思维导图联合情景模拟视频对自体动静脉内瘘患者自我管理及应对方式的影响研究  

Effect of mind mapping combined with video-based scene simulation on self-management ability and coping style of patients with autogenous arteriovenous fistula

作　　者：黄华博 黄明华 HUANG Huabo;HUANG Minghua(Hemodialysis Room,Shaoxing Central Hospital General Hospital of Medical Community,Shaoxing,Zhejiang,312000)

机构地区：[1]浙江省绍兴市中心医院医共体总院血透室,浙江绍兴312000

出　　处：《中西医结合护理》2023年第3期161-165,共5页Chinese Journal of Integrative Nursing

摘　　要：目的探讨思维导图联合情景模拟视频对自体动静脉内瘘患者自我管理及应对方式的影响。方法选取2019年12月—2020年12月医院透析中心使用自体动静脉内瘘患者70例为研究对象,采用抽签法将患者分为对照组及观察组,各35例。对照组采用传统健康教育,观察组采用思维导图联合情景模拟视频健康教育方法。评价两组患者动静脉内瘘相关知识掌握、自我管理水平及应对方式。结果观察组患者自体动静脉内瘘相关知识知晓率高于对照组,差异有统计学意义(P<0.05)。观察组自我管理量表总分及症状的识别、症状的管理和症状的预防维度评分均高于对照组,差异有统计学意义(P<0.01)。观察组患者医学应对方式问卷(MCMQ)面对维度评分高于对照组,回避和屈服维度评分均低于对照组,差异有统计学意义(P<0.01)。结论将思维导图联合情景模拟视频应用于自体动静脉内瘘患者健康教育中,能提高患者自我管理水平,帮助其树立积极应对方式。Objective To investigate the effect of mind mapping combined with video-based scene-simulation on self-management ability and coping style of patients with autogenous arterio⁃venous fistula.Methods Totally 70 patients with autogenous arteriovenous fistula were divided into the control group(n=35)and observation group(n=35)by using random lottery method.The control group received conventional health education,and the mind mapping combined with vid⁃eo-based scene simulation was adopted in the health education for patients in the observation group.The knowledge level,self-management and coping capacity of patients were measured.Results The awareness rate of autogenous arteriovenous fistula-related knowledge in the observa⁃tion group was higher than that in the control group(P<0.05).The total score of self-manage⁃ment scale and scores in each dimension(diagnosis,management and prevention)in the observa⁃tion group were higher than those in the control group(P<0.01).Patients in the observation group achieved higher score of facing factor and lower score of avoiding and yielding factors com⁃pared with those in the control group(P<0.01).Conclusion Heath education with mind map⁃ping and video-based scene-simulation is effective to improve the self-management ability and cop⁃ing style of patients with autogenous arteriovenous fistula.

关 键 词：思维导图 情景模拟 自体动静脉内瘘 自我管理 应对方式 

分 类 号：R473.6[医药卫生—护理学]