基于思维导图的健康教育在脑胶质瘤手术患者中的应用

Application of health education based on mind mapping in patients with glioma surgery

目的探讨基于思维导图的健康教育在脑胶质瘤手术患者中的应用效果。方法将69例脑胶质瘤手术患者根据干预方法的不同分为常规健康教育组(n=33)和思维导图教育组(n=36),比较两组患者疾病认知水平、肢体功能[徒手肌力检查(MMT)和Fugl-Meyer下肢运动评价表(FMA)评分]、不良情绪[症状自评量表(SCL-90)评分]、心理能力[接纳与行动问卷第二版(AAQ-Ⅱ)和创伤后成长评定量表(PTGI)评分]、生活质量[诺丁汉健康量表(NHP)评分]和不良反应发生情况。结果思维导图教育组患者合理饮食、合理作息、运动锻炼、情绪控制、遵医用药评分均明显高于常规健康教育组,差异均有统计学意义(P﹤0.01)。干预后,两组患者MMT、FMA、PTGI评分均较干预前升高,AAQ-Ⅱ评分均较干预前降低,且思维导图教育组患者MMT、FMA、PTGI评分均高于常规健康教育组,AAQ-Ⅱ评分低于常规健康教育组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SCL-90、NHP各维度评分均较干预前降低,且思维导图教育组患者SCL-90、NHP各维度评分均低于常规健康教育组,差异均有统计学意义(P﹤0.05)。两组患者不良反应发生情况比较,差异无统计学意义(P﹥0.05)。结论脑胶质瘤手术患者应用基于思维导图的健康教育可有效提升患者疾病认知水平和肢体能力,减少不良情绪,改善患者心理能力和生活质量。

Objective To explore the application effect of health education based on mind mapping in patients undergoing brain glioma surgery.Method A total of 69 patients with brain glioma surgery were divided into conventional health education group(n=33)and mind mapping education group(n=36)according to different intervention methods.Disease cognition level,limb function[manual muscle testing(MMT)and Fugl-Meyer motor assessment(FMA)scores],adverse emotions[symptom check list 90(SCL-90)score],mental ability[acceptance and action questionnaire-2nd edition(AAQ-II)and posttraumatic growth inventory(PTGI)scores],quality of life[Nottingham health profile(NHP)score]and incidence of adverse reactions of the two groups were compared.Result The scores of reasonable diet,reasonable rest,exercise,emotional control and medication compliance in mind mapping education group were significantly higher than those in conventional health education group,the differences were statistically significant(P<0.01).After intervention,the scores of MMT,FMA and PTGI in two groups were higher than those before intervention,the scores of AAQ-II were lower than those before intervention,and the scores of MMT,FMA and PTGI in mind mapping education group were higher than those in conventional health education group,the score of AAQ-II was lower than that in conventional health education group,the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of SCL-90 and NHP in both groups were lower than those before intervention,and the scores of each dimension of SCL-90 and NHP in mind mapping education group were lower than those in conventional health education group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Health education based on mind mapping can effectively improve patients’disease cognition level and limb ability,reduce adverse emotions,and improve patients’mental ability and quality of life.