CAJ | 학술논문

目的：评价思维导图在社区类风湿关节炎患者健康教育中的应用效果。方法选择四川省南充市顺庆区类风湿关节炎患者65名为研究对象，随机分为观察组（n=33）和对照组（n=32），均给予为期6个月的健康教育。观察组使用思维导图法，对照组采用传统方法。研究开始前及结束后分别对两组进行疾病知识问卷测评；第1、3、6个月，分别对两组进行依从性的测评；研究期间向观察组发放态度问卷收集其对思维导图健康教育法的态度及评价。计量资料用x±s表示，采用成组设计资料的t检验及单样本t检验,计数资料采用字2检验进行组间比较，检验水准α=0.05。结果疾病知识问卷得分：实施前两组分数差异无统计学意义（P=0.921）；实施后观察组得分（19.97±3.03）高于对照组（17.59±3.11）分，两组比较差异有统计学意义（t=3.122，P=0.003）。第1、3、6个月依从性得分两组比较差异有统计学意义（P值分别为0.034、0.021、0.011）。观察组态度问卷各项目得分均＞3，两组比较差异有统计学意义（P=0.000）。结论利用思维导图对社区类风湿关节炎患者进行健康教育，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。
목적：평개사유도도재사구류풍습관절염환자건강교육중적응용효과。방법선택사천성남충시순경구류풍습관절염환자65명위연구대상，수궤분위관찰조（n=33）화대조조（n=32），균급여위기6개월적건강교육。관찰조사용사유도도법，대조조채용전통방법。연구개시전급결속후분별대량조진행질병지식문권측평；제1、3、6개월，분별대량조진행의종성적측평；연구기간향관찰조발방태도문권수집기대사유도도건강교육법적태도급평개。계량자료용x±s표시，채용성조설계자료적t검험급단양본t검험,계수자료채용자2검험진행조간비교，검험수준α=0.05。결과질병지식문권득분：실시전량조분수차이무통계학의의（P=0.921）；실시후관찰조득분（19.97±3.03）고우대조조（17.59±3.11）분，량조비교차이유통계학의의（t=3.122，P=0.003）。제1、3、6개월의종성득분량조비교차이유통계학의의（P치분별위0.034、0.021、0.011）。관찰조태도문권각항목득분균＞3，량조비교차이유통계학의의（P=0.000）。결론이용사유도도대사구류풍습관절염환자진행건강교육，가방조환자장악질병지식，제고의종성，기효과우우전통방법。
Objective To evaluate the application effects of mind map in community health education of rheumatoid arthritis patients. Methods 65 rheumatoid arthritis patients from Shunqing district of Nanchong City, Sichuan Province were randomly divided into an observation group (n=33) and a control group(n=32). Both groups received six-month health education. Health educators utilized mind map for the observation group and traditional health education for the control group. Before and after implementation, the two groups' mastery of disease knowledge was compared. During the period of 1, 3, 6 months, two groups received compliance evaluation respectively. During the study period, a questionnaire was given to the observation group to collect their attitude towards the mind map health education and their evaluation about it. Measurement data was represented by x ± s, using group t-test design information and single-sample t-test. χ2test was used in the count data for compar-ison between groups with test levelα=0.05. Results The scores of disease knowledge were as follows. Before implementation there was no statistically significant difference between two groups (P=0.921);After implementation, the score of observation group was(19.97±3.03), while the score of control group was(17.59±3.11), the difference was statistically significant(t=3.122,P=0.003). The difference of 1,3,6-month compliance scores was statistically significant(t=2.173,P=0.034;t=2.371,P=0.021;t=2.615,P=0.011) with the observation group's scores(18.24±3.44),(18.94±3.25),(19.64±3.06) respectively,and the control group's scores(16.47±3.13),(16.97±3.45),(17.44±3.70). Observation group's attitude questionnaire scores of each project are > 3, and there was significant difference be-tween two groups (P=0.000). Conclusion Mind mapping method can be used in community health education for rheumatoid arthritis patients to help patients master the knowledge of the disease and improve the compliance. Its effect is better than traditional methods.