思维导图为基础的疼痛教育护理对结直肠癌患者术后疼痛评分和生活质量的影响。
The effect of pain-education nursing based on a mind map on postoperative pain score and quality of life in patients with colorectal cancer.
机构信息
Pain Department Hand Surgery, Wuhan Fourth Hospital, Wuhan, Hubei, China.
Department of Surgery, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi City, Hubei Province, China.
出版信息
Medicine (Baltimore). 2023 May 12;102(19):e33562. doi: 10.1097/MD.0000000000033562.
Mind mapping is a combination of images and logical thinking in the form of pictures and texts. It presents a natural expression process that conforms to the divergent thinking of the brain, helping patients understand memory. This study aimed to investigate the impact of pain-education nursing with the aid of mind maps on postoperative pain scores and quality of life in patients with colorectal cancer. The medical records of 100 colorectal cancer patients treated from July 2020 to July 2022 were selected as retrospective research participants and divided into control and observation groups. The control group received routine pain care, and the observation group was given pain-education nursing based on a mind map. The effects on quality of life, pain, negative emotions, and comfort after nursing were compared between the 2 groups. There was no significant difference in quality of-life scores between the 2 groups before the nursing intervention (P > .05). After nursing, the physical, emotional, cognitive, and social functions of patients in the observation group were significantly higher than those in the control group. However, the overall quality of life and financial difficulties of patients in the observation group were significantly lower than those in the control group (P < .05). The observation group's social, physical, and psychological comfort scores were significantly higher than those in the control group after nursing intervention (P < .05). After nursing, the observation group's visual analog scale scores at different times after the operation were significantly lower than those of the control group. The scores on the self-rating anxiety scale and self-rating depression scale in the observation group were significantly lower than those in the control group (P < .05). Pain-education nursing based on mind maps can effectively improve the daily living ability, pain symptoms, and quality of life of patients after colorectal cancer, and there is a reference value for post-nursing care of patients after colorectal cancer.
思维导图是一种将图像和逻辑思维以图片和文字的形式结合在一起的方法。它呈现出一种自然的表达过程，符合大脑的发散思维，有助于患者理解记忆。本研究旨在探讨思维导图辅助疼痛教育护理对结直肠癌患者术后疼痛评分和生活质量的影响。选择 2020 年 7 月至 2022 年 7 月治疗的 100 例结直肠癌患者的病历作为回顾性研究参与者，并将其分为对照组和观察组。对照组接受常规疼痛护理，观察组在思维导图的基础上给予疼痛教育护理。比较两组患者护理后的生活质量、疼痛、负性情绪和舒适度的影响。两组患者护理干预前的生活质量评分无统计学差异（P ＞.05）。护理后，观察组患者的身体、情绪、认知和社会功能明显高于对照组。然而，观察组患者的总体生活质量和经济困难明显低于对照组（P ＜.05）。护理干预后，观察组患者的社会、身体和心理舒适度评分明显高于对照组（P ＜.05）。护理后，观察组患者在不同时间点的视觉模拟评分明显低于对照组。观察组患者的自评焦虑量表和自评抑郁量表评分明显低于对照组（P ＜.05）。基于思维导图的疼痛教育护理可以有效提高结直肠癌患者术后的日常生活能力、疼痛症状和生活质量，对结直肠癌患者的术后护理具有参考价值。
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