摘要
目的 探讨在PICC置管肿瘤患者中采用以思维导图为主的健康教育模式后,该模式对患者并发症的预防效果。方法 选取我院于2019年12月至2021年1月80例PICC置管肿瘤患者,随机分为两组,对照组采用常规的口头健康教育护理方式,研究组采用思维导图为主的健康教育模式,观察并比较两组患者的并发症发生情况、健康教育效果以及导管置管时间,计算并比较两组患者健康教育前后的SAS、SDS评分以及应用后EORTC QLQ-C30评分。结果 研究组发生并发症的概率远远低于对照组(P <0.05)。研究组的健康教育效果各维度评分均明显高于研究组,问卷总分显著高于对照组[(96.02±1.24)分vs.(91.77±1.21)分],导管有效置管时间远远长于对照组[(159.22±4.52)d vs.(104.60±5.02)d](P <0.05)。研究组和对照组在健康教育前的SAS评分、SDS评分相似,无显著差异(P> 0.05);研究组和对照组在健康教育后的SAS评分分别为(26.06±1.21)分和(31.22±1.43)分,SDS评分分别为(48.99±1.85)分和(52.73±1.62)分,研究组的评分明显低于对照组(P <0.05)。研究组在角色功能、情绪功能、认知功能、社会功能和躯体功能方面的评分均高于对照组(P <0.05)。结论 以思维导图为主的健康教育模式可以显著提高PICC置管肿瘤患者的自护能力,还可显著提高并发症预防水平。
Objective To investigate the effect of the mind-mapping-based health education model on the prevention of complications in patients with PICC catheterized tumors.Methods Selected 80 patients with PICC intubation tumor in our hospital from December 2019 to January 2021,and randomly divided them into two groups.The control group adopted the conventional oral health education nursing method,and the research group adopted the mind map-based health education mode.The education mode was used to observe the incidence of complications,the effect of health education,and the catheterization time of the two groups of patients.In addition,the SAS and SDS scores,EORTC QLQ-C30 scores of the two groups of patients before and after health education were calculated.Results The possibility of complications in the research group was much lower than that in the control group(P<0.05);after health education,the SAS scores of the research group and the control group were(26.06±1.21) and(31.22±1.43),and the SDS scores were(48.99±1.85) and(52.73±1.62),indicating that the scores of the research group were significantly lower than those of the control group(P<0.05).The scores of the research team in terms of role function,emotional function,cognitive function,social function and physical function were higher than those the control group(P<0.05).Conclusion The health education model based on mind map can significantly improve the self-care ability of tumor patients with PICC catheterization,and can also greatly improve the level of complication prevention,which has high therapeutic value。
作者
黎声
LI Sheng(Department of Oncology,Fuzhou First People's Hospital,Fuzhou 344000,China)
出处
《中国医药指南》
2022年第34期65-67,共3页
Guide of China Medicine
基金
江西省抚州市科技计划项目:2020年【抚科字37号】。
关键词
思维导图
健康教育
PICC
化疗
并发症
预防
Mind map
Health education
Peripherally inserted central catheter
Chemotherapy
Complications
Prevention
