目的：探讨思维导图式健康教育在机器人辅助胃癌根治术围手术期护理中对患者心理状态及出院准备等方面的影响效果。方法：采用方便抽样法在空军军医大学第一附属医院选取纳入对象，纳入时间为 2020 年 5 月— 2022 年 9 月，共纳入 90 例，均为接受机器人辅助胃癌根治术治疗患者。根据随机数字表法分为研究组（n=45）和 对照组（n=45），两组均实施常规围手术期护理，研究组同时联合思维导图式健康教育。对比干预前后两组患者抑郁 - 焦虑 - 压力量表（中文精简版）（Chinese Short Version of Depression Anxiety and Stress Scale，DASS-C21）评分、 自我护理能力量表（Exercise of Self-Care Agency Scale，ESCA）评分及出院时出院准备度量表（Readiness for Hospital  Discharge Scale，RHDS）评分、护理满意度评分。结果：干预后，两组 DASS-C21 及 ESCA 各维度评分均低于干预前， 且研究组低于对照组。出院时，研究组 RHDS 各维度评分及总分均高于对照组，研究组患者对护理的总满意率高于对照组。结论：在机器人辅助胃癌根治术围手术期护理中采用思维导图式健康教育，有助于改善患者术后不良心理、 提升其自我护理能力及出院准备度，并降低术后并发症的发生风险。

Objective: To explore the application effect of mind map guided health education on the psychological status and readiness for hospital discharge of patients in the perioperative care of robot-assisted radical gastrectomy for gastric cancer. Methods: The convenience sampling method was used to select 90 gastric cancer patients who underwent robot-assisted radical gastrectomy in the First Affiliated Hospital of Air Force Military Medical University from May 2020 to September 2022. The 90 patients were divided into the control group (n=45) and the study group (n=45) using random number table. Routine nursing intervention was performed on patients of the two groups, while the study group were given mind map guided health education additionally. The scores of Depression Anxiety and Stress Scale (Chinese Short Version) (DASS-C21), the Exercise of Self Care Agency Scale (ESCA), the Readiness for Hospital Discharges Scale (RHDS) and nursing satisfaction between the two groups of patients before and after the intervention were compared. Results: After intervention, the scores of DASS-C21 and ESCA in the two groups were lower than those before intervention, and the scores in the study group were lower than those in the control group. In terms of the time of discharge, the scores and total scores of RHDS in the study group were higher than those in the control group. The total nursing satisfaction rate in the study group was higher than that in the control group. Conclusion: Application of mind map guided health education in the perioperative care of robot-assisted radical gastrectomy for gastric cancer can improve patients’ postoperative negative psychology, enhance their self-care ability and improve their readiness for hospital discharge, and reduce the risk of postoperative complications.

收稿日期：2023-10-10  录用日期：2023-12-16 

Received Date: 2023-10-10  Accepted Date: 2023-12-16 

基金项目：陕西省重点研发计划项目（2021ZDLSF-12） 

Foundation Item: Key Research and Development Program of Shaanxi Province(2021ZDLSF-12) 

通讯作者：袁蓓，Email：16208631@qq.com 

Corresponding Author: YUAN Bei, Email: 16208631@qq.com 

引用格式：杜白茹，白红，袁蓓 . 思维导图式健康教育在机器人辅助胃癌根治术中的应用效果 [J]. 机器人外科学杂志（中英文）， 2024，5（1）：50-57. 

Citation: DU B R, BAI H, YUAN B. Application effect of health education guided by mind map in robot-assisted radical gastrectomy for gastric cancer[J]. Chinese Journal of Robotic Surgery, 2024, 5(1): 50-57.

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