Teach Back健康教育下渐进式康复训练结合中医辨证在手部肌腱损伤患者中的应用效果  

The application effect of progressive rehabilitation training combined with traditional Chinese medicine syndrome differentiation under Teach Back health education in patients with hand tendon injuries

作　　者：杜艳霞[1] 李瑞华[1] 陈杨 DU Yan-xia;LI Rui-hua;CHEN Yang(Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津市天津医院,天津300211

出　　处：《中国中西医结合外科杂志》2025年第2期240-244,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨Teach Back健康教育下渐进式康复训练结合中医辨证在手部肌腱损伤患者中的应用效果。方法:选取2023年1月-10月我院收治的80例手部肌腱损伤缝合术患者,按护理方式的不同将其分为对照组和观察组,每组各40例。对照组在常规的护理模式下进行康复训练,观察组采用Teach Back健康教育下渐进式康复训练模式结合中医辨证进行干预。比较两组患者护理后手部肌腱恢复效果、并发症发生率、护理前后生活质量评分、护理前后焦虑及抑郁评分情况。结果:观察组患者的手部肌腱恢复优良率高于对照组(P<0.05);观察组并发症发生率明显低于对照组(P<0.05);护理后,两组患者的生活质量评分均显著增高,且观察组高于对照组(P<0.05);护理后,两组患者的焦虑、抑郁情况评分均显著降低,且观察组低于对照组(P<0.05)。结论:Teach Back健康教育下渐进式康复训练结合中医辨证在手部肌腱损伤患者中的应用效果显著,可有效促进患者手部肌腱功能的恢复,减轻患者的焦虑、抑郁等负性情绪,以较好的状态积极配合康复训练,有效防止并发症的发生,提高患者的生活质量。Objective To explore the application effect of progressive rehabilitation training combined with traditional Chinese medicine syndrome differentiation under Teach Back health education in patients with hand tendon injuries.Methods 80 patients with hand tendon injuries who underwent suture surgery in our hospital from January to October 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group(40 cases in each group).The control group received rehabilitation training in the conventional nursing mode,while the observation group received intervention in the progressive rehabilitation training mode under Teach Back health education combined with traditional Chinese medicine syndrome differentiation.Compare the recovery effect of hand tendons,incidence of complications,quality of life scores before and after nursing,anxiety and depression scores before and after nursing between two groups of patients.Results The excellent rate of the observation group was higher than that of the control group(P<0.05);The incidence of complications such as edema,joint stiffness,tendon rupture,and tendon adhesion in the observation group was significantly lower than that in the control group(P<0.05).After nursing,the quality of life scores of both groups of patients significantly increased,and the observers were higher than the control group(P<0.05).After nursing,the anxiety and depression scores of both groups of patients were significantly reduced,and the observation group was lower than the control group(P<0.05).Conclusion The application of progressive rehabilitation training combined with traditional Chinese medicine syndrome differentiation under Teach Back health education has significant effects on patients with hand tendon injuries.It can effectively promote the recovery of hand tendon function,reduce negative emotions such as anxiety and depression,actively cooperate with rehabilitation training in a good state,effectively prevent the occurrence of complications,and impro

关 键 词：Teach Back健康教育 渐进式康复训练 中医辨证 手部肌腱损伤 

分 类 号：R686.1[医药卫生—骨科学] R274.3[医药卫生—外科学]