思维导图在护士交接班中的应用效果分析

The application and effects of mind map in nursing handover

目的探讨思维导图在护士交接班中的应用效果。方法便利抽取天津市南开医院规模、环境、性质、护理水平相近的2个病区，以抛硬币的方式将其随机分为试验组和对照组，对照组实行常规护理交接班，试验组在思维导图的指导下进行交接班。根据纳入、排除标准每组各选取28名护士为研究对象。自行设计思路清晰的思维导图，采用中文版护士交接班评价量表进行考核评价，并比较思维导图应用后试验组与对照组的住院患者满意率。结果干预3个月后，试验组护士交接班在信息质量、互动支持、效率的得分及总分分别为（31．39±1．34）、（19．57±1.23）、（17．61±1．29）、（68．57±2．49）分，对照组分别为（26．71±1．24）、（18．71±1．33）、（16．68±1．33）、（62．11±2．94）分，差异有统计学意义（t=2．504～13．530，均P〈0．01或〈0．05）；试验组干预前后得分比较差异有统计学意义（t=-17．450—-5．663，均P〈0．01）；干预后，试验组与对照组的住院患者满意度分别为98．89％（89／90）、90．00％（81／90），差异有统计学意义（x2=6．776，P〈0．01）；试验组干预前后满意度比较差异有统计学意义（x2=4．211，P〈0．05）。结论思维导图在护士交接班中的应用能够提升护士交接班质量，提升护理服务质量，促进优质护理服务的开展。

Objective To evaluate the application and effects of mind map in nursing handover. Methods Two wards which had similar scale, environment, property and level of nursing were randomly chosen as the experimental group and the control group by tossing a coin in Tianjin Hospital of ITCWM Nankai Hospital, 28 nurses were selected in each group, according to the inclusion and exclusion criteria, control group takes routine handover, the experimental group takes handover by following the guidance of mind map. The mind map of clear mind were designned. The Chinese version of Handover Evaluation Scale was used to evaluate the effects of mind map in the nursing handover, the inpatients＇ satisfaction was compared between the experimental group and the control group after the application of min-d map. Results After3-month intervention, results showed that the score of handover evaluation scale in the experimental group were （31.39± 1.34） points, （19.57± 1.23） points, （17.61± 1.29） points, （68.57±2.49） point, the score of handover evaluation scale in the control group were （26.71± 1.24） points,（18.71± 1.33） points,（16.68± 1.33） points, （62.11± 2.94） points, the difference was statistically significant（t=2.504- 13.530, P〈0.05）; in the experimental group, the score of handover evaluation scale increased significantly than that before intervention, and the difference was statistically significant （t=-17.450--5.663, P〈0.05）; the inpatients＇ satisfaction in the experimental group was 98.89%（89/90）, the control group was 90%（81/ 90） after intervention, and the difference was statistically significant（x2=6.776, P〈0.05）; in the experimental group, the inpatients＇ satisfaction was better than that before intervention, and the difference was statistically significant （x2=4.211, P〈0.05） .Conclusion： The application of mind map in the n-ursing handover can improve the level of nursing handover and the quality of nursing care, contributing to dveloping high quality of nursing service.