Teach-back健康教育在膝关节置换患者围手术期护理中的应用  

Application of Teach-back health education in perioperative nursing of patients with knee replacement

作　　者：张丽霞[1] 夏玉姚 时伶俐 吴昕霞[1] 金娟[1] 朱皓晨 陈晓宇[3] ZHANG Li-xia;XIA Yu-yao;SHI Ling-li(The First Affiliated Hospital of Anhui Medical University,Hefei 230031,Anhui)

机构地区：[1]安徽医科大学第一附属医院高新院区骨科,安徽合肥230031 [2]安徽医科大学临床医学院,安徽合肥230032 [3]安徽医科大学形态学实验中心,安徽合肥230032

出　　处：《安徽医专学报》2021年第4期58-59,62,共3页Journal of Anhui Medical College

基　　金：国家级大学生创新创业训练计划项目(编号:201810366026);国家自然科学资金面上项目(No 81373421);安徽医科大学第一附属医院新技术新项目(No 2019-111)。

摘　　要：目的:对膝关节置换患者围手术期护理中进行Teach-back健康教育应用评价。方法:选择64例近期行膝关节置换术患者,随机分为对照组与干预组,每组32例,在围手术期,对照组患者接受常规健康指导,干预组患者接受Teach-back健康教育,成立护理健康教育小组,对患者进行行为干预、自我效能与自我管理,出院予健康手册指导。比较两组患者功能锻炼依从性、特种外科医院(HSS)膝关节评分。结果:在膝关节置换患者围手术期护理中,干预组患者采取Teach-back健康教育,患者功能锻炼依从性、HSS膝关节评分等均显著优于常规健康指导的对照组。结论:关节置换患者围手术期进行Teach-back健康教育有利于提高患者功能锻炼依从性,促进康复疗效。Objective:Ta analyze the evaluation of the application of Teach-back health education in perioperative nursing of patients with knee replacement Methods:64 cases recent knee arthroplasty patients,randomly divided into control group and intervention group,32 cases in each group,in perioperative,control group to routine health guidance,be called-back health education intervention group,set up nursing health education group,behavior intervention on the patients,self-efficacy and self-management,discharge to the health guidance manual.Compliance with functional exercise and knee joint score of Hospital for Special Surgery(HSS)were compared between the two groups.Results:In the perioperative nursing of patients with knee replacement,the intervention group received Teache-back health education,and the patients'functional exercise compliance and HSS knee score were significantly better than those of the conventional health guidance control group.Conclusion:Teach-back health education in perioperative period of patients with joint replacement is beneficial to patients'functional exercise compliance and promote rehabilitation effect.

关 键 词：Teach-back健康教育 功能锻炼 围手术期 护理 膝关节置换术 

分 类 号：R473.6[医药卫生—护理学]