摘要
目的:探讨思维导图健康教育在结直肠癌临时性肠造口患者中的应用效果。方法:将2020年6月—2024年6月于南平市建阳第一医院收治的130例结直肠癌临时性肠造口患者随机分为研究组和对照组,每组各65例。对照组采用常规康复护理干预,研究组采用思维导图健康教育干预,两组均接受为期12周的护理,比较干预前、后两组自我护理能力、生存质量、造口周围皮肤状态、知晓度以及并发症发生情况。结果:干预12周后,造口周围皮肤状态方面:研究组侵蚀评分、变色评分、组织增生评分较对照组降低,差异有统计学意义(P<0.05);癌症生存质量方面:研究组症状领域、功能领域和总体健康状况3个方面癌症生存质量评分较对照组升高,差异有统计学意义(P<0.05);自我护理能力方面:研究组自我护理能力各维度评分较对照组提高,差异有统计学意义(P<0.05);知晓度方面:研究组并发症识别、造口更换、注意事项3个维度知晓度评分较对照组升高,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:思维导图健康教育能更好改善结直肠癌临时性肠造口患者癌症生存质量及造口周围皮肤状态,提高自护能力及知晓度,减少并发症的发生。
Objective:To explore the effectiveness of mind mapping health education in patients with colorectal cancer with temporary colostomy.Method:130 patients with colorectal cancer with temporary enterostomy admitted to Jianyang First Hospital in Nanping City from June 2020 to June 2024 were selected the subjects,and were randomly into the study and the control group,65 cases in group.The control received conventional rehabilitation nursing care,and the study group used thinking guide health education,and both groups received nursing care for a period of 12 weeks.Before and after the intervention,self-care ability,survival quality,peristoma skin status,awareness and complications were compared between the two groups.Result:After 12 weeks of intervention,erosion,discoloration,and tissue proliferation scores lower in study group compared the control,and difference was statisically sigifiant(P<0.05).The quality of cancer survival scores in the 3 domains of symptomatic domain,functional domain and general health status were elevated in study group compared the control group,the difference was statistcally signifcant(P<0.05).The scores the dimensions of self-care ability the study increased mpared with the trol group,and the diffence was statiscally signcant(P<0.05).Knowledge scores the 3 dimensions of complication recognition,stoma replacement,and precautions were elevated in the study compared with control group,difference was stastically signcant(P<0.05).The complicon rate of the study group was lwer than that of the control,and the difference was stastically signifnt(P<0.05).Conclusion:Mind mapping health education can better improve the quality of cancer survival and peristoma skin status of colorectal cancer patients with temporary colostomy,improve self-care ability and knowledge.
作者
陈师师
CHEN Shishi(Nanping Jianyang First Hospital,Nanping 354200,China)
出处
《中外医学研究》
2025年第27期8-11,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
思维导图
康复护理
肠癌
肠造口
生存质量
Mind mapping
Rehabilitation care
Bowel cancer
Enterostomy
Quality of life
