Volume 20 Issue 9
Sep.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1615-1619
LIU Quan-li, ZHANG Jie, ZHANG Jing, HUO Rui. The influence of mind mapping schema health education on postoperative self-care ability of patients with enterostomy[J]. Chinese Journal of General Practice, 2022, 20(9): 1615-1619. doi: 10.16766/j.cnki.issn.1674-4152.002662
Citation: LIU Quan-li, ZHANG Jie, ZHANG Jing, HUO Rui. The influence of mind mapping schema health education on postoperative self-care ability of patients with enterostomy[J]. Chinese Journal of General Practice, 2022, 20(9): 1615-1619. doi: 10.16766/j.cnki.issn.1674-4152.002662
shu

The influence of mind mapping schema health education on postoperative self-care ability of patients with enterostomy

doi: 10.16766/j.cnki.issn.1674-4152.002662
  • 1.

    Department of Gastrointestinal Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 SK2020A0365

  • Received Date: 2022-02-14
    Available Online: 2022-11-29
    Abstract
  •   Objective  To investigate the effect of mind map schema health education on postoperative self-care ability and skin complications of patients undergoing enterostomy after rectal cancer operation, so as to improve the ability of self-care at home and reduce the occurrence of complications.  Methods  Patients undergoing radical colorectal cancer surgery with enterostomy in the Gastrointestinal Surgery Department of First Affiliated Hospital of Bengbu Medical College from January to September 2021 were prospectively enrolled. They were divided into control group (39 cases) and observation group (40 cases) using random numbers method. The control group received routine ostomy health education, including ostomy-related nursing knowledge, life guidance, complication management and discharge guidance, while the observation group received routine health education combined with mind map education. The patients'ability of self-care for ostomy was evaluated by the ostomy self-care ability scale at discharge day, one month and three months. The occurrence of skin complications around ostomy after discharge was recorded.  Results  There was no significant difference in the ostomy self-care ability score between the two groups on discharge day (P>0.05). The self-care ability scores of the observation group and the control group were statistically significant after discharge for one month [(53.13±2.65) points vs. (47.77±2.44) points] and three months [(58.80±2.60) points vs. (54.92±2.66) points, all P < 0.01]. In terms of ostomy complications, there were statistically significant differences between the control group and the observation group in the number of cases of complications after discharge for one month (21 vs. 12, χ2=4.617, P=0.032) and three months (15 vs. 7, χ2=4.318, P=0.038). The hospitalization satisfaction of the observation group and the control group was 95.0% (38/40) and 76.9% (30/39), respectively, with statistical significance (χ2=5.384, P=0.020).  Conclusion  Mind mapping schema health education can improve the ability of patients with enterostomy to take care of their stoma at home, reduce the occurrence of stoma complications, and improve satisfaction during hospitalization.

     

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