思维导图健康教育用于肺癌免疫治疗患者皮肤护理中的效果观察  

Effect observation of mind mapping health education applied in skin care of lung cancer immunotherapy patients

作　　者：李粉红 唐磊磊[1] 万娟[1] 郑鸣 童静植 王永生[1] LI Fenhong;TANG Leilei;WAN Juan;ZHENG Ming;TONG Jingzhi;WANG Yongsheng(Nanjing Drum Tower Hospital,The Affi liated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院呼吸与危重症医学科,江苏省南京市210008

出　　处：《护理实践与研究》2024年第3期380-386,共7页Nursing Practice and Research

基　　金：吴阶平医学基金(编号:320.6750.2021-21-1);南京大学医学院附属鼓楼医院院内护理科研项目(编号:2022-A791)。

摘　　要：目的探讨思维导图健康教育对肺癌患者免疫治疗皮肤护理管理中的应用效果。方法选取2021年12月-2022年10月医院呼吸与危重症医学科住院的80例行肺癌免疫治疗的患者为研究对象,按照组间基本特征具有可比性的原则分为对照组40例和观察组40例。对照组在针对肺癌免疫治疗患者的皮肤护理时采取常规护理(口头宣教+317护平台推送健康指导);观察组在对照组基础上,发放思维导图健康教育手册,提供更加系统、全面、科学、规范的健康指导。干预后比较两组患者皮肤病生活质量指数(DLQI)、健康教育满意度、健康教育知识知晓、皮肤毒性反应的发生情况。结果护理干预后,观察组患者的健康教育知识知晓评分、健康教育满意度总分均高于对照组,差异具有统计学意义(P<0.05);干预前观察组和对照组护理患者DLQI、皮肤毒性反应发生程度(皮疹、瘙痒)比较差异无统计意义(P>0.05);护理干预后观察组患者DLQI总分及皮肤毒性反应发生程度均低于对照组,差异有统计学意义(P<0.05)。结论思维导图是一种新型思维方式,融合了教与学,运用到健康教育中有助于促进肺癌免疫治疗患者治疗后皮肤不良反应症状的改善,促进舒适,增强其生活质量,同时,提高了患者疾病健康相关知识水平,提高健康教育的效果和满意度。Objective To explore the application effect of mind map health education on skin care management of immunotherapy for lung cancer patients.Methods 80 cases of lung cancer immunotherapy patients who were hospitalised in the Department of Respiratory and Critical Care Medicine of the hospital from December 2021 to October 2022 were selected as the research objects,they were divided into 40 cases of the control group and 40 cases of the observation group in accordance with the principle of the basic characteristics is being comparable between the groups.In the control group,routine nursing care(oral propaganda and education+317 nursing platform delivering health guidance)was adopted in the skin care of lung cancer immunotherapy patients.In the observation group,on the basis of the control group,the mind mapping health education handbook was issued to provide more systematic,comprehensive,scientifi c and standardised health guidance.After the intervention,the two groups were compared in terms of Dermatology Life Quality Index(DLQI),health education satisfaction,knowledge of health education,and the occurrence of skin toxic reactions.Results After nursing intervention,the total score of health education knowledge and health education satisfaction of patients in the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).There was no statistical significance in the difference between the DLQI and the degree of occurrence of dermatotoxic reactions(rash,itching)by comparing the two groups before the intervention(P>0.05).The difference between the observation group and the control group after nursing intervention patients'total DLQI scores and the degree of occurrence of skin toxic reactions were lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion Mind mapping is a new way of thinking,integrating teaching and learning,and applied in health education helps to promote the improvement of skin adverse reaction symptoms i

关 键 词：思维导图 肺癌 免疫治疗 皮肤不良反应 健康教育 护理 

分 类 号：R473.73[医药卫生—护理学]