基于思维导图的无缝隙护理在胃肠手术患者中的应用效果  

Application effects of seamless nursing based on mind map in patients undergoing gastrointestinal surgery

作　　者：李晓敏 LI Xiaomin(Operating Room of the Affiliated Hospital of Xinyang Vocational and Technical College,Xinyang 46400 Henan,China)

机构地区：[1]信阳职业技术学院附属医院手术室,河南信阳464000

出　　处：《中国民康医学》2025年第6期187-190,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于思维导图的无缝隙护理在胃肠手术患者中的应用效果。方法:回顾性分析2022年10月至2023年9月于该院行胃肠手术的102例患者的临床资料,根据护理方案不同将其分为对照组与观察组各51例。对照组采用常规护理,观察组在对照组基础上采用基于思维导图的无缝隙护理。比较两组围手术期指标(肠鸣音恢复时间、首次进食时间、下床活动时间、住院时间)水平,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分,以及并发症发生率。结果:观察组肠鸣音恢复时间、首次进食时间、首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:在常规护理基础上采用思维导图的无缝隙护理可降低胃肠手术患者围手术期指标水平和负性情绪评分,效果优于单纯常规护理。Objective:To observe application effects of seamless nursing based on mind map in patients undergoing gastrointestinal surgery.Methods:The clinical data of 102 patients undergoing gastrointestinal surgery in this hospital from October 2022 to September 2023 were retrospectively analyzed.According to different nursing schemes,they were divided into control group and observation group,51 cases in each group.The control group was given routine nursing,while the observation group was given the seamless nursing based on mind map on the basis of that of the control group.The perioperative indexes(bowel sound recovery time,first feeding time,first out-of-bed time,hospitalization time)levels,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores before and after the nursing,and the incidence of complications were compared between the two groups.Results:The bowel sound recovery time,the first feeding time,the first out-of-bed time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The seamless nursing based on mind map on the basis of the routine nursing can reduce the perioperative index levels and the negative emotion scores of the patients undergoing gastrointestinal surgery.Moreover,it is superior to simple routine nursing.

关 键 词：思维导图 无缝隙护理 胃肠手术 负性情绪 并发症 

分 类 号：R473.6[医药卫生—护理学]