Effects of self medication programme on knowledge of drugs and compliance with treatment in elderly patients.

OBJECTIVE--To determine whether a programme of self medication for inpatients improves compliance with treatment and knowledge of their drugs after discharge from hospital. DESIGN--Patients were prospectively recruited from four wards: two with a self medication programme and two acting as controls. Ten days after discharge the patients were visited at home. They were questioned about their drugs, and a tablet count was undertaken. SETTING--The pharmacy department and four medical wards with an interest in elderly patients at a district general hospital, and the patients'' homes. PATIENTS--88 patients discharged to their own homes who were regularly taking one or more drugs. INTERVENTION--A hospital self medication programme in which patients are educated about their medicines and given increasing responsibility for taking them in hospital. MAIN OUTCOME MEASURES--Compliance with and knowledge of the purpose of their medicines 10 days after discharge from hospital. RESULTS--The mean compliance score in patients taking part in the self medication programme was 95% compared with 83% in the control group (difference 12%, 95% confidence interval 4% to 21%; P < 0.02). Of the patients in the self medication group, 90% (38/42) knew the purpose of their drugs compared with 46% (17/37) in the control group (difference 44%, 26% to 63%; P < 0.001). CONCLUSION--A self medication programme is an effective aid for improving compliance with and knowledge of patients'' drugs after discharge.     

A prospective study of two self-help CD based desensitization and counter-conditioning programmes with the use of Dog Appeasing Pheromone for the treatment of firework fears in dogs (Canis familiaris)

The aims of this study were to evaluate the efficacy of two self-help CD based desensitization and counter-conditioning programmes with the use of Dog Appeasing Pheromone (DAP) for the treatment of firework fears in dogs and to evaluate the training progress and owner compliance. Fifty-four individuals were recruited for an 8-week period of training between August and October 2004. The dogs were separated into two treatment groups, each using a different CD based programme. After implementing the CD programme for the 8-week period without any personalized instruction, two telephone follow-up interviews were completed after periods during which fireworks are commonly used (November and January). Forty-two individuals completed the first 4 weeks of training and 38 completed the 8-week training period. Thirty-six individuals completed the first follow-up interview with 29 completing the second follow-up interview. Assessment of efficacy was measured using both owner reports of its natural response (i.e. the dog's behaviour in the home) and video footage of behaviour in response to a novel recording of the problem sound (i.e. the dog's behaviour in the behaviour clinic) pre- and post-treatment.The majority of change with respect to the dogs’ response to the CD occurred during the first month of training with no significant change during the second month of training. With respect to real exposures, there was a significant reported improvement at both follow-up interviews in both the total severity scores and the global fear scores. There was significant improvement in the mean severity score of all individual behaviours at the first follow-up with the exception of “vigilance” behaviour. Inappropriate elimination was the only behaviour to be completely resolved by the second follow-up. No difference was found in the video recordings of fear behaviours occurring in response to a novel CD recording pre-treatment versus post-treatment.Although the CD programmes varied significantly from one another with respect to their format and the details given in their accompanying instruction booklet, there were no differences between total severity scores or global scores at follow-up two between the treatment groups.Eighty-three percent of owners claimed to have read over 90% of the accompanying instruction booklet for their respective CD but only 48% said that the majority of the instructions were clear. Approximately 90% reported they would consider using a CD based desensitization and counter-conditioning programme again if they were to acquire another dog that was scared of fireworks.These results suggest that the use of self-help CD based sound desensitization programmes in combination with DAP can produce a satisfactory result for some owners of dogs with fear of fireworks, but compliance may be a problem for a notable proportion of owners.     

护理干预对系统性红斑狼疮患者激素治疗依从性的影响

目的:探讨护理干预对系统性红斑狼疮患者激素治疗依从性的影响。方法:选取应用糖皮质激素治疗系统性红斑狼疮的患者104例为研究对象,随机分为对照组和研究组各52例。对对照组患者应用常规的护理模式,而对研究组患者进行全程护理干预。根据患者对药物依从性的差异进行有针对性的护理。研究结果采用x2检验和t检验对结果进行分析,当P0.05有统计学意义。结果:研究组进行护理干预后,患者治疗的依从性及临床效果均明显高于对照组,并且研究组对相关知识的掌握情况明显高于对照组。结论:护理干预可提高患者对健康知识的认知及激素治疗的依从性,增强治疗效果、降低并发症的发生,从而提升患者的生活质量。     

Effects of computer generated reminder charts on patients' compliance with drug regimens.

OBJECTIVE--To investigate whether a reminder chart improved patients'' compliance with their drug regimen after discharge from hospital. DESIGN--Patients were randomly allocated to one of four groups. Two groups received the reminder chart: one also received routine counselling from a nurse and the other received structured counselling from a pharmacist, which included an explanation of the reminder chart. The other two groups received only counseling, either from a nurse or from a pharmacist. Patients were visited about 10 days later: they were questioned about their drug regimen, and their compliance was measured by tablet counting. SETTING--The pharmacy in a district general hospital and patients'' homes. PATIENTS--197 patients being discharged from hospital who were regularly taking two or more drugs. INTERVENTION--An individualised reminder chart, which listed each person''s medicines and when they were to be taken and was automatically generated by a medicine labelling computer. MAIN OUTCOME MEASURES--Patient''s compliance with and knowledge of their drug regimen. MAIN RESULTS--Of the patients who received the reminder chart, 83% (95% confidence interval 74% to 90%) correctly described their dose regimen compared with 47% (37% to 58%) of those without the chart (p < 0.001). The mean compliance score was 86% (81% to 91%) in both groups not given the reminder chart; 91% (87% to 94%) in the group given the chart without an explanation; and 95% (93% to 98%) in the group given the chart and an explanation. A mean compliance score of > 85% was achieved by 63% (53% to 73%) of patients without a reminder chart and by 86% (78% to 93%) of those receiving the chart (p < 0.001). CONCLUSIONS--An automatically generated reminder chart is a practical and cost effective aid to compliance.     

Compliance with diphtheria,tetanus, and pertussis immunisation in Bangladesh: factors identifying high risk groups.

OBJECTIVE--To evaluate factors associated with non-compliance with having second vaccination against diphtheria, tetanus, and pertussis in a treatment centre in Dhaka to determine which children were most at risk of not completing immunisation. DESIGN--Cohort study of infants given first dose of the vaccine and followed up six weeks later to ascertain compliance with having second dose. Factors associated with non-compliance were evaluated. SETTING--Dhaka treatment centre of the International Centre for Diarrhoeal Disease Research, Bangladesh. SUBJECTS--136 unimmunised children aged 6 weeks to 23 months who lived within reach of the treatment centre. At time of the six week follow up 16 of the children could not be traced and seven had died. INTERVENTIONS--All children received their first dose of the vaccine. In each case health education workers had informed the mother about the value of immunisation, and she was given clear instructions to bring the child back after four weeks for the second dose. MAIN OUTCOME MEASURE--Rate of non-compliance with advice to return child for second vaccination. RESULTS--46 of 113 children (41%) received the second dose of the vaccine. Factors most closely associated with mothers'' failure to comply with the second dose were lack of education and low income. Children whose mothers knew most about immunisation at first interview were more likely to have their second dose. CONCLUSIONS--Preventive health care services such as immunisation are appropriately offered in treatment centres, but compliance among children varies with socioeconomic status and mother''s education. Further research should be aimed at ways to make health education more effective among uneducated parents.     

PBL健康教育模式在COPD稳定期患者中的应用

目的探讨PBL健康教育模式对慢性阻塞性肺疾病(COPD)稳定期患者疾病相关知识知晓率及治疗依从性的影响。方法将252例COPD稳定期患者随机分为观察组136例和对照组116例。对照组采用传统的健康教方法进行宣教,观察组按照PBL健康教育模式进行宣教,比较两组患者对疾病相关知识的知晓率及治疗依从性。结果与对照组比较,观察组对COPD相关知识知晓率及治疗依从性均较高,差异有统计学意义(P0.01)。结论 PBL在COPD稳定期患者的健康教育中更具有针对性,有效改善了患者对COPD相关知识的知晓率及治疗依从性,从而有利于疾病的康复。     

微信平台健康教育在肺心病患者延续护理中的应用

目的：探讨微信平台健康教育在慢性肺源性心脏病（肺心病）患者延续护理中的效果，为临床护理工作提供依据。方法：将90 名肺心病患者按出院顺序分成观察组和对照组，各45 例，对照组进行定期随访，观察组利用微信平台进行健康教育，6 个月后评 价两组患者的遵医行为，并采用慢性肺源性心脏病患者生命质量测定量表（QLICD-CPHD）于患者出院时及6 个月后进行生活质 量评价。结果：观察组患者具有很好的遵医行为，对照组遵医行为较差，两组比较有显著差异（P<0.01）。两组患者干预前生活质量 比较无显著差异（P＞0.05）；观察组在干预前后，生活质量各模块无明显改变（P＞0.05），对照组生活质量各模块明显降低，与观察 组比较，差异有统计学意义（P<0.05）。结论：微信教育在一定程度上能够地提高患者的遵医行为,弥补传统健康教育的不足，提升 了健康教育的效果，值得临床借鉴。     

授权教育联合Orem自理模式对提高UC患者自我效能效果显著

为探讨授权教育联合奥瑞姆自理模式(Orem self-care model)对溃疡性结肠炎(ulcerative colitis, UC)患者自我效能及生活质量的影响,本研究选取2015年1月至2017年4月98例我院UC患者,采用随机数字表法分为对照组(n=49)与研究组(n=49)。对照组采取常规健康教育,研究组采取授权教育联合奥瑞姆自理模式。入院时及干预后统计两组自我效能评分(IBD-SES)、生活质量分值(SF-36)、抑郁及焦虑分值(SDS,SAS)、治疗依从性、夜间排便次数。研究发现,干预后两组IBD-SES分值较干预前增高,且研究组较对照组高(p<0.05);干预后两组SF-36分值相比较于干预前均有所增高,且对照组较研究组低(p<0.05);干预后两组SDS及SAS分值较干预前降低,且研究组较对照组低(p<0.05);研究组治疗依从性(95.92%)较对照组(79.59%)高(p<0.05);干预后两组夜间排便次数较干预前减少,且研究组较对照组少(p<0.05)。本研究初步说明,联合采用授权教育及奥瑞姆自理模式对溃疡性结肠炎患者实施干预效果显著,可提高其自我效能及生活质量,缓解负性情绪状态,改善治疗依从性,并减少夜间排便次数。     

Can morbidity associated with untreated asthma in primary school children be reduced?: a controlled intervention study.

OBJECTIVE--To determine whether an intervention programme based on existing school and community resources can reduce school absence and improve participation in games lessons and sport in children with unrecognised or undertreated asthma. DESIGN--Parallel group controlled intervention study. SETTING--102 primary schools in Nottingham: 49 were randomised to receive the intervention and 53 to be control schools. SUBJECTS--All children aged 5 to 10 years with parent reported absence from school because of wheezing in the previous year and taking no treatment or beta agonists only. INTERVENTIONS--Children with asthma were referred to their general practitioner for assessment of symptoms and treatment. Teachers were given education on asthma by the school nurse in 44 of the 49 intervention schools. MAIN OUTCOME MEASURES--Changes in school absence and missed games and swimming lessons because of wheezing, and schools'' policy towards management of asthma in school. RESULTS--Of 17,432 children screened, 451 met the entry criteria--228 in intervention schools and 223 in control schools. 152 (67%) children in intervention schools visited their general practitioner, of whom 39 (26%) were given a new diagnosis of asthma and 58 (38%) had treatment for asthma increased or changed. Over the next academic year mean (SE) parent reported school absence due to wheezing fell significantly, but to a similar extent, in both intervention and control schools (0.82 (0.11) and 1.09 (0.21) weeks respectively). There was little change in school recorded absence or participation in games lessons and swimming lessons in either group. At the end of the study intervention schools were more likely to have improved aspects of management of asthma in school. CONCLUSION--The intervention resulted in a majority of children being assessed by their general practitioner and improved teachers'' understanding and management of asthma, but it did not result in any appreciable reduction in morbidity.     

PAHG取出同期和二期乳房再造的效果及术后评价

摘要 目的：对聚丙烯酰胺水凝胶注射物（polyacrylamide hydrogel,PAHG）取出同期和二期乳房再造术的疗效及预后情况进行比较,为临床治疗提供一定的经验。方法：以2017年4月~2019年4月我院收治的PAHG取出乳房再造患者为研究对象,采用随机法结合患者需求分为I组和II组,I组进行PAHG取出同期乳房再造,II组进行PAHG取出后二期乳房再造,以手术指标（手术时间、出血量、拔管时间和住院时间）、并发症（疼痛、感染、肿胀和形态不佳等）、术后生命质量及自尊评分为指标对两组疗效及预后情况进行评价。结果：I组和II组第一阶段手术时间、出血量、拔管时间和住院时间比较,均无显著差异(P＞0.05),II组第二阶段各项指标较第一阶段均显著降低(P＜0.05);两组患者各项并发症发生率均无显著差异（P＞0.05）,但I组患者疼痛和形态不佳发生率略高于II组,II组包膜挛缩发生率略高于I组,两组并发症总发生率无统计学差异（P＞0.05）;I组术后1个月生命质量和自尊评分均显著高于II组（P<0.05）,两组术后6个月和12个月两组生命质量和自尊评分无明显差异（P＞0.05）;与术后1个月相比,两组患者术后6个月和12个月的生命质量和自尊评分均显著提高（P<0.05）。结论：两种PAHG取出后乳房再造术的效果和预后均良好,可根据患者情况和自身意愿进行选择,值得临床推广应用。     

Case holding in patients with tuberculosis in Botswana.

OBJECTIVE--To evaluate the effectiveness of daily supervised short course chemotherapy in a national tuberculosis programme. DESIGN--Observation of programme during 1984-90. In October 1986 short course chemotherapy was introduced with patients receiving treatment daily from staff in their nearest health facility. SETTING--Botswana national tuberculosis programme. SUBJECTS--All patients with tuberculosis. MAIN OUTCOME MEASURES--Proportions of patients complying with and defaulting from treatment (missing > or = 43 days'' treatment). RESULTS--2938 cases of tuberculosis were recorded in 1990, 1528 of which were of sputum positive pulmonary disease. 2711 (92.3%) patients complied with treatment and 227 (7.7%) defaulted. Before introduction of short course chemotherapy compliance was about 60% compared with over 90% in 1987-90. CONCLUSIONS--A programme using daily supervised short course chemotherapy integrated into the primary health care system is an effective method of treating tuberculosis. The costs of the programme need to be evaluated.     

布南色林联合团体心理治疗慢性精神分裂症的疗效及对认知功能、社会功能和服药依从性的影响

摘要 目的：探讨布南色林联合团体心理治疗慢性精神分裂症（SZ）的疗效,分析其对认知功能、社会功能和服药依从性的影响。方法：选取124例慢性SZ患者随机分为对照组和观察组,对照组口服布南色林治疗,观察组在对照组基础上加以团体心理治疗,疗程均为2个月。治疗后,采用阳性与阴性症状量表（PANSS）和临床疗效总评量表-疾病严重程度（CGI-SI）评估两组患者治疗后的疗效,采用威斯康星卡片分类测验（WCST）评估两组患者治疗前后的认知功能,采用个人和社会功能量表（PSP）评估两组患者治疗前后的社会功能,评定两组患者治疗后的服药依从性。结果：治疗后,两组患者PANSS阳性症状、阴性症状、一般精神病理评分以及总评分均低于治疗前,且观察组低于对照组（P＜0.05）;两组患者CGI-SI评分均低于治疗前,且观察组低于对照组（P＜0.05）;两组患者WCST总应答数评分均高于治疗前,且观察组高于对照组（P＜0.05）;两组患者PSP总评分均高于治疗前,且观察组高于对照组（P＜0.05）;观察组服药依从性优于对照组（P＜0.05）。结论：布南色林联合团体心理治疗较单一布南色林治疗慢性SZ的治疗效果更好,能更好地提高患者的认知功能、社会功能以及服药依从性,值得临床借鉴推广。     

右美托咪定联合丙泊酚在缓解ICU病人谵妄及提高其依从性效果探究

目的:探讨右美托咪定联合丙泊酚在缓解ICU病人谵妄及提高其依从性效果。方法:选取2017年1月-2020年1月我院所收治的79例ICU病人,按治疗方法分为研究组(n=40)和对照组(n=39),研究组采取右美托咪定联合丙泊酚治疗,对照组采取丙泊酚治疗,对比两种治疗方法对缓解ICU病人谵妄及提高其依从性的影响。结果:研究组患者的见效时间短,丙泊酚用量少,苏醒时间短,阻滞完善时间短,拔管时间短,相比于对照组,镇静效果明显优于对照组(P0.05);研究组患者谵妄发生率明显低于对照组(P0.05);研究组患者的依从性明显高于对照组(P0.05);研究组患者各项生活质量评分指标均明显优于对照组,生活质量总评分明显高于对照组(P0.05)。结论:右美托咪定联合丙泊酚具有良好的镇静作用,可有效缓解ICU病人谵妄,并有助于提高患者的依从性,提升患者的生活质量,可作为一种理想的治疗药物推广应用。     

Can drug compliance in the elderly be improved?

Three instruction schemes for self-medication in older patients were designed and compared to see whether they improved drug compliance. Forty-six patients in two rehabilitation units were divided into three different groups. Each group was instructed verbally on the nature and amount of their medication. One group was also given a tear-off calendar and a second group a tablet identification card as a memory aid. Patients were then responsible for taking their own medicine for 14 days. Those with calendars made fewer errors than those with cards, and those with either a card or a calendar made significantly fewer errors than those given only standard instructions.     

于氏头针结合颈项部针刺法治疗脑出血恢复期吞咽障碍*

目的:观察于氏头针结合颈项部针刺法治疗脑出血恢复期吞咽障碍的有效性和安全性。方法:选取150例脑出血恢复期吞咽困难的患者,随机分为于氏项针、头针+颈项部针刺+偏瘫侧肢体针刺(治疗组)75例和除项区外的于氏头针+颈项部针刺+偏瘫侧肢体针刺(对照组)75例。采用洼田氏饮水试验、肺炎发生率、拔除胃管时间及EAT-10量表测评。根据以上量表及评分,给出相应结论。结果:洼田饮水量表显示,两组患者治疗前后均有好转,治疗组平均恢复等级小于对照组。对比拔除胃管平均时间,两组相差6.347天,可见疗效显著。且肺炎发生率两组相差20.6%。同时EAT-10量表也显示治疗组分数每周均小于对照组,可见起效快,效果稳定。结论:于氏头针结合颈项部针刺法治疗脑出血恢复期吞咽障碍疗效确切,可以提高患者的生活质量,值得临床推广。     

经皮椎弓根内固定术治疗胸腰椎骨折患者的疗效观察

目的：探讨经皮椎弓根内固定术(MIPPSO)治疗胸腰椎骨折患者的效果。方法：选择2013 年1 月~2014 年12 月在我院就诊 胸腰椎骨折患者28 例,随机分成开放组和微创组,每组各14 例。开放组行传统切开椎弓根螺钉内固定术,微创组行MIPPSO进 行治疗。比较两组患者手术时间、术中出血量、术后引流量、创口长度、住院天数、椎体前缘高度百分比和后凸Cobb 角指标,并进 行统计分析。结果：两组手术时间无统计学差异（P>0.05）,而术中出血量、术后引流量、创口长度和住院天数的差异均有统计学意 义,且开放组均大于微创组（P<0.01）;两组椎体前缘高度百分比和后凸Cobb 角术后较术前比均有所改善,差异均有统计学意义 （P<0.01）,两组间术前和术后比较,差异均无统计学意义（P>0.05）。结论：MIPPSO 对胸腰椎骨折的治疗效果优于传统切开椎弓根 螺钉内固定术,具有出血少、创伤小,且住院时间短等优点。     

Effect of a training programme to reduce stress in carers of patients with dementia.

OBJECTIVE--To reduce the psychological stress and improve the skills in coping of people who care for relatives with dementia. DESIGN--Assessment and suitability of carers by questionnaire; assessment of patients and carers in a hospital outpatient clinic; allocation to groups according to date of application to study. Linkage of groups of four carers and programme coordinator by telephone conference calls over 12 months after programmes. Reassessment at three, six, 12, and, for those in the "wait list" group, 18 months. SETTING--The programmes were conducted in the psychiatry unit of a Sydney teaching hospital. SUBJECTS--Eligible patients were less than 80 years old, had mild to moderate dementia, and lived at home with their carer. Of the 96 patient-carer pairs in the study, 33 were in the dementia carers'' programme group, 31 were in the memory retraining group, and 32 were in the wait list group. INTERVENTIONS--Carers in the dementia carers'' programme received training in coping with the difficulties of looking after patients with dementia while the patients had sessions in subjects such as memory retraining. In the memory retraining programme patients were admitted and received the patient component of the carers'' programme while their carers had 10 days'' respite. In the wait list group carers waited six months before undertaking the carers'' programme. MAIN OUTCOME MEASURES--Effect of the programmes on carers'' general health questionnaire scores and the rate of placement of patients in institutions. RESULTS--At 12 months'' follow up the carers'' programme had resulted in significantly lower psychological stress among carers than the memory retraining programme (mean (SD) general health questionnaire scores at 0 months were 6.31 (6.23) and 3.60 (6.25) respectively, and at 12 months were 4.69 (5.58) and 7.40 (9.39); p less than 0.05.) In the wait list group distress scores remained stable, even after the carers and patients had undertaken the carers'' programme. Patients deteriorated over 12 months regardless of group allocation, but at 30 months, allowing for patients who died and could not be included in the analysis, 65% of patients in the carers'' programme group were still living at home compared with 26% in the memory retraining programme group. CONCLUSION--The intensive intervention programme described for carers of patients with dementia can reduce the psychological morbidity of the carer and delay the placement of the patient in an institution without increasing the use of health services by either patient or carer.     

心理健康教育对肺结核患者服药依从性的影响

目的：探讨心理护理及健康宣教对肺结核患者服药依从性的影响。方法：选取2011年5月～2012年4月于本院进行治疗的70例耐药性肺结核患者为研究对象,将70例患者随机分为对照组和观察组,每组各35例。对照组以常规护理进行干预,而观察组则以强化心理护理及出院前健康宣教进行干预。然后,对两组患者干预前后的1个月及2个月的疾病知识掌握程度及Morisky服药依从性量表评估结果进行比较。结果i观察组干预后1个月及2个月的疾病知识掌握程度及Morisky服药依从性量表评估结果均优于对照组,差异显著有统计学意义（P〈0．05）。结论：心理护理及出院前健康宣教对耐药性肺结核患者服药依从性的影响较大,为治疗效果的改善发挥了积极的作用。     

Compliance and Persistence in Pediatric and Adult Patients Receiving Growth Hormone Therapy

ObjectiveTo identify key factors that influence compliance and persistence in patients receiving growth hormone (GH) therapy and to promote the development of interventions to support continuous GH use.MethodsA 134-question survey was conducted involving 158 adult patients, 326 adolescents or teens, and 398 parents of children currently receiving or previously treated with GH. Questions explored perceptions about GH deficiency and treatment outcomes, quality of training received for administration of injections, and disruptions affecting compliance and persistence with therapy. Compliance was defined by a categorical assessment of frequency of missed GH doses for specific reasons. Persistence was defined as continuing GH therapy with no interruption.ResultsOn the basis of their responses to questions about potential reasons for missing GH doses, patients were categorized by level of compliance into 3 segments—highly compliant, occasionally noncompliant, or noncompliant and skeptical. Noncompliance with GH therapy (that is, classification in one of the last 2 segments) ranged from 64% to 77% among the 3 age-groups evaluated, with teens having the highest rate of noncompliance. Misperceptions about the consequences of missed GH doses, discomfort with injections, dissatisfaction with treatment results, and inadequate contact with health-care providers (along with other factors) were strongly associated with noncompliance. Survey questions related to these factors were considered useful for identifying patients requiring additional support or intervention to improve compliance.ConclusionRoutine education should emphasize therapeutic end points and their relationship to compliance with GH therapy in an effort to convince and empower patients with GH deficiency to use self-care strategies to achieve their treatment goals. (Endocr Pract. 2008;14: 143-154)     

思维导图对肝移植患者依从性的临床应用价值

目的:思维导图作为一种思维工具,被广泛应用于医学研究方面。本研究主要探讨思维导图对肝移植患者依从性的临床应用价值。方法:选择2010年6月至2012年9月在我院接受肝移植手术的患者100例,按手术时间进行编号,使用随机数字表将患者分为试验组和对照组,每组各50例,对照组应用常规健康教育模式,试验组应用思维导图方法宣教。采用调查问卷就肝移植患者依从性进行调查,比较两组患者问卷调查及质量评定的结果。结果:两组患者出院时依从性比较,服药、饮食、生活习惯、锻炼四个方面均没有统计学差异(P0.05),自我监测护理在出院时两组患者有统计学差异(P0.01)。患者术后六个月的依从性比较,除生活习惯和外,其余四个方面试验组的依从性明显要比对照组好(P0.05或P0.01)。两组患者术后第三日生活质量指数评分比较均没有统计学差异(P0.05)。患者术后六个月试验组生活质量较对照组高(P0.05)。结论:思维导图作为一种思维工具,应用于患者的健康宣教,取得了良好的效果。