思维导图在回肠膀胱造口患者围手术期健康教育中的应用效果

目的 探讨运用思维导图模型对膀胱癌回肠代膀胱尿流改道术后患者的回肠膀胱造口护理进行健康教育的应用效果.方法 根据纳入和排除标准搜集2016年8月-2019年12月中国科学技术大学附属第一医院行全膀胱切除+回肠代膀胱尿流改道术的患者68例,采用随机数余数分组法将纳入研究的患者分为对照组和观察组,各34例.对照组采用传统的...

The application of mind mapping in health education of perioperative with ileal bladder stoma

  Objective  To explore the application effect of the mind mapping model to the health education of patients with bladder cancer undergo cystectomy+ileal replacement of bladder urinary diversion.  Methods  According to the inclusion and exclusion criteria, patients who underwent total cystectomy and Bricker urinary diversion in The First Affiliated Hospital of University of Science and Technology of China from August 2016 to December 2019 were enrolled in the study. According to the randomized principle, patients included in the study were divided into the control and observation groups, 34 cases in each group. The control group was given health education by traditional nursing education, and the observation group used design and mind map for health education. The health education effect and satisfaction were evaluated when the patient was discharged from the hospital. Patients were regularly followed up after discharge to evaluate their stoma-related knowledge, their self-management ability and the occurrence of stenosis-related complications.  Results  A total of 68 cases were recruited in this experiment, and the average age was (64.31±7.87) years old. No statistical differences in age, gender, body mass index, general illness and education level were found between the two groups (all P>0.05). Patients in the observation group had 79.41% complete knowledge rate of ostomy-related knowledge, which was significantly higher than in the control group (Z=-2.690, P=0.007). Patients in the observation group showed significantly enhanced rate of self-management (Z=-2.265, P=0.024). The satisfaction of the observation group with health education was significantly higher than that of the control group (Z=-2.149, P=0.032). In terms of the occurrence of ostomy-related complications, the incidence of ostomy-related complications in the observation group was significantly lower than that in the control group (2 vs. 9), similar results were found for ostomy leakage (3 vs. 10) and peri-ostomy dermatitis (5 vs. 12), all P < 0.05.  Conclusion  Patients with bladder cancer undergo cystectomy+ileal replacement of bladder urinary diversion. The introduction of mind mapping in perioperative health education is a satisfactory postoperative health education method that is worthy of clinical promotion and application in the future.