文章摘要

思维导图结合多媒体健康教育在全髋关节置换术中的效果

作者: 1陈燕, 2田燕, 3袁琼
1 马鞍山市人民医院护理部,安徽 马鞍山 243099
2 马鞍山市人民医院关节骨科,安徽 马鞍山 243099
3 马鞍山市人民医院创伤骨科,安徽 马鞍山 243099
通讯: 陈燕 Email: cy13865555337@126.com
DOI: 10.3978/j.issn.2095-6959.2022.06.027

摘要

目的:对比传统口头健康教育与思维导图结合多媒体健康教育对髋关节置换术后并发症发生率、Harris评分和Barthel指数评分以及医护服务满意度的影响,探讨思维导图结合多媒体健康教育模式对人工全髋关节置换术(total hip arthroplasty,THA)患者术后康复效果的影响。方法:将2019年1月至2020年12月马鞍山市人民医院骨科收治的首次行THA的患者随机分成观察组与对照组,对照组患者给予常规口头健康宣教,观察组采用自行设计的思维导图结合多媒体技术进行健康宣教。宣教内容包括知识宣教、康复锻炼、并发症的预防。统计2组患者术后1周、1个月、3个月、6个月Harris评分和Barthel指数评分、术后并发症发生率以及患者满意度,并进行客观评价。结果:与对照组比较,观察组患者手术后Harris评分和Barthel指数评分均增加,差异有统计学意义(P<0.05),且采用思维导图结合多媒体技术进行健康教育干预时间越长,2组间差异越显著;观察组患者术后并发症总发生率显著低于对照组患者(P=0.006);观察组患者术后医护服务满意度显著高于对照组患者(P=0.003)。结论:采用思维导图结合多媒体技术对人工THA术后患者进行健康宣教指导,可有效提升患者术后康复效果,提高患者术后满意度,改善护患关系,值得临床推广应用。
关键词: 人工全髋关节置换术;Harris评分;思维导图;多媒体健康教育

Effect of mind mapping combined with multimedia health education on total hip arthroplasty

Authors: 1CHEN Yan, 2TIAN Yan, 3YUAN Qiong
1 Department of Nursing, Ma’anshan People’s Hospital, Ma’anshan Anhui 243099, China
2 Department of Orthopedics, Ma’anshan People’s Hospital, Ma’anshan Anhui 243099, China
3 Department of Traumatic Orthopedics, Ma’anshan People’s Hospital, Ma’anshan Anhui 243099, China

CorrespondingAuthor: CHEN Yan Email: cy13865555337@126.com

DOI: 10.3978/j.issn.2095-6959.2022.06.027

Abstract

Objective: To compare the effects of traditional oral health education and mind mapping combined with multimedia health education on the incidence of complications, Harris score, Barthel index score and medical service satisfaction after hip replacement, and to investigate the effect of mind mapping combined with multimedia health education mode on postoperative rehabilitation of total Hip arthroplasty (THA) patients. Methods: Patients who were admitted to the Department of Orthopedics of Ma’anshan People’s Hospital and underwent THA for the first time from January 2019 to December 2020 were selected and randomly divided into observation group and control group. The patients in the control group were given routine oral health education, while the observation group patients were given a self-designed mind map combined with multimedia technology for health education. The propaganda and education include knowledge and education, rehabilitation exercise, and the prevention of complications. The Harris score, Barthel index score, postoperative complication rate and patient satisfaction in the 2 groups at 1 week, 1 month, 3 months and 6 months after surgery were analyzed and objectively evaluated. Results: Compared with the control group, the Harris score and Barthel index score of observation group were increased after surgery, and the difference was statistically significant (P<0.05). And the longer the time of health education intervention with mind mapping combined with multimedia technology, the more significant the difference between the 2 groups. The total incidence of postoperative complications in observation group was significantly lower than that in control group (P=0.006). The satisfaction of postoperative medical care in observation group was significantly higher than that in control group (P=0.003). Conclusion: Using mind mapping combined with multimedia technology to conduct health education and guidance for patients after artificial THA can effectively improve the postoperative rehabilitation effect of patients, improve the postoperative satisfaction of patients and improve the nurse-patient relationship, which is worthy of clinical application.

Keywords: artificial hip replacement; Harris score; mind mapping; multimedia health education

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