Abstract：Objective To explore the effects of mind mapping health education on rehabilitation self-efficacy and pulmonary function recovery of patients undergoing thoracoscopic pulmonary nodule resection. Methods A total of 95 patients with thoracoscopic pulmonary nodule resection treated in the Department of Thoracic Surgery of Huangshan People’s Hospital from March 2019 to June 2021 were selected as the study subjects, according to medical records, 48 cases were randomly divided into observation group and 47 cases were randomly divided into control group. The control group was given routine lung rehabilitation training health education, and the observation group was combined with mind mapping health education. One month after operation, the rehabilitation self-efficacy, pulmonary function and complications were compared between the two groups. Results One month after surgery, the scores of information acquisition and application, symptom self-management, rehabilitation training and skill training, coping with treatment side effects, daily life management, emotion management, and rehabilitation self-efficacy total score in the two groups were higher than those in the same group before operation, and the information acquisition and application, symptom self-management, rehabilitation training and skill training, treatment side effects, and rehabilitation self-efficacy scores of observation group were higher than the control group, the differences were statistically significant (P ＜ 0.05). Vital capacity, forced expiratory volume in the first second, forced vital capacity, and maximum chase air volume in the two groups were lower than those before operation, and observation group were higher than control group, and the differences were statistically significant (P < 0.05). The complication rate in the observation group was 6.25%, lower than 21.28% in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Mind mapping health education is helpful to improve the level of rehabilitation self-efficacy of patients undergoing thoracoscopic pulmonary nodule resection, promote the recovery of postoperative pulmonary function and reduce the incidence of complications.
程冬萍1 吴雪华2. 思维导图健康教育对胸腔镜肺结节切除术后患者康复训练效果的影响[J]. 中国医药导报, 2022, 19(16): 170-174.
CHENG Dongping1 WU Xuehua2. Effect of mind mapping health education on rehabilitation training of patients after thoracoscopic pulmonary nodule resection. 中国医药导报, 2022, 19(16): 170-174.
[1] Maalioune S，Corhay JL，Delvenne P，et al. Sarcoidosis following tuberculosis. Is there a link between these granulomatous diseases? [J]. Rev Med Liege，2019，74（7/8）：394-400.
[2] 廖俊蕾，柳弥.健康体检人群胸部低剂量CT检出肺部结节及肺癌情况研究[J].临床肺科杂志，2020，25（11）：1722-1724，1728.
[3] 金天英，徐珠慧，邬东强.胸腔镜手术治疗老年肺结节患者术后肺部并发症的影响因素及对远期预后的影响[J].江苏医药，2021，47（1）：48-51.
[4] 孙一茜，曹冬霞，孔祥静，等.多功能充气胸带对微创肺切除术后患者肺功能恢复的分析[J].中华肺部疾病杂志（电子版），2021，14（2）：259-260.
[5] 刘文娟，吴雪华，郑红霞.思维导图护理对宫颈癌根治术后患者康复期心理状况及预后的影响[J].中国医药导报，2021，18（17）：193-196.
[6] Meivi Sesanelvira ADI，Mulyono S，Sukihananto. Improving Food Safety Behavior through Mind Map Methods in School-Age Children [J]. Compr Child Adolesc Nurs，2019， 42（sup 1）：97-107.
[7] 中华医学会呼吸病学分会肺癌学组.中国肺癌防治联盟专家组.肺结节诊治中国专家共识（2018年版）[J].中华结核和呼吸杂志，2018，41（10）：763-771.
[8] 颜波儿，潘海燕，石银盛.思维导图在肺叶切除术后患者康复训练中的应用[J].护理与康复，2015，14（7）：670-672.
[9] Huang FF，Yang Q，Han XY，et al. Development and validation of a self-efficacy scale for postoperative rehabilitation management of lung cancer patients [J]. Psychoolcology，2017，26（8）：1172-1180.
[10] Seitz ST，Schellerer VS，Schmid A，et al. Computed Tomography-Guided Wire-Marking for Thoracoscopic Resection of Small Lung Nodules in Children [J]. J Laparoendosc Adv Surg Tech A，2019，29（5）：688-693.
[11] 翁芸，陈金秀，江吉.基于快速康复外科理念指导下的护理干预对胸腔镜肺结节切除术患者应激反应及康复效果的影响[J].中国医药导报，2020，17（34）：177-180.
[12] 陶莎，王振华，谷金玲，等.快速康复外科护理对单孔胸腔镜肺叶切除术后患者肺功能的影响分析[J].中华肺部疾病杂志（电子版），2019，12（2）：220-222.
[13] 翁芸，韦欣琪，张宇，等.皮格马利翁效应干预在肺癌手术患者呼吸功能训练中的应用[J].医学临床研究，2020， 37（4）：628-631.
[14] 贠俊茹，陈德凤，王娟.影响肺叶切除术患者术后呼吸功能锻炼依从性的相关因素分析[J].临床医学研究与实践，2019，4（28）：42-43，47.
[15] 李丽莉，刘叶，徐蕾.思维导图式指导模式在乳腺癌患者植入上臂静脉输液港护理中的应用[J].中国医科大学学报，2021，50（2）：180-183.
[16] Buitron de Vega P，Coe C，Paasche-Orlow MK，et al. “It’s like a mirror image of my illness”：Exploring Patient Perceptions About Illness Using Health Mind Mapping-a Qualitative Study [J]. J Gen Intern Med，2018，33（10）：1692-1699.
[17] 程珲，朱雪萍，邓向红，等.思维导图在儿科住院肠炎患儿健康教育护理中的应用效果[J].中国健康教育，2019， 35（7）：658-661.
[18] Gossack-Keenan K，De Wit K，Gardiner E，et al. Showing Your Thinking：Using Mind Maps to Understand the Gaps Between Experienced Emergency Physicians and Their Students [J]. Aem Educ Train，2019，4（1）：54-63.
[19] 张乐，牛兵，朱建欣，等.健康思维导图式健康教育在乳腺癌根治术后患者中的应用效果[J].癌症进展，2021， 19（1）：100-103.
[20] Rycroft-Malone J，Gradinger F，Griffiths HO，et al. ‘Mind the gaps’：the accessibility and implementation of an effective depression relapse prevention programme in UK NHS services：learning from mindfulness-based cognitive therapy through a mixed-methods study [J]. BMJ Open，2019，9（9）：e26244.
[21] 秦研然，秦丽丽.围术期肺康复运动训练对肺叶切除术后患者肺功能和预后的影响[J].解放军预防医学杂志，2019，37（10）：16-17.
[22] Israel C，Zipp GP，D’Abundo M，et al. Mind Mapping to Enhance Critical Thinking Skills in Physician Assistant Education：A Randomized Controlled Study [J]. J Allied Health，2020，48（2）：135-140.
[23] 张亚会，李慧.视频联合思维导图健康教育在内镜行胰胆管造影术患者中的应用[J].中国医药导报，2020，17（35）：173-176.
[24] 陆军燕，李岚，李金友，等.医护患三位一体健康教育模式在电视胸腔镜肺结节切除术患者中的应用及效果观察[J].护士进修杂志，2019，34（24）：2264-2267.
[25] 沈铖姬，冯志仙.思维导图在开胸手术后患者呼吸功能锻炼中的应用[J].护理与康复，2020，19（4）：72-75.
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