中国血液净化

中国血液净化 ›› 2016, Vol. 15 ›› Issue (07): 358-360.doi: 10.3969/j.issn.1671-4091.2016.07.010

• 血管通路 • 上一篇    下一篇

思维导图在行动静脉内瘘术患者健康教育中的应用

张颖君1,朱亚林1,熊晓红1   

  1. 1. 四川大学华西医院肾脏内科血液透析中心
  • 收稿日期:2015-10-19 修回日期:2016-04-25 出版日期:2016-07-12 发布日期:2016-07-12

The application of mind map in the health education for patients with arteriovenous fistula operation

  • Received:2015-10-19 Revised:2016-04-25 Online:2016-07-12 Published:2016-07-12

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摘要： 目的探讨思维导图在行动静脉内瘘术患者健康教育中的应用。方法将60 例行自体动静脉内瘘术患者随机分为观察组(n=30 例)和对照组(n=30 例)。观察组采用思维导图健康教育法，对照组采用传统的健康教育方式，比较2 组患者的动静脉内瘘防护知识知晓情况、手术前后的心理状况以及患者满意度。结果患者的动静脉内瘘防护知识的掌握情况观察组优于对照组，差异有统计学意义(判断内瘘通畅：χ2=9.017，P=0.003；功能锻炼次数：χ2=8.366，P=0.004；紧急情况处理：χ2= 7.954, P=0.005；避免侵入性操作：χ2=13.017，P =0.000；避免提重物：χ2=15.864，P=0.000；避免内瘘压迫：χ2=16.484，P =0.000),观察组患者满意度同样优于对照组(Wilcoxon W 统计量=715.000，P=0.000)；干预后观察组焦虑自评量表(self- rating anxiety scale, SAS)评分低于对照组(t=3.457，P=0.000)，抑郁自评量表(self-rating depression scale, SDS)评分低于对照组，其差异有统计学意义(t=4.162，P=0.018)。结论思维导图健康教育方法可提高患者对动静脉内瘘知识的知晓率，改善患者的负性心理，增加患者的满意度，值得在临床上推广。

关键词: 思维导图, 动静脉内瘘术, 健康教育

Abstract: Objective To evaluate the application of mind map in the health education for patients with arteriovenous fistula operation. Methods Sixty patients with regular autologous arteriovenous internal fistula were randomly divided into observation group (n=30) and control group (n=30). Observation group used mind map for health education, and control group adopted the traditional way for health education. Awareness of protective knowledge about arteriovenous fistula, psychological status before and after the vascular operation, and satisfactory feelings of the patients were compared between the two groups. Results As for the protective knowledge about arteriovenous fistulas, observation group was better than control group, and the difference was statistically significant (judging the patency of internal fistula: χ2=9.017, P=0.003; times of functional exercise: χ2=8.366, P=0.004; emergency management: χ2=7.954, P=0.005; avoidance of invasive operation: χ2=13.017, P=0.000; avoidance of lifting heavy objects: χ2=15.864, P=0.000; avoidance of compression on internal fistula: χ2=16.484, P=0.000). The satisfactory feelings were also better in observation group than in control group (Wilcoxon W=715.000, P=0.000). After the intervention, Self- Rating Anxiety Scale (SAS) score and Self- Rating Depression Scale (SDS) score were lower in observation group than in control group (for SAS: t=3.457, P=0.000; for SDS: t=4.162, P=0.018). Conclusion Mind map in health education can improve the awareness of knowledge about protecting arteriovenous fistula, negative psychology, and satisfactory feelings, potentially useful in clinical practice.

Key words: mind map, arteriovenous internal fistula operation, health education