Abstract:Objective To analyze the influence of mind map nursing on psychological status and prognosis of patients with cervical cancer after radical operation. Methods A total of 80 patients with cervical cancer undergoing radical hysterectomy in Huangshan People’s Hospital of Anhui Province from August 2017 to August 2020 were selected as the research subjects, and they were divided into observation group and control group according to random number table method, with 40 cases in each group. The control group was given routine intervention such as supervised medication and drainage tube nursing, while the observation group was given routine intervention combined with mind map nursing. One month later, self-rating anxiety scale (SAS), self-rating depression scale (SDS), the time of drainage tube pulling out, the time of first anal exhaust, the length of hospital stay, the recovery rate of bladder function, complications (incision infection, urinary tract infection, urinary retention and frequency of urination) and the nursing satisfaction of the two groups were observed and compared. Results Before intervention, there was no statistical significance in SAS and SDS scores between the two groups (P > 0.05). After intervention, SAS and SDS scores of the two groups were significantly decreased, and the observation group was lower than the control group, with statistical significance (P < 0.05). The time of hospitalization, first anal exhaust and drainage tube pulling out in the observation group was shorter than those in the control group, while the recovery rate of bladder function was better than that in the control group, the differences were statistically significant (all P < 0.05). After intervention, the total nursing satisfaction in the observation group was higher than that in the control group, while the incidence of complications was lower than that in the control group, with statistical significance (all P < 0.05). Conclusion Mind map nursing for cervical cancer patients after radical operation of rehabilitation nursing effect is significant, can significantly improve the patient’s anxiety, depression, reduce complications, is worth promoting and applying.
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.
LIU Wenjuan WU Xuehua▲ ZHENG Hongxia. Effect of mind map nursing on psychological status and prognosis of patients after radical operation of cervical cancer. 中国医药导报, 2021, 18(17): 193-196.
[1] 陈春林.中国宫颈癌临床诊疗与大数据[J].中国实用妇科与产科杂志,2018,34(1):25-29.
[2] Ramirez PT,Frumovitz M,Pareja R,et al. Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer [J]. N Engl J Med,2018,379(20):1895-1904.
[3] 邓浩,王建六.复发性宫颈癌盆腔廓清患者辅助治疗进展[J].中国妇产科临床杂志,2019,20(6):94-95.
[4] 彭淑霞,邓巧玲,刘小敏,等.早期宫颈癌经阴道根治性宫颈切除术17例报告[J].中国微创外科杂志,2019,223(10):93-95.
[5] 郑楹楹,吕宏英,陈正飞,等.宫颈癌根治术后患者康复期症状体验及心理感受的质性研究[J].中华护理杂志,2020,55(4):569-573.
[6] 张弛远,欧阳玲.加速康复外科理念在宫颈癌根治术中的应用[J].中国微创外科杂志,2019,19(2):145-148.
[7] Merz WA,Ballmer U. Demographic factors influencing psychiatric rating scales (Zung SDS and SAS) [J]. Pharmacopsychiatry,1984,17(2):50-56.
[8] 孙晓东,刘敏,鲍慧,等.不同年龄段宫颈癌患者的病理特点及预后分析[J].现代肿瘤医学,2018,26(11):127-130.
[9] Olusola P,Banerjee HN,Philley JV,et al. Human Papilloma Virus-Associated Cervical Cancer and Health Disparities [J]. Cells,2019,8(6):622.
[10] 左鹏,王悦.早期宫颈癌的非根治性手术治疗进展[J].中国妇产科临床杂志,2019,20(4):380-381.
[11] Kim JH,Kim K,Park SJ,et al. Comparative Effectiveness of Abdominal versus Laparoscopic Radical Hysterectomy for Cervical Cancer in the Postdissemination Era [J]. Cancer Res Treat,2019,51(2):788-796.
[12] 闫冬娟,张利萍.针对性预防护理干预对行根治手术宫颈癌患者负面情绪、自我护理能力及并发症的影响[J].中国临床研究,2018,31(8):134-137.
[13] 张洪,张闻熙,陈继明,等.预见性护理在妇科恶性肿瘤单孔腹腔镜治疗中的应用[J].实用临床医药杂志,2019,23(4):22-25.
[14] Benton CB,Ravandi F. A mind map for managing minimal residual disease in acute myeloid leukemia [J]. Clin Adv Hematol Oncol,2017,15(11):859-867.
[15] 彭笑,顾觉醒,齐桂,等.思维导图结合案例分析在外科护理学本科教学的应用[J].护理学杂志,2020,35(18):93-95.
[16] 李文君,蒋仁莲,曾毅文,等.思维导图在围手术期健康教育中应用的研究进展[J].中华现代护理杂志,2019, 25(18):2357-2360.
[17] Booker SQ,Peterson N. Use of the Knowledge Tree as a Mind Map in a Gerontological Course for Undergraduate Nursing Students [J]. J Nurs Educ,2016,55(3):182-184.
[18] 樊烜婷,董秋梅,吴昊,等.浅析思维导图在中医学教学中运用的研究进展[J].内蒙古医科大学学报,2018,40(S2):41-43.
[19] 黄桂兰,彭咏梅,张泓,等.思维导图在康复专业教学中的应用与探讨[J].中国康复理论与实践,2017,23(8):989-992.
[20] 郭珍,杨丽霞,王文华,等.宫颈癌患者实施心理护理对生活质量、不良情绪的影响研究[J].重庆医学,2019(A1):425-426.
[21] 高艳,刘蕾,曾婕,等.思维导图在临床护理工作中的应用[J].沈阳医学院学报,2014,16(3):185-186.
[22] 罗梅,王娟,张颖,等.思维导图教学法在住院医师规范化培训教学中的体会[J].中国医药导报,2018,15(28):65-69.
[23] 龚俊铭,袁琦.思维导图在我国护理中的应用研究进展[J].中国实用护理杂志,2016,32(17):1352-1355.
[24] 刘璐,王秀清,孙钰,等.思维导图在社区护理教学中的应用研究[J].护理研究,2018,32(22):3603-3605.
[25] 晁素兰,郭玉青,侯艳霞,等.思维导图健康教育对提高脑卒中患者出院准备度的效果研究[J].中国现代医生,2020,58(20):166-169.
[26] 张亚会,李慧.视频联合思维导图健康教育在内镜逆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.
[27] 姜倩倩,高红丽,吴琼,等.思维导图干预模式对儿科学龄期患儿的影响观察[J].中国医药科学,2020,10(10):118-120,134.
[28] 岳月娟.思维导图在国内健康教育中的应用现状与展望[J].护理研究:上旬版,2016(12):4225-4227.