以思维导图为主的围手术期护理宣教对恶性肿瘤患者家属术中等候期焦虑情绪的影响

徐云; 徐翔; 贺丽芳; 黄幔莉; 苏永顺

doi:10.16766/j.cnki.issn.1674-4152.003737

以思维导图为主的围手术期护理宣教对恶性肿瘤患者家属术中等候期焦虑情绪的影响

doi: 10.16766/j.cnki.issn.1674-4152.003737

汕头大学医学院附属肿瘤医院麻醉科，广东汕头 515000

基金项目:

广东省科技专项资金项目 210728156901648

汕头市科技计划医疗卫生类别项目 210929096490341

详细信息

通讯作者:
苏永顺，E-mail：suy19760@163.com

中图分类号: R473
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- 被引次数: 0
出版历程
- 收稿日期: 2024-02-25
- 网络出版日期: 2024-12-28

Influence of perioperative nursing education based on mind map on the anxiety of family members of patients with malignant tumor during operation

Department of Anesthesiology, Cancer Hospital Affiliated to Shantou University School of Medicine, Shantou, Guangdong 515000, China

摘要

摘要: 目的探讨以思维导图为主的麻醉护理宣教对恶性肿瘤患者家属术中等候期焦虑情绪以及患者家属对护理满意情况的评价，旨在减轻术中等待家属的不良情绪，提高其对护理工作的满意度。方法选择2022年1—10月于汕头大学医学院附属肿瘤医院接受手术治疗的180例恶性肿瘤患者家属为研究对象，采用随机数字表法分为观察组和对照组，各90例。对照组在术中等候期予以恶性肿瘤患者家属常规麻醉护理宣教，观察组在对照组的基础上给予思维导图为主的麻醉护理宣教。比较2组术前(术前访视时)、术中(患者进手术室后1 h)以及术后(术后回访时)焦虑、抑郁以及护理满意率。结果术中以及术后观察组焦虑[(39.33±6.41)分、(36.05±8.43)分]以及抑郁评分[(35.34±10.54)分、(31.31±4.69)分]均低于对照组[焦虑，(41.65±8.27)分、(32.19±10.37)分；抑郁，(40.38±8.36)分、(33.97±7.35)分，P＜0.05]；观察组家属护理满意情况优于对照组(P＜0.05)。结论对接受手术治疗的恶性肿瘤患者家属给予思维导图为主的麻醉护理宣教，可以减轻焦虑抑郁等负性情绪的影响，同时还可提高对护理的满意度。
- 恶性肿瘤 /
- 思维导图 /
- 焦虑抑郁 /
- 患者家属
Abstract: Objective To explore the evaluation of anesthesia nursing education based on mind map on the anxiety and nursing satisfaction of family members of patients with malignant tumor during operation, so as to alleviate the bad mood of family members waiting during operation and improve their satisfaction with nursing work. Methods From January 2022 to October 2022, 180 family members of patients with malignant tumor who received surgical treatment in the Cancer Hospital Affiliated to Shantou University School of Medicine were selected as the research objects, and were randomly divided into observation group and control group, with 90 cases in each group. The control group was given routine anesthesia nursing education to the families of patients with malignant tumor during the waiting period, while the observation group was given anesthesia nursing education based on mind map on the basis of the control group. The anxiety, depression, and nursing satisfaction rates of the two groups were compared before operation (preoperative visit), during operation (1 hour after the patient entered the operating room) and after operation (postoperative return visit). Results The scores of anxiety (39.33±6.41, 36.05±8.43) and depression (35.34±10.54, 31.31±4.69) of intraoperative and postoperative in the observation groups were lower than those in the control group (41.65± 8.27, 32.19±10.37, 40.38±8.36, 33.97±7.35, P < 0.05). The nursing satisfaction of family members in the observation group was better than that in the control group (P < 0.05). Conclusion Giving anesthesia nursing education mainly based on mind map to the family members of malignant tumor patients undergoing surgery can reduce the influence of negative emotions such as anxiety and depression, and at the same time improve the influence on nursing satisfaction.
- Malignant tumor /
- Mind map /
- Anxiety and depression /
- Family members of patients

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图 1 恶性肿瘤患者家属术中等待健康教育的思维导图

Figure 1. Mind map of family members of malignant tumor patients waiting for health education during operation

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表 1 2组恶性肿瘤患者家属一般资料比较[例(%)]

Table 1. Comparison of general data of family members in the two groups of malignant tumor patients[cases (%)]

项目	观察组(n=90)	对照组(n=90)	统计量	P值
年龄			0.300^a	0.767
18~＜30岁	5(5.56)	1(1.11)
30~＜45岁	7(7.78)	14(15.56)
45~65岁	78(86.66)	75(83.33)
性别			1.469^b	0.226
男性	49(54.44)	57(63.33)
女性	41(45.56)	33(36.67)
婚姻状况			0.580^b	0.446
已婚	71(78.89)	75(83.33)
未婚	19(21.11)	15(16.67)
教育程度			-0.542^a	0.588
初中	37(41.11)	31(34.44)
高中	26(28.89)	32(35.56)
大专及以上	27(30.00)	27(30.00)
家庭月收入			0.501^a	0.617
＜1 000元	7(7.78)	5(5.56)
1 000~＜3 000元	15(16.67)	18(20.00)
3 000~＜5 000元	38(42.22)	42(46.67)
≥5 000元	30(33.33)	25(27.77)
医疗费用支付方式			0.993^b	0.609
自费	14(15.56)	11(12.22)
新农合	31(34.44)	37(41.11)
医保	45(50.00)	42(46.67)
同患者的关系			0.839^b	0.658
配偶	48(53.33)	53(58.89)
父母	16(17.78)	12(13.33)
子女	26(28.89)	25(27.78)
注：^a为Z值，^b为χ²值。

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表 2 2组恶性肿瘤患者家属心理状况比较(x±s，分)

Table 2. Comparison of psychological status of family members of patients with malignant tumor between the two groups(x±s, points)

组别	例数	焦虑			抑郁
组别	例数	术前	术中	术后	术前	术中	术后
观察组	90	47.64±9.37	39.33±6.41^a	36.05±8.43^a	45.64±5.34	35.34±10.54^a	31.31±4.69^a
对照组	90	48.25±10.02	41.65±8.27^a	32.19±10.37^a	44.98±4.86	40.38±8.36^a	33.97±7.35^a
F值		-0.422	-2.103	2.740	0.867	-3.554	-2.894
P值		0.674	0.037	0.007	0.387	＜0.001	0.004
注：2组焦虑评分比较，F_组间=3.671, P=0.027；F_时间=8.545, P=0.004；F_交互=5.171, P=0.007。2组抑郁评分比较，F_组间=5.623, P=0.004；F_时间=12.181, P＜0.001；F_交互=4.852, P=0.002。与术前同组比较，^aP＜0.05。

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表 3 2组恶性肿瘤患者家属护理满意情况比较[例(%)]

Table 3. Comparison of nursing satisfaction of family members of patients with malignant tumor between the two groups[cases (%)]

组别	例数	非常满意	满意	一般满意	不满意
观察组	90	45(50.00)	28(31.11)	12(13.33)	5(5.56)
对照组	90	34(37.78)	27(30.00)	20(22.22)	9(10.00)
注：2组患者家属护理满意情况比较，Z=-2.059，P=0.039。

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参考文献(16)

[1]	YANG K H, CHEN H, LIU C J, et al. Effects of reflective learning based on visual mind mapping in the fundamentals of nursing course: a quasi-experimental study[J]. Nurse Educ Today, 2022, 119(17): 105566. DOI: 10.1016/j.nedt.2022.105566.
[2]	倪荔, 张伟英, 汤舟青, 等. 手术进程查询系统缓解手术患者家属心理焦虑的效果[J]. 中华现代护理杂志, 2021, 27(33): 4580-4583. NI L, ZHANG W Y, TANG Z Q, et al. The effect of surgical progress inquiry system on relieving psychological anxiety of family members of surgical patients[J]. Chinese Journal of Modern Nursing, 2021, 27(33): 4580-4583.
[3]	RUI X, NI W, JING X H. Effects of mind mapping combined with microvideo explanation on disease perception control and nursing cooperation during membrane induction therapy in patients with infectious nonunion after tibial trauma[J]. Emerg Med Int, 2022, 2022(17): 4439595. DOI: 10.1155/2022/4439595.
[4]	依光叫, 张莉, 丁昱, 等. 唇腭裂患儿家长围手术期的心理需求[J]. 昆明医科大学学报, 2021, 42(12): 117-122. YI G J, ZHANG L, DING Y, et al. Psychological needs of parents of children with cleft lip and palate during perioperative period[J]. Journal of Kunming Medical University, 2021, 42(12): 117-122.
[5]	刘小媛, 刘皖娟. 思维导图在毒蛇咬伤患者规范化治疗中的应用[J]. 中华全科医学, 2023, 21(5): 882-885. doi: 10.16766/j.cnki.issn.1674-4152.003006 LIU X Y, LIU W J. Application of mind mapping in standardized treatment of patients with venomous snake bites[J]. Chinese Journal of General Practice, 2023, 21(5): 882-885. doi: 10.16766/j.cnki.issn.1674-4152.003006
[6]	路海娟, 董正航, 张爱玲. 基于思维导图的健康教育对癫痫患儿父母感知脆弱和焦虑的影响[J]. 江苏预防医学, 2021, 32(3): 372-374. LU H J, DONG Z H, ZHANG A L. Effect of health education based on mind map on parents ' perceived vulnerability and anxiety of children with epilepsy[J]. Jiangsu Journal of Preventive Medicine, 2021, 32(3): 372-374.
[7]	陶明, 高静芳. 修订焦虑自评量表(SAS－CR)的信度及效度[J]. 中国神经精神疾病杂志, 1994, 20(5): 301-303. TAO M, GAO J F. Reliability and validity of revised SAS-CR[J]. Chinese Journal of Nervous and Mental Diseases, 1994, 20(5): 301-303.
[8]	BJELLAND I ELLAND I, DAHI A, HAUG T, et al. The validity of the hospital anxiety and depression scale. An updated literature review[J]. J Psychosom Res, 2002, 52(2): 69-77. doi: 10.1016/S0022-3999(01)00296-3
[9]	HAMANO J, MASUKAWA K, TSUNETO S, et al. Are family relationships associated with family conflict in advanced cancer patients?[J]. Psychooncology, 2022, 31(2): 260-270. doi: 10.1002/pon.5801
[10]	程素霞, 范静雯, 崔胤, 等. 家属同步健康教育对胰腺癌手术患者治疗依从性及自我管理效能的影响[J]. 癌症进展, 2021, 19(7): 745-748. CHEN S X, FAN J W, CUI Y, et al. Effect of synchronized health education for family members on treatment compliance and self-management efficacy of patients undergoing pancreatic cancer surgery[J]. Cancer Progression, 2021, 19(7): 745-748.
[11]	谢春芳, 朱杏培, 钟祖军, 等. 恶性肿瘤患者家属知情诊断后急性应激障碍的影响因素及干预措施[J]. 中外医药研究, 2022, 1(3): 1-6. XIE C F, ZHU X P, ZHONG Z J, et al. Influencing factors and intervention measures of acute stress disorder after informed diagnosis in relatives of malignant tumor patients[J]. Chinese Foreign Medical Research, 2022, 1(3): 1-6.
[12]	张梦昀. 术前治疗性沟通对人工耳蜗术患儿配合度、家属焦虑抑郁情绪及应对能力的影响[J]. 川北医学院学报, 2023, 38(1): 141-144. ZHANG M Y. Effect of preoperative therapeutic communication on cooperation, anxiety and depression of family members and coping ability of children undergoing cochlear implantation[J]. Journal of North Sichuan Medical College, 2023, 38(1): 141-144.
[13]	IJNTEMA R C, SCHAUFELI W B, BURGER Y D. Resilience mechanisms at work: the psychological immunity-psychological elasticity (PI-PE) model of psychological resilience[J]. Curr Psychol, 2021, 7(9): 1-13.
[14]	周毓灵. 思维导图式指导模式对川崎病患儿家属疾病认知度及照顾负担感的影响[J]. 当代护士(中旬刊), 2021, 28(12): 49-52. ZHOU Y L. The influence of mind-mapping guidance mode on the family members of children with Kawasaki disease[J]. Modern Nurse (Zhong Xun Journal), 2021, 28(12): 49-52.
[15]	NAEF R, VONV FELTENE S, PETRY H, et al. Impact of a nurse-led family support intervention on family members' satisfaction with intensive care and psychological wellbeing: a mixed-methods evaluation[J]. Aust Crit Care, 2021, 34(6): 594-603.
[16]	孙雪彬, 王红利, 高峰. 思维导图模式对新生儿持续肺动脉高压机械通气时间及家属护理工作满意度的影响[J]. 首都食品与医药, 2020, 27(17): 127. SUN X B, WANG H L, GAO F. The effect of mind mapping model on neonatal mechanical ventilation time and family members ' nursing satisfaction[J]. Capital Food Medicine, 2020, 27(17): 127.