基于思维导图的聚焦解决模式在距腓前韧带损伤关节镜治疗患者中的应用

Application of mind mapping-based focused solution approach in patients with anterior talofibular ligament injury undergoing arthroscopic repair

目的探究基于思维导图的聚焦解决模式在接受关节镜下修复治疗的距腓前韧带(ATFL)损伤患者中的应用效果。方法回顾性分析2017年6月至2021年5月于宝鸡市中医医院接受关节镜下修复治疗的146例ATFL损伤患者的临床资料,根据不同护理方法将其分为研究组(n=84)和对照组(n=62),对照组患者接受常规护理,研究组患者采用基于思维导图的聚焦解决模式进行护理,护理时间为入院至出院后1个月。比较两组患者术前、术后1个月、6个月和12个月时的疼痛感受[采用视觉模拟评分(VAS)评估]、踝关节功能[采用足踝功能测试(FAAM)评分评价]、生活质量(采用生活质量评定表评估)以及心理弹性(采用Connor心理弹性量表评估)评分。结果不同护理方法和时间对患者的VAS评分、FAAM评分、生活质量评分和心理弹性评分的影响存在交互作用(P<0.05),术后1个月、6个月和12个月时,两组患者组内不同时间点VAS评分、FAAM评分、生活质量评分和心理弹性差异有统计学意义(P<0.05),且研究组患者各时间点VAS评分均低于对照组,FAAM评分、生活质量评分和心理弹性评分均高于对照组(P<0.05)。结论针对ATFL损伤患者的术后护理,基于思维导图的聚焦解决模式能够使患者恢复更好,减轻患肢疼痛,改善踝关节功能,提升患者生活质量与心理弹性。

Objective To explore the application effect of mind mapping-based focused solution approach in patients with anterior talofibular ligament(ATFL)injury undergoing arthroscopic repair.Methods The clinical data of 146 patients with ATFL injury who received arthroscopic repair treatment in Baoji Hospital of Traditional Chinese Medicine from June 2017 to May 2021 were retrospectively analyzed.According to different nursing methods,they were divided into a study group(n=84)and a control group(n=62).The patients in the control group received routine nursing,and the patients in the study group were treated with mind mapping-based focused solution approach,and the nursing time was one month from admission one month to after discharge.The pain perception[assessed by Visual Analogue Scale(VAS)],ankle function[assessed by Foot and Ankle Ability Measure(FAAM)],quality of life[assessed by Quality of Life Scale],and psychological resilience[assessed by Connor psychological resilience scale]before operation,1 month,6 months and 12 months after operation were compared between the two groups.Results There was interaction between different nursing methods and time on patients'VAS score,FAAM score,quality of life score and resilience score(P<0.05).At 1 month,6 months and 12 months after surgery,there were statistically significant differences in VAS score,FAAM score,quality of life score,and resilience score between the two groups at different time points(P<0.05).The VAS score in the study group at each time point were lower than those in the control group,and the scores of quality of life and resilience were higher than those of the control group(P<0.05).Conclusion Application of mind mapping-based focused solution approach for patients with ATFL injury undergoing arthroscopic repair can effectively promote the recovery,alleviate the pain,ameliorate the ankle function,improve the quality of life and resilience in patients.