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思维导图在社区中老年膝关节骨关节病患者健康教育中的应用

Application of mind mapping in health education for elderly patients with knee osteoarthropathy

摘要:

目的评价思维导图在社区中老年膝关节骨关节病患者健康教育中的应用效果.方法选择中老年膝关节骨关节病患者71例为研究对象,采用随机数字表法分为观察组(n=35)和对照组(n=36),对照组采用常规的口头式健康教育,观察组应用思维导图对患者进行健康教育.干预前后采用自行设计的疾病知识及依从性问卷进行测评,比较两组健康教育效果.结果两组干预前疾病知识问卷评分差异无统计学意义(P=0.997).干预后,观察组疾病知识问卷得分(20.25±3.01)分,高于对照组的(18.17±3.12)分,两组差异有统计学意义(t=2.858,P=0.006);观察组第1、3、6个月依从性得分分别为(19.35±3.14)分、(19.68±3.22)分、(20.18±3.42)分,对照组分别为(17.42±3.11)分、(17.89±3.35)分、(18.32±3.47)分,两组差异均有统计学意义(t=2.602、2.294、2.274,P=0.011、0.025、0.026).观察组态度问卷各项目得分均>3分,两组差异均有统计学意义(均P=0.000).结论利用思维导图对社区中老年膝关节骨关节病患者进行健康教育,可帮助患者掌握疾病知识,提高依从性,其效果优于传统方法.

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abstracts:

Objective To evaluate the effect of mind-map in health education of elderly patients with knee osteoarthritis in community.Methods 71 elderly patients with knee osteoarthropathy were randomly divided into observation group(n=35)and control group(n=36).The control group received routine oral mode health education,and the observation group applied mind map to health education.Before and after the intervention,the self-designed disease knowledge and compliance questionnaire were used to evaluate the effect of two groups of health education.Results There was no significant difference in score between the two groups(P=0.997).After intervention,the score of disease knowledge questionnaire(20.25±3.01)points in the observation group was higher than(18.17±3.12)points in the control group,the difference was statistically significant(t=2.858,P=0.006).At the 1st,3rd and 6th month,the compliance scores of the observation group were(19.35±3.14)points,(19.68±3.22)points,(20.18±3.42)points,respectively,which of the control group were(17.42±3.11)points,(17.89±3.35)points,(18.32±3.47)points,respectively,the differences between the two groups were statistically significant(t=2.602,2.294,2.274,P=0.011,0.025,0.026).The scores of the observation group questionnaire were all more than 3 points,the difference was statistically significant between the two groups(all P=0.000).Conclusion Using mind map to carry out health education to middle-aged and elderly patients with knee joint disease can help patients master disease knowledge and improve compliance,its effect is better than traditional method.

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作者: 张敏琴 [1] 陈钢 [1] 夏芳 [1] 张国红 [1] 刘汉英 [1]
期刊: 《中国基层医药》2017年24卷16期 2410-2413,后插2页 ISTIC
栏目名称: 论著
DOI: 10.3760/cma.j.issn.1008-6706.2017.16.003
发布时间: 2017-08-22
基金项目:
湖北省武汉市公共卫生及卫生政策科研项目(WG16D01).Fund program:Scientific Research Project of Public Health and Health Policy in Wuhan,Hubei Province
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