京朝阳医院护理部,北京100020 [3]首都医科大学护理学院,北京100069

出　　处：《中华现代护理杂志》2023年第5期677-681,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于循证主题的思维导图在胸腔穿刺引流患者健康教育中的应用效果。方法采用便利抽样法,选取2020年9月—2021年12月首都医科大学附属北京朝阳医院收治的78例因感染诊断胸腔积液并行胸腔穿刺引流的患者为研究对象,将2020年9月—2021年3月的患者设为对照组,2021年5—12月的患者设为观察组,各39例。对照组实施传统健康教育,观察组以循证为基础,采用思维导图实施健康教育。比较两组患者的健康教育知识考核评分、自我护理能力、不良事件发生率及护理满意度。结果观察组置管前、置管后24 h、拔管前的健康教育知识考核评分均高于对照组,差异有统计学意义(P<0.01)。观察组自我护理能力总分及各维度评分均高于对照组,差异有统计学意义(P<0.01)。观察组不良事件发生率低于对照组,护理满意度调查表评分高于对照组,差异均有统计学意义(P<0.05)。结论在循证主题基础上应用思维导图能有效提升患者健康教育知识水平及自我护理能力,降低不良事件的发生率,提高护理满意度。Objective To explore the effect of mind mapping based on evidence-based theme in health education of patients undergoing thoracentesis and drainage.Methods From September 2020 to December 2021,78 patients with pleural effusion and thoracentesis drainage diagnosed by infection in Beijing Chaoyang Hospital affiliated to Capital Medical University were selected by convenience sampling as the research object.The patients from September 2020 to March 2021 were set as the control group,and the patients from May to December 2021 were set as the observation group,with 39 cases each.The control group was given traditional health education,while the observation group received evidence-based health education with mind mapping.The health education knowledge examination score,self-care ability,adverse event rate and nursing satisfaction were compared between the two groups.Results The scores of health education knowledge examination in the observation group were higher than those in the control group before,24 hours after catheterization and before decannulation,with statistically significant differences(P<0.01).The total score and each dimension score of self-care ability in the observation group were higher than those in the control group,with statistically significant differences(P<0.01).The incidence of adverse events in the observation group was lower than that in the control group,and the score of Nursing Satisfaction Questionnaire was higher than that in the control group,with statistical differences(P<0.05).Conclusions The mind mapping on the basis of evidence-based themes can effectively improve patients'health education knowledge and self-care ability,reduce the incidence of adverse events,and increase nursing satisfaction.

关 键 词：循证护理 思维导图 胸腔穿刺引流 健康教育 自我护理 

分 类 号：R473.6[医药卫生—护理学]