视频微课结合Teach-back在克罗恩病留置鼻肠管患者健康教育中的应用  

Application of video microteaching combined with teach-back mode in health education for patients with indwelling nasoenteric tubes in Crohn′s disease

作　　者：蔡小莉 杨玲莉 张诗怡 朱秀琴[1] Cai Xiaoli;Yang Lingli;Zhang Shiyi;Zhu Xiuqin(Nursing Department,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学杂志》2025年第5期89-93,共5页Journal of Nursing Science

基　　金：华中科技大学同济医学院附属同济医院科研基金护理专项(一般项目)(2022D23)。

摘　　要：目的探讨视频微课结合Teach-back教育模式在克罗恩病留置鼻肠管全肠内营养患者中的应用效果。方法采取便利抽样法,抽取2023年7月至2024年6月入住消化内科的90例克罗恩病留置鼻肠管全肠内营养患者为研究对象,按入院时间分为对照组49例和干预组41例。对照组按照护理常规进行健康教育,干预组实施视频微课结合Teach-back教育模式。比较两组干预前后生活质量、营养相关指标和鼻肠管堵管率。结果随访6周,干预组生活质量各项得分及总分均高于对照组,血红蛋白、前白蛋白、白蛋白水平和身体质量指数高于对照组,堵管率显著低于对照组(均P<0.05)。结论视频微课结合Teach-back教育模式在克罗恩病全肠内营养患者护理中的应用可提高患者生活质量、改善营养状态、降低堵管率,有利于改善患者生存结局。Objective To explore the application effect of video microteaching combined with Teach-back education mode in patients with Crohn′s disease with indwelling nasoenteric tube for total enteral nutrition.Methods A total of 90 patients with Crohn′s disease with indwelling nasoenteric tube for total enteral nutrition who were admitted to the Department of Gastroenterology from July 2023 to June 2024 were selected by convenience sampling method,and were divided into control group(49 cases)and intervention group(41 cases)according to the time of admission.The control group received routine health education,and the intervention group was carried out the video microteaching combined with the Teach-back education mode.The quality of life,nutrition-related indexes and nasoenteric tube blockage rate were compared between the two groups before and after the intervention.Results After 6 weeks of follow-up,the scores of Inflammatory Bowel Disease Questionnaire(IBDQ)in all dimensions and total scores in the intervention group were higher than those in the control group,the levels of hemoglobin,prealbumin,albumin and body mass index in the intervention group were higher than those in the control group,and the occlusion rate in the intervention group was significantly lower than that in the control group(all P<0.05).Conclusion The application of video microclasses combined with Teach-back education model in the care of patients with Crohn′s disease on total enteral nutrition can improve the quality of life of the patients,improve the nutritional status,and reduce the rate of tube blockage,which is conducive to the improvement of the survival outcome of the patients.

关 键 词：克罗恩病 全肠内营养 视频微课 Teach-back教育模式 健康教育 生活质量 出院随访 延续性护理 

分 类 号：R473.5[医药卫生—护理学]