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Objective To investigate the effect of mind mapping combined with video-based scene-simulation on self-management ability and coping style of patients with autogenous arteriovenous fistula. Methods Totally 70 patients with autogenous arteriovenous fistula were divided into the control group (n=35)and observation group(n=35) by using random lottery method. The control group received conventional health education, and the mind mapping combined with video-based scene simulation was adopted in the health education for patients in the observation group. The knowledge level, self-management and coping capacity of patients were measured. Results The awareness rate of autogenous arteriovenous fistula-related knowledge in the observation group was higher than that in the control group (P＜0. 05). The total score of self-management scale and scores in each dimension (diagnosis, management and prevention) in the observation group were higher than those in the control group (P＜0. 01). Patients in the observation group achieved higher score of facing factor and lower score of avoiding and yielding factors compared with those in the control group (P＜0. 01). Conclusion Heath education with mind mapping and video-based scene-simulation is effective to improve the self-management ability and coping style of patients with autogenous arteriovenous fistula. (目的 探讨思维导图联合情景模拟视频对自体动静脉内瘘患者自我管理及应对方式的影响。方法 选取2019年12月—2020年12月医院透析中心使用自体动静脉内瘘患者70例为研究对象, 采用抽签法将患者分为对照组及观察组, 各35例。对照组采用传统健康教育, 观察组采用思维导图联合情景模拟视频健康教育方法。评价两组患者动静脉内瘘相关知识掌握、自我管理水平及应对方式。结果 观察组患者自体动静脉内瘘相关知识知晓率高于对照组, 差异有统计学意义(P＜0. 05)。观察组自我管理量表总分及症状的识别、症状的管理和症状的预防维度评分均高于对照组, 差异有统计学意义(P＜0. 01)。观察组患者医学应对方式问卷(MCMQ)面对维度评分高于对照组, 回避和屈服维度评分均低于对照组, 差异有统计学意义(P＜0. 01)。结论 将思维导图联合情景模拟视频应用于自体动静脉内瘘患者健康教育中, 能提高患者自我管理水平, 帮助其树立积极应对方式。) |
