人型思维导图对肺癌术后化疗全程健康教育指导的依从性

The Effect of the Human Mind Mapping for the Compliance of Whole Course of Health Education in Non-small Cell Lung Cancer Patients

目的：研究人型思维导图对非小细胞肺癌术后全程健康教育指导依从性的影响。方法：选取2016年1月—2016年6月在我院就诊的肺癌化疗患者102例,使用随机数表法将患者分为研究组和对照组,对照组采用常规健康教育,研究组患者在对照组的基础上人型思维导图健康教育。对患者的相关知识知晓率进行评价,分为完全知晓、基本知晓、不知晓3个等级,采用生存质量量表对患者的生活质量进行评定,自制治疗依从性评分量表,对患者的功能锻炼依从性进行评价,记录两组患者并发症发生情况。结果：干预后,研究组患者相关知识知晓率显著高于对照组,统计学差异显著（Z=6.897,P〈0.01）;研究组患者的功能锻炼总依从率显著高于对照组,差异有统计学意义（χ~2=6.793,P〈0.01）;研究组患者生存质量中躯体功能（t=2.773）、情绪功能（t=5.112）、认知功能（t=3.924）、整体功能（t=3.775）、角色功能（t=3.829）等各项功能评分显著高于对照组,差异有统计学意义（P〈0.01）;研究组患者出现1例肺炎,1例伤口感染,研究组患者总并发症发生率[2/51（3.925%）]低于对照组[8/51（15.69%）],差异有统计学意义（χ~2=3.991,P〈0.05）。结论：人型思维导图能显著提高非小细胞肺癌术后全程健康教育指导依从性,提高术后生存质量,降低并发症发生率,值得推广。

Objective：To explore the effect of the human mind mapping for the compliance of whole course of health education in non-small cell lung cancer patients.Methods：a total of 102 non-small cell lung cancer patients with chemotherapy from January to June 2016 in our hospital were selected,and divided into study group and control group using a random number table method,the control group was given the conventional health education,the study group was given human mind mapping health education based on the conventional health education.The related knowledge awareness rate of patients was evaluated,the knowledge awareness was divided into 3 grades of complete knowledge,basic knowledge,knowledge;the quality of life scale was used to assess the quality of life,self-made treatment compliance scale was used to evaluate the compliance of functional exercise,the incidence of complications of two groups were compared.Results：After the intervention,the knowledge awareness rate in study group were higher than that of the control group,the difference was statistically significant（Z=6.897,P〈0.01）;the functional exercise compliance rate in study group was higher than that of the control group,the difference was statistically significant（χ~2=6.793,P〈0.01）;the physical function,emotional function,cognitive function,overall function,role function of life quality in study group were significantly higher than those of the control group,the difference were statistically significant（t=2.773,5.112,3.924,3.775,3.829;P〈0.01）;there were 1 cases of pneumonia,1 cases of wound infection in study group,the total complication rate in the study group[2/51（3.925%）]was lower than that of the control group[8/51（15.69%）],the difference was statistically significant（χ~2=3.991,P〈0.05）.Conclusion：Human mind mapping health education can significantly improve the compliance of functional exercise,improve the quality of life after surgery,reduce the incidence of complications in non-small cell lung cancer patients,and it is worth promoting.