Teach-back方法对乳腺癌术后患者功能锻炼技能及依从性的影响  

Effects of teach-back method on the compliance of functional exercises in postoperative patients with breast cancer

作　　者：朱雁[1] 宋淑芬[2] 盖垚[1] 周宾华 彭小花[1] Zhu Yah Song Shufen Gai Yao Zhou Binhua Peng Xiaohua(Oncology Department, the Second People＇s Hospital of Shenzhen, Shenzhen 518031, China Department of Thyroid and Breast Surgery, the Second People＇s Hospital of Shenzhen, Shenzhen 518031, China)

机构地区：[1]深圳市第二人民医院肿瘤科,518031 [2]深圳市第二人民医院甲状腺乳腺外科,518031

出　　处：《中华现代护理杂志》2016年第31期4483-4486,共4页Chinese Journal of Modern Nursing

基　　金：深圳市科技研发资金.知识创新计划（JCYJ20130401112257464）

摘　　要：目的探讨Teach-back方法对乳腺癌术后患者功能锻炼技能及依从性的影响。方法选取2015年3-9月深圳市第二人民医院收治的105例乳腺癌术后患者为对照组。2015年10月-2016年3月收治的114例乳腺癌术后患者为干预组，对照组采用常规健康教育方法指导患者功能锻炼，干预组采用Teach-back方法指导患者功能锻炼。比较出院前1d两组患者的功能锻炼技能掌握评分和功能锻炼的依从性。结果出院前1d干预组功能锻炼技能掌握评分为（63．73±5.51）分，高于对照组的（56．45±4．88）分，差异有统计学意义（P〈0．05）；出院前1d干预组功能锻炼依从性完全依从、部分依从、不依从的构成比分别为64．91％，25．44％，9．65％，明显优于对照组47．62％，36．19％，16．19％，差异有统计学意义（P〈0．05）。结论Teach-back方法能有效提高乳腺癌术后患者功能锻炼技能及功能锻炼的依从性。Objective To explore the effects of teach-back method on the compliance of functional exercises in postoperative patients with breast cancer. Methods Totally 105 postoperative patients with breast cancer admitted in our hospital from March to September 2015 were selected as the control group, and 114 patients from October 2015 to March 2016 were selected as the intervention group. Patients in the intervention group received the functional exercises based on teach-back method, while patients in the control group received routine health education method. The mastery skill score and compliance of functional exercise one day before discharge in two groups were compared. Results The .mastery skill score of functional exercise one day before discharge was （63.73±5.51） in the intervention group, which was significantly higher than （56.45±4.88） in the control group （P〈0.05） ; the constituent ratio of fully compliance, partial compliance and noncbmpliance status in the intervention group one day before discharge were 64.91%, 25.44%, 9.65%, and they were obviously superior to the control group （47.62%, 36.19%, 16.19% ） （P〈0.05）. Conclusions Teach back method can effectively improve the skill and compliance of functional exercise in postoperative patients with breast cancer.

关 键 词：乳腺肿瘤 Teach-back方法 功能锻炼 依从性 

分 类 号：R473.73[医药卫生—护理学]