思维导图在急性冠脉综合征患者皮下注射低分子肝素钠不良反应干预研究中的应用
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摘要
目的探讨以思维导图模式的护理教育干预对急性冠状动脉患者皮下注射低分子肝素钠后不良反应发生的改善效果。方法采用自行设计的思维导图,以不良反应出现的早期观察、处理措施、原因及预防为切入点责任护士进行培训教育后,比较实施思维导图模式教育前后,急性冠状动脉综合征患者皮下注射低分子肝素钠不良反应的发生率。结果对责任护士实施思维导图模式培训后,患者不良反应的发生率较培训前显著降低,差异有统计学意义(P<0.05)。结论运用思维导图模式对责任护士进行培训教育可有效提高护士的观察和护理能力,从而降低不良反应的发生。
Objective To explore the effect of mind mapping nursing education intervention on adverse reactions of patients with acute coronary artery after subcutaneous injection of low molecular weight heparin sodium. Methods Using self-designed mind map, the incidence of adverse reactions induced by subcutaneous injection of low molecular weight heparin sodium in patients with acute coronary syndrome was compared before and after the training and education of responsible nurses based on early observation, treatment measures, causes and prevention of adverse reactions. Results The incidence of adverse reactions was significantly reduced after the training of mind mapping model for responsible nurses(P<0.05). Conclusion Mind mapping model can effectively improve nurses' observation and nursing ability and reduce the occurrence of adverse reactions.
Objective To explore the effect of mind mapping nursing education intervention on adverse reactions of patients with acute coronary artery after subcutaneous injection of low molecular weight heparin sodium. Methods Using self-designed mind map, the incidence of adverse reactions induced by subcutaneous injection of low molecular weight heparin sodium in patients with acute coronary syndrome was compared before and after the training and education of responsible nurses based on early observation, treatment measures, causes and prevention of adverse reactions. Results The incidence of adverse reactions was significantly reduced after the training of mind mapping model for responsible nurses(P<0.05). Conclusion Mind mapping model can effectively improve nurses' observation and nursing ability and reduce the occurrence of adverse reactions.
引文
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[6]Chan H.Effects of injection duration on site-pain intensity and bruising associated with subcutaneous heparin[J].J Adv Nurs,2001,35(6):882-892.
[7]张瑞莲,朱秀,陆虹,等.健康教育对子宫切除术后患者康复进程影响的研究[J].中国全科医学,2004,7(7):500-502.
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[10]张璐,马玉贞.思维导图在PICC入院宣教中的应用[J].护理研究,2012,26(11C):3123-3124.
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[12]王娟,刘福忠,薛芬.为慢性心力衰竭患者采用思维导图进行出院指导的效果分析[J].当代医药论丛,2015,13(13):93-94.
[13]吴秋霞,邸红军,侯亚红,等.思维导图在静脉用化疗药物安全管理中的应用[J].护理研究,2014,28(8C):2969-2970.
[14]王莉莉,王蓓,王开慧.思维导图在乳腺癌术后并发症护理中的应用[J].中华护理杂志,2013,48(1):75-76.
[15]肖继荣,张秀琴,何红,等.思维导图在防止硬膜外镇痛泵导管滑脱中的应用[J].解放军护理杂志,2014,31(10A):58-60.
[16]邸红军,吴秋霞,施月仙.思维导图在围手术期风险防范中的应用[J].护理管理杂志,2013,13(11):828-829.
[2]Schindewolf M,Schwaner S,Wolter M,et al.Incidence and causes of heparin-induced skin lesions[J].CMAJ,2009,181(8):477-481.
[3]Ju nqueira DR,P erini E,Penholati RR,et al.Unfractionated heparin versus low molecular weight heparin for avoiding heparin induced thrombocytopenia in postoperative patients[J].Cochrane Database Syst Rev,2012.
[4]Lewis C,Landale A.The Extraordinary Reader[M].Berkshire,UK:Vale House Press,2007.
[5]邓倩曦,李荣琼,李霞.低分子肝素皮下注射持续时间对皮下出血和疼痛的影响[J].华西医学,2009,24(2):300-302.
[6]Chan H.Effects of injection duration on site-pain intensity and bruising associated with subcutaneous heparin[J].J Adv Nurs,2001,35(6):882-892.
[7]张瑞莲,朱秀,陆虹,等.健康教育对子宫切除术后患者康复进程影响的研究[J].中国全科医学,2004,7(7):500-502.
[8]康秀平,陈祖玲.整体护理中的健康教育[J].中国全科医学2002,5(9):730-731.
[9]季文翔.运用思维导图工具提高卫生管理绩效[J].中国社区医师,2010,33(12):258.
[10]张璐,马玉贞.思维导图在PICC入院宣教中的应用[J].护理研究,2012,26(11C):3123-3124.
[11]Buzan T.思维导图[J].叶刚,译.北京:中信出版社,2009:15-16.
[12]王娟,刘福忠,薛芬.为慢性心力衰竭患者采用思维导图进行出院指导的效果分析[J].当代医药论丛,2015,13(13):93-94.
[13]吴秋霞,邸红军,侯亚红,等.思维导图在静脉用化疗药物安全管理中的应用[J].护理研究,2014,28(8C):2969-2970.
[14]王莉莉,王蓓,王开慧.思维导图在乳腺癌术后并发症护理中的应用[J].中华护理杂志,2013,48(1):75-76.
[15]肖继荣,张秀琴,何红,等.思维导图在防止硬膜外镇痛泵导管滑脱中的应用[J].解放军护理杂志,2014,31(10A):58-60.
[16]邸红军,吴秋霞,施月仙.思维导图在围手术期风险防范中的应用[J].护理管理杂志,2013,13(11):828-829.