Teach-back法健康教育结合康复训练对脑卒中患者肢体平衡能力及照顾者跌倒预防知识、行为的影响  

Effects of Teach-back method health education combined with rehabilitation training on limb balance ability of stroke patients and fall prevention knowledge and behavior of caregivers

作　　者：余春慧 赵春梅 李慧 YU Chunhui;ZHAO Chunmei;LI Hui(Chenggu County Hospital,Hanzhong 723200;General Medical Hanzhong 3201 Hospital,Hanzhong 723000,China)

机构地区：[1]城固县医院,陕西汉中723200 [2]通用医疗汉中三二〇一医院,陕西汉中723000

出　　处：《临床医学研究与实践》2024年第29期187-190,共4页Clinical Research and Practice

摘　　要：目的探讨Teach-back法健康教育结合康复训练对脑卒中患者肢体平衡能力及照顾者跌倒预防知识、行为的影响。方法选取2020年6月至2022年6月收治的110例脑卒中患者为研究对象,按护理方法差异将其分为对照组和观察组,各55例。对照组予以常规健康教育结合康复训练,观察组予以Teach-back法健康教育结合康复训练。比较两组的干预效果。结果干预后,观察组的积极举动和康复护理配合度评分高于对照组,放弃举动评分低于对照组(P<0.05)。干预后,观察组的Berg平衡量表(BBS)评分、Holden分级高于对照组(P<0.05)。干预后,观察组的神经元特异性烯醇化酶(NSE)、超敏C反应蛋白(hs-CRP)水平均低于对照组(P<0.05)。干预后,观察组照顾者的跌倒预防知识、行为评分高于对照组(P<0.05)。结论Teach-back法健康教育结合康复训练可提高脑卒中患者的康复锻炼依从性,促进平衡能力、步行功能改善,调节神经相关因子和炎症因子水平,也能改善照顾者跌倒预防知识、行为,保证患者安全。Objective To explore the effects of Teach-back method health education combined with rehabilitation training on limb balance ability of stroke patients and fall prevention knowledge and behavior of caregivers.Methods A total of 110 stroke patients admitted from June 2020 to June 2022 were selected as the research objects.According to the difference of nursing methods,the patients were divided into control group and observation group,with 55 cases in each group.The control group was given routine health education combined with rehabilitation training,and the observation group was given Teach-back method health education combined with rehabilitation training.The intervention effects of the two groups were compared.Results After intervention,the scores of active behavior and rehabilitation nursing cooperation in the observation group were higher than those in the control group,and the score of giving up behavior was lower than that in the control group(P<0.05).After intervention,the Berg Balance Scale(BBS)score and Holden grade of the observation group were higher than those of the control group(P<0.05).After intervention,the levels of neuron-specific enolase(NSE)and high sensitivity C-reactive protein(hs-CRP)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of fall prevention knowledge and behavior of caregivers in the observation group were higher than those in the control group(P<0.05).Conclusion Teach-back method health education combined with rehabilitation training can improve the rehabilitation exercise compliance of stroke patients,promote the improvement of balance ability and walking function,regulate the levels of nerve-related factors and inflammatory factors,and also improve the fall prevention knowledge and behavior of caregivers to ensure the safety of patients.

关 键 词：Teach-back法健康教育 康复训练 脑卒中 肢体平衡能力 

分 类 号：R47[医药卫生—护理学]