Teach-back反馈护理模式在腹腔镜下胆囊切除患者中的应用效果  

Application effect of Teach-back feedback nursing model in patients of laparoscopic cholecystectomy

作　　者：熊秀梅 吴水梅 叶冬玲 陈伟伟[3] XIONG Xiu-mei;WU Shui-mei;YE Dong-ling;CHEN Wei-wei(Department of Surgery,People′s Hospital in Chaisang District of Jiujiang City,Jiangxi Province,Jiujiang 332100,China;Department of Nursing,People′s Hospital in Chaisang District of Jiujiang City,Jiangxi Province,Jiujiang 332100,China;Intensive Care Unit,the Second Hospital of Tangshan City,Hebei Province,Tangshan 063000,China)

机构地区：[1]江西省九江市柴桑区人民医院外科,江西九江332100 [2]江西省九江市柴桑区人民医院护理部,江西九江332100 [3]河北省唐山市第二医院重症监护室,河北唐山063000

出　　处：《中国当代医药》2019年第34期176-179,共4页China Modern Medicine

基　　金：河北省医学科学研究重点课题计划项目（20181291）

摘　　要：目的探讨Teach-back反馈护理模式在腹腔镜下胆囊切除患者护理宣教中的应用效果。方法选取2017年4月~2019年1月于九江市柴桑区人民医院行腹腔镜下胆囊摘除的86例急性胆囊炎患者作为研究对象,按照随机数字表法将其分为对照组和实验组,每组各43例。对照组患者采用常规护理宣教模式,实验组患者采用Teach-back反馈护理模式。观察比较两组患者护理前后的胆囊炎知识、腹腔镜手术知识及医院焦虑抑郁(HADS)评分,比较两组患者的护理工作满意度。结果两组患者护理后的胆囊炎知识、腹腔镜手术知识评分高于本组护理前,HADS评分低于本组护理前,差异有统计学意义(P<0.05)。实验组患者护理后的胆囊炎知识、腹腔镜手术知识评分高于对照组,HADS评分低于对照组,差异有统计学意义(P<0.05)。实验组患者的护理总满意度为97.67%,高于对照组的83.72%,差异有统计学意义(P<0.05)。结论腹腔镜下胆囊切除术患者术后采用Teach-back反馈护理模式,可以为患者提供个性化的沟通及动态的效果评价,通过患者的反馈信息指导护理宣教工作,及时纠正偏差,提高了患者对疾病以及腹腔镜手术治疗的认识,值得临床进一步推广。Objective To explore the application of Teach-back feedback nursing model in patients of laparoscopic cholecystectomy.Methods From April 2017 to January 2019,86 patients with acute cholecystitis who underwent laparoscopic cholecystectomy in People′s Hospital in Chaisang District of Jiujiang City were selected as the study objects,and divided into control group and experimental group according to random number table method,43 cases in each group.The control group was treated with routine nursing education model,and the experimental group was treated with Teach-back feedback nursing education model.The scores of cholecystitis knowledge,laparoscopic surgery knowledge,hospital anxiety and depression scale(HADS)before and after nursing were observed and compared between the two groups,the nursing job satisfaction were compared between the two groups.Results The scores of cholecystitis knowledge and laparoscopic surgery knowledge after nursing in the two groups were higher than those before nursing,and the HADS scores in the two groups were lower than those before nursing,the differences were statistically significant(P<0.05).The scores of cholecystitis knowledge and laparoscopic surgery knowledge in the experimental group were higher than those in the control group,and the HADS score was lower than that in the control group,the differences were statistically significant(P<0.05).The total satisfaction rate of the patients was 97.67%,which was higher than 83.72%of the control group,the difference was statistically significant(P<0.05).Conclusion Patients with laparoscopic cholecystectomy adopts Teach-back feedback nursing model,it can provide personalized communication and dynamic effect evaluation for patients,through the patients′feedback information guidance nursing propaganda and education work,timely correct the deviation.It improves patients′understanding of diseases and laparoscopic surgery,and is worthy of further clinical promotion.

关 键 词：Teach-back反馈护理模式 急性胆囊炎 腹腔镜 护理 

分 类 号：R473.5[医药卫生—护理学]