思维导图在癌症患者术后健康教育中应用效果的Meta分析  

Effects of mind map-based health education on postoperative cancer patients:a Meta-analysis

作　　者：刘茂 李蕊 王静怡 沈于琪 邵红[1] 罗蕾 LIU Mao;LI Rui;WANG Jingyi;SHEN Yuqi;SHAO Hong;LUO Lei(Nursing Department,Neijiang First People's Hospital,Neijiang 641099,China;Department of Nursing,School of Medicine,University of Electronic Science and Technology,Chengdu 610000,China;Nursing Department,Cancer Hospital Affiliated to School of Medicine,University of Electronic Science and Technology(Sichuan Cancer Hospital),Chengdu 610000,China)

机构地区：[1]内江市第一人民医院护理部,四川内江641099 [2]电子科技大学医学院护理系,成都610000 [3]电子科技大学医学院附属肿瘤医院护理部,成都610000

出　　处：《中国临床护理》2024年第10期630-635,共6页Chinese Clinical Nursing

基　　金：四川省干部保健科研项目(编号:川干研2023-806)。

摘　　要：目的系统评价思维导图在癌症患者术后健康教育中的应用效果。方法检索PubMed、Web of Science、CINAHL、中国知网、万方知识服务平台、中国生物医学文献数据库中关于癌症患者思维导图式健康教育的随机对照试验,检索时限为建库至2024年3月。采用Cochrane 5.1.0文献质量评价标准对随机对照试验文献进行质量评价,采用Revman 5.4软件进行Meta分析。结果共纳入21篇文献,包括1850例患者。Meta分析结果表明,基于思维导图的健康教育可以减轻癌症患者术后的焦虑情绪[MD=-9.82,95%CI(-14.37,-5.27),P<0.01]、抑郁情绪[MD=-7.27,95%CI(-9.69,-4.85),P<0.01]、疼痛程度[MD=-1.03,95%CI(-1.75,-0.31),P<0.01],提高自我护理能力[MD=17.59,95%CI(15.22,19.95),P<0.01],缩短术后首次下床活动时间[MD=-12.51,95%CI(-16.76,-8.25),P<0.01],提高护理满意度[RR=1.23,95%CI(1.16,1.31),P<0.01]。结论与常规健康教育相比,基于思维导图的健康教育可以缩短癌症患者术后首次下床活动时间,缓解术后焦虑、抑郁情绪,减轻疼痛程度,提高自我护理能力和护理满意度。Objective To explore the effect of mind map-based health education on postoperative cancer patients using Meta-analysis.Methods The randomized controlled trials on mind map-based health education for cancer patients were systematically searched in Pubmed,Web of Science,CINAHL,CNKI,Wanfang Database and Chinese Biomedical Literature Database,with the time set from the inception to March 2024.The quality of RCT was evaluated using Cochrane 5.1.0 literature quality evaluation criteria,and the Meta-analysis was performed using the Revman 5.4 software.Results A total of 21 studies were included,covering 1850 patients.The results of Meta-analysis showed that health education based on mind mapping could improve self-care ability and nursing satisfaction[RR=1.23,95%CI(1.16,1.31),P<0.01],as well as alleviate anxiety,depression and pain,in addition to shorten the time to first ambulation after surgery.Conclusion Compared with conventional health education,mind map-based health education can shorten the time to first ambulation,relieve postoperative anxiety,depression and pain,improve self-care ability and nursing satisfaction of cancer patients.

关 键 词：思维导图 健康教育 癌症 META分析 焦虑 抑郁 疼痛 自我护理能力 

分 类 号：R473.73[医药卫生—护理学] G353.1[医药卫生—临床医学]