思维导图对首次行经皮冠状动脉支架植入术患者出院准备度的影响

Influence of mind mapping on discharge readiness of patients undergoing first coronary stent implantation

目的探讨思维导图对首次行经皮冠状动脉支架植入术患者出院准备度的影响,为临床寻求有效的出院指导方法提供依据。方法选取2019年12月至2020年8月在大连医科大学附属第二医院心内科住院的100例首次行经皮冠状动脉支架植入术患者作为研究对象,按照随机数字表法分为对照组和试验组各50例,对照组给予常规出院指导,试验组利用思维导图进行出院指导。采用出院准备度量表和出院指导质量量表评估2组患者出院准备度和出院指导质量,并进行比较。结果试验组患者出院准备度的个人状态、适应能力、预期性支持得分及总分分别为(25.18±3.79)、(45.24±3.63)、(36.62±3.63)、(107.04±8.92)分,高于对照组的(23.34±3.04)、(41.68±3.62)、(35.14±2.14)、(100.16±7.36)分,差异有统计学意义(t值为-4.91~-2.48,均P<0.05);试验组患者出院指导质量的实际获得的内容、指导技巧及效果得分及总分分别为(56.66±6.06)、(94.46±4.33)、(151.12±8.26)分,高于对照组的(45.38±9.19)、(89.44±10.87)、(134.82±14.31)分,差异有统计学意义(t=-7.25、-3.03、-6.97,均P<0.05)。结论思维导图能有效提高首次行经皮冠状动脉支架植入术患者的出院准备度和出院指导质量,是简单实用的出院指导工具,可在临床推广应用。

Objective To investigate the effect of mind mapping on the discharge readiness of patients undergoing first coronary stent implantation,so as to provide basis for seeking effective discharge guidance in clinical practice.Methods One hundred patients who were hospitalized in the Department of Cardiology,the Second Affiliated Hospital of Dalian Medical University from December 2019 to August 2020 and who underwent coronary stent implantation for the first time were selected as the study objects.They were divided into the control group and the experimental group with 50 cases in each group by the random number table method.The control group was given routine discharge guidance,and the experimental group was given discharge guidance using mind mapping.Readiness for Hospital Discharge Scale and Quality of Discharge Teaching Scale were used to compare the differences of discharge readiness and discharge guidance quality between the two groups after intervention.Results The personal status,adaptability,predictive support and the total score of discharge readiness in the experimental group were(25.18±3.79),(45.24±3.63),(36.62±3.63),(107.04±8.92)points,which were all higher than those in the control group(23.34±3.04),(41.68±3.62),(35.14±2.14),(100.16±7.36)points,with statistically significant differences(t values were-4.91--2.48,all P<0.05).The actual acquired content,guiding skills and results,total scores of discharge guidance quality of patients in the experimental group were(56.66±6.06),(94.46±4.33),(151.12±8.26)points,which were all higher than those in the control group(45.38±9.19),(89.44±10.87),(134.82±14.31)points,with statistically significant differences(t values were-7.25,-3.03,-6.97,all P<0.05).Conclusions Mind mapping can effectively improve the discharge preparation degree and discharge guidance quality of patients undergoing coronary stent implantation for the first time,and it is a simple and practical discharge guidance tool.