思维导图在毒蛇咬伤患者规范化治疗中的应用  

The Use of Mind Mapping in Standardized Treatment for Venomous Snake Bites

作　　者：刘小媛[1] 刘皖娟 LIU Xiaoyuan;LIU Wanjuan(Emergency Intensive Care Unit,Lishui Municipal Central Hospital,Lishui,Zhejiang 323000,China)

机构地区：[1]丽水市中心医院急诊监护室,浙江丽水323000

出　　处：《中华全科医学》2023年第5期882-885,共4页Chinese Journal of General Practice

基　　金：浙江省卫生健康科技计划项目(2021ZH016)。

摘　　要：目的探讨思维导图对毒蛇咬伤患者救治效果、心理及生活质量的影响,为毒蛇咬伤规范化治疗提供理论依据。方法选取丽水市中心医院2020年2月—2022年5月收治的毒蛇咬伤患者68例,均采用抗蛇毒血清治疗,按照随机数字法分为对照组(34例,采用常规治疗)与试验组(34例,联合思维导图干预)。比较2组救治效果(肿胀消退时间、疼痛缓解时间、蛇伤创口愈合时间、住院时间、抢救成功率、救治满意率)、心理应激指标[90项症状自评量表(SCL-90)]、生活质量[生活质量综合评定调查问卷(GQOLI-74)]的变化。结果干预后,与对照组比较,试验组肿胀消退、疼痛缓解、蛇伤创口愈合及住院时间更短[(5.32±1.09)d vs.(6.84±1.22)d,(3.57±0.92)d vs.(4.73±1.03)d,(16.02±2.11)d vs.(20.91±2.35)d,(7.25±1.09)d vs.(10.16±1.85),均P<0.05];试验组救治满意度为97.06%(33/34),高于对照组的76.47%(26/34),P<0.05。试验组躯体化、强迫症状、抑郁、焦虑、恐怖因子及总分低于对照组(均P<0.05);试验组躯体功能、心理功能、社会功能评分高于对照组(均P<0.05)。试验组不良反应发生率为14.71%(5/34),低于对照组的38.24%(13/34),P<0.05。结论思维导图可提高毒蛇咬伤患者的救治效果,减轻患者的心理应激反应,提高患者的生活质量。Objective To investigate the impact of mind mapping on the treatment effect,psychological status and quality of life in patients with venomous snake bites,and to provide a theoretical basis for standardized treatment of venomous snakebite patients.Methods Sixty-eight patients with venomous snake bites admitted to Lishui Municipal Central Hospital from February 2020 to May 2022,all treated with antivenom.They were selected and divided into a control group(34 cases,treated with conventional therapy)and a test group(34 cases,receiving the conventional therapy combined with mind mapping-based interventions)according to the random number table method.Clinical treatment effect(swelling regression time,pain relief time,snakebite wound healing time,hospitalization time,resuscitation success rate and satisfaction rate),psychological stress indicators[symptom checklist-90(SCL-90)]and quality of life[general quality of life inventory-74(GQOLI-74)]were compared between the two groups.Results After the intervention,the test group required less time to achieve swelling reduction,pain relief,snakebite wound healing and had shorter length of hospitalization time after intervention,compared with the control group,with statistically significant differences[(5.32±1.09)d vs.(6.84±1.22)d,(3.57±0.92)d vs.(4.73±1.03)d,(16.02±2.11)d vs.(20.91±2.35)d,(7.25±1.09)d vs.(10.16±1.85)d,all P<0.05].Moreover,the test group had a higher treatment satisfaction rate(97.06%,33/34)compared with 76.47%(26/34)in the control group(P<0.05).The test group had significantly lower average factor scores for somatization,obsessive-compulsive,depression,anxiety,phobic-anxiety and total SCL-90 after treatment(all P<0.05).In addition,the average post-treatment scores of physical function,psychological function and social function were higher in the test group(all P<0.05).The incidence of adverse reactions was lower in the test group(14.71%,5/34)than that in the control group(38.24%,13/34),P<0.05.Conclusion Mind mapping-based interventions may help to imp

关 键 词：思维导图 毒蛇咬伤 规范化治疗 生活质量 

分 类 号：R595.8[医药卫生—内科学] R996.3[医药卫生—临床医学]