主动脉内球囊反搏置入患者应用快速康复外科模式下Teach-back教育效果观察  

Effect of Teach-back Education under Fast Track Surgery Model in Patients with Intra-aortic Balloon Pump Implantation

作　　者：孙艳涛 胡青霞[1] 马宁 Sun Yantao;Hu Qingxia;Ma Ning(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2023年第22期9-12,共4页Journal of Qilu Nursing

摘　　要：目的:探讨主动脉内球囊反搏(IABP)置入患者应用快速康复外科模式下Teach-back教育的效果。方法:选取2019年6月1日~2021年5月31日收治的102例IABP置入治疗患者随机分为常规组和教育组各61例;常规组实施常规康复下健康教育干预,教育组实施快速康复外科模式下Teach-back教育干预;两组均干预至患者出院。比较两组治疗时间(包括IABP时间、血管活性药物使用时间、住院时间),干预期间两组下肢运动依从性,干预前后两组下肢循环指标[包括下肢皮温、小腿围、大腿围、趾端血氧饱和度(SpO 2)、皮肤颜色、踝肱指数(ABI)],干预期间两组下肢缺血症状总发生率(包括皮温异常、肤色苍白、下肢动脉搏动消失)。结果:教育组IABP时间、血管活性药物使用时间、住院时间均短于常规组(P<0.05);教育组下肢运动依从性高于常规组(P<0.05);干预后,两组小腿围、大腿围均大于干预前(P<0.05),但教育组小于常规组(P<0.05);干预后,两组下肢皮温、趾端SpO 2、皮肤颜色、ABI均低于干预前(P<0.05),但教育组高于常规组(P<0.05);干预期间教育组下肢缺血症状总发生率低于常规组(P<0.05)。结论:快速康复外科模式下Teach-back教育应用于IABP置入患者,可提高下肢运动依从性,改善下肢循环指标,促进患者康复。Objective:To explore the effect of Teach-back education under fast track surgery model in patients with intra-aortic balloon pump(IABP)implantation.Methods:A total of 102 patients who underwent IABP implantation were selected between June 1,2019 and May 31,2021,and were randomly divided into the routine group and the education group,with 61 cases in each group.The routine group received health education intervention under routine rehabilitation while the education group was given Teach-back education intervention under fast track surgery model,and both groups were intervened until they were discharged from the hospital.The treatment time including IABP time,vasoactive drug use time and hospital stay,lower extremity motor compliance during intervention,lower extremity circulation indicators including lower extremity skin temperature,calf circumference,thigh circumference,toe-end oxygen saturation(SpO 2),skin color,ankle brachial index(ABI)before and after intervention and total incidence rate of lower extremity ischemia symptoms including abnormal skin temperature,pale skin,disappearance of lower extremity arterial pulse during intervention were compared between the two groups of patients.Results:The IABP time,vasoactive drug use time and hospital stay of patients in the education group were significantly shorter than those in the routine group(P<0.05).The lower extremity motor compliance was significantly higher in the education group than that in the routine group(P<0.05).After intervention,the calf circumference and thigh circumference of the two groups of patients were larger than those before intervention,but those in the education group were significantly smaller than those in the routine group(P<0.05).After intervention,the lower extremity skin temperature,SpO 2,skin color and ABI were lower than those before intervention(P<0.05),but those in the education group were significantly higher than those in the routine group(P<0.05).The total incidence rate of lower extremity ischemia symptoms in the education gr

关 键 词：主动脉内球囊反搏 快速康复外科 Teach-back教育 下肢循环指标 

分 类 号：R473.6[医药卫生—护理学]