思维导图在慢性乙型肝炎患者管理中应用价值研究

Application of mind map in the management of patients with chronic hepatitis B

目的研究应用思维导图健康教育在慢性乙型肝炎(CHB)患者诊治管理中的应用价值。方法2017年1月~2019年5月我科收治的CHB患者80例,被分成两组,每组40例。成立研究小组,制定针对CHB的思维导图。对对照组患者采取常规健康教育,对观察组患者按照针对CHB的思维导图进行健康教育。采用自我管理能力测定简表(ESCA)进行自我管理能力评价,采用Morisky用药依从性量表-8(MMAS-8)中文版问卷进行治疗依从性评价。结果干预前,两组自我管理能力评分无显著性差异(P>0.05);干预后,观察组自理能力总分、自理技能、自理责任感、自我概念和健康知识水平得分分别为(106.3±5.3)分、(21.8±3.8)分、(22.0±2.2)分、(27.5±1.5)分和(35.0±1.5)分,均显著高于对照组[分别为(93.5±3.5)分、(20.9±2.1)分、(21.0±1.8)分、(24.5±1.7)分和(27.2±2.1)分,P<0.05];在出院后12周末,观察组治疗依从率为90.0%,显著高于对照组的57.5%(P<0.05)。结论对CHB患者实施思维导图健康教育能够显著提高CHB患者自我管理能力和治疗依从性,具有临床应用价值。

Objective The aim of this study was to explore the application of mind map-guided health education on the self-management ability and medication compliance in patients with chronic hepatitis B(CHB).Methods 80 patients with CHB were admitted to our Department of Infectious Diseases,First Affiliate Hospital,Anhui Medicai University from January 2017through May 2019,and were divided into observation and control group according to the order number of admission,with 50 cases in each group.The patients in the control group received conventional health education,and those in the observation received standardized health education data established by the authors with a mind map multimedia presentation software.The self-management ability and treatment compliance of patients in the two groups were evaluated by self-care ability measurement scale(ESCA)and Chinese version of Morisky medication adherence scale-8(MMAS-8)questionnaire.Results At presentation,there was no significant difference in self-management ability between the two groups(P>0.05);After the intervention,the self-management ability score,self-management skill score,self-management responsibility score,self-management concept score and health knowledge level in observation group were(106.3±5.3),(21.8±3.8),(22.0±2.2),(27.5±1.5)and(35.0±1.5),significantly higher than[(93.5±3.5),(20.9±2.1),(21.0±1.8),(24.5±1.7)and(27.2±2.1),respectively,P<0.05)in the control group;at the end of 12 weeks after discharge,the treatment compliance rate in the observation group was 90.0%,significantly higher than 57.5%in the control group(P<0.05).Conclusion The mind map health education plan for patients with CHB might improve the patients'self-management ability and treatment compliance effectively,which worth further investigation.