关键词: 慢性乙型肝炎, 思维导图, 自我管理, 治疗依从性

Abstract: Objective The aim of this study was to explore the application of mind map-guided health education on the self-management ability and medication compliance in patients with chronic hepatitis B (CHB). Methods 80 patients with CHB were admitted to our Department of Infectious Diseases, First Affiliate Hospital, Anhui Medicai University from January 2017through May 2019, and were divided into observation and control group according to the order number of admission, with 50 cases in each group. The patients in the control group received conventional health education, and those in the observation received standardized health education data established by the authors with a mind map multimedia presentation software. The self-management ability and treatment compliance of patients in the two groups were evaluated by self-care ability measurement scale (ESCA) and Chinese version of Morisky medication adherence scale -8 (MMAS-8) questionnaire. Results At presentation, there was no significant difference in self-management ability between the two groups (P>0.05) ; After the intervention, the self-management ability score, self-management skill score, self-management responsibility score, self-management concept score and health knowledge level in observation group were (106.3±5.3), (21.8±3.8) , (22.0±2.2), (27.5±1.5) and (35.0±1.5), significantly higher than [(93.5±3.5), (20.9±2.1), (21.0±1.8), (24.5±1.7)and (27.2±2.1), respectively, P<0.05) in the control group; at the end of 12 weeks after discharge, the treatment compliance rate in the observation group was 90.0%, significantly higher than 57.5% in the control group(P< 0.05). Conclusion The mind map health education plan for patients with CHB might improve the patients' self-management ability and treatment compliance effectively, which worth further investigation.

Key words: Hepatitis B, Mind map, Self-management ability, Treatment compliance