思维导图在老年患者经导管二尖瓣缘对缘修复术后自我管理模式中的应用研究  

Application of mind map in self-management mode of elderly patients after mitral valve transcatheter edge-to-edge repair

作　　者：季梅丽[1] 狄素玲 吴琪[1] 贾若雅[1] 吴筱娴[1] 张娟[1] 李燕[1] JI Meili;DI Suling;WU Qi;JIA Ruoya;WU Xiaoxian;ZHANG Juan;LI Yan(Detartment of Geriatrics,Affiliated Nanjing Hospital,Nanjing Medical University(Nanjing Municipal First Hospital,Nanjing),Jiangsu Province 210006,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院),江苏南京210006

出　　处：《介入放射学杂志》2024年第10期1131-1137,共7页Journal of Interventional Radiology

基　　金：南京市卫生科技发展专项资金项目(ZKX23033)。

摘　　要：目的探讨思维导图在老年患者经导管二尖瓣缘对缘修复术(mitral valve transcatheter edge-to-edge repair,M-TEER)后自我管理中的应用效果。方法取2021年8月至2022年10月在南京医科大学附属南京医院行M-TEER术的患者作为研究对象,采用信封隐匿法共纳入数据分析样本66例,其中研究组和对照组各33例。对照组进行常规健康教育,研究组应用多学科专科护士设计的思维导图指导责任护士对患者进行宣教。结果研究组患者术后用药依从性与对照组比较差异有统计学意义(P<0.05),即研究组患者在按时服药、坚持服药及遵医嘱服药等方面的依从性均高于对照组。研究组术后心功能指标中6 min步行试验与对照组比较差异有统计学意义(P<0.05)。研究组的术后生活质量评价与对照组比较差异有统计学意义(P<0.05),即研究组患者的日常生活能力、衰弱程度、社会支持度和术后1年内因心衰住院发生率均优于对照组。结论在M-TEER后老年患者的自我管理中应用思维导图可有效提高患者出院后的用药依从性,从而提高患者的生活质量,降低患者因心衰住院的发生率。Objective To discuss the application of mind map in self-management of elderly patients after receiving mitral valve transcatheter edge-to-edge repair(M-TEER).Methods A total of 66 patients,who underwent M-TEER at Nanjing Hospital of Nanjing Medical University from August 2021 to October 2022,were enrolled in this study.Using the envelope concealment method,a total of 66 data analysis samples were included in the analysis.There were 33 patients each in the study group and control group.Routine health education was adopted for the patients of the control group,while the responsible nurse conducted health education for the patients of the study group under the guidance of the mind map that was designed by a multidisciplinary specialized nurses.Results There was a significant difference in postoperative medication compliance between the study group and the control group(P<0.05),i.e.the degree of compliance,including taking medicine on time,insisting on taking medicine and taking medicine as prescribed,in the study group was obviously higher than that in the control group.The postoperative 6-min walking test,which was regarded as one of the indicators of cardiac functions,in the study group was remarkably better than that in the control group,the difference was statistically significant(P<0.05).The postoperative quality of life(including daily activity ability,frailty degree,social support,and incidence of hospitalization for heart failure within one year after treatment)in the study group was strikingly better than that in the control group(P<0.05).Conclusion The use of mind map in self-management of elderly patients after receiving M-TEER can effectively improve the medication compliance of the patients after discharge,improve the quality of life of patients,and reduce the incidence of hospitalization due to heart failure.

关 键 词：思维导图 经导管二尖瓣缘对缘修复术 自我管理 老年 

分 类 号：R654[医药卫生—外科学]