视频联合思维导图健康教育方式对血液透析患者动静脉内瘘狭窄行球囊扩张治疗术后护理质量的影响

Effect of video combined mind mapping health education on the quality of care after arteriovenous fistula in patients with hemodialysis

目的:探讨视频联合思维导图健康教育方式对血液透析患者动静脉内瘘狭窄行球囊扩张治疗术后护理质量的影响。方法:选取2017年1月至2018年2月期间徐州医科大学附属淮安医院的动静脉内瘘狭窄行球囊扩张术患者50例,随机分成对照组与观察组,每组25例。对照组给予传统的口头宣教健康教育方式,观察组采用视频联合思维导图健康教育法。观察并比较两组患者护理后的凝血功能指标、并发症发生情况、手术前后的心理状况、动静脉内瘘健康教育知晓率及对护理的满意度情况。结果:观察组凝血功能指标水平高于对照组,差异有统计学意义(P<0.05);观察组动静脉瘘发生率明显优于对照组,差异有统计学意义(P<0.05);干预后观察组焦虑自评量表(Self-ratingAnx ietyScale,SAS)和抑郁自评量表(Self-ratingDepressionScale,SDS)均明显低于对照组(P<0.05);观察组动静脉内瘘防护知识的掌握情况及患者满意度明显优于对照组(P<0.05)。结论:视频联合思维导图健康教育方式能有效提高血液透析患者动静脉内瘘狭窄行球囊扩张治疗术后护理质量,具有临床推广意义。

Objective： To explore the effect of video combined mind mapping health education on the quality of care after hemodialysis in hemodialysis patients with arteriovenous fistula. Methods： A total of 50 patients with arteriovenous fistula stenosis underwent balloon dilatation in our hospital from January 2017 to February 2018. They were randomly divided into a control group and an observation group with 25 cases in each group. The patients in the control group were given traditional oral health education methods. The observers used the video combined mind mapping health education method. The blood coagulation function indexes, complications, psychological status before and after surgery, awareness rate of health education of arteriovenous fistulas, and satisfaction degree of nursing were observed and compared. Results： The level of coagulation function in the observation group was higher than that in the control group（P〈0.05）. The incidence of arteriovenous fistula in the observation group was significantly better than that in the control group（P〈0.05）. Self-rating Anxiety Scale（SAS） and Self-rating Depression Scale（SDS） in the observation group were significantly lower than those in the control group, and the difference was statistically significant（P〈0.05）. The knowledge of arteriovenous fistula protection and patient satisfaction were observed in the observation group. The degree was significantly better than that of the control group, and the difference was statistically significant（P〈0.05）. Conclusion： The video combined mind map health education method can effectively improve the quality of care after arteriovenous fistula stenosis of hemodialysis patients after balloon dilatation therapy, and has clinical significance.