首页|Teach-back健康教育模式在冠心病患者PCI术后临床护理中的应用研究

Teach-back健康教育模式在冠心病患者PCI术后临床护理中的应用研究

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目的 评价Teach-back健康教育模式在冠心病患者经皮冠状动脉介入(PCI)术后临床护理中的应用效果。方法 该研究为随机对照试验。选取2023年6月至2024年3月东莞市厚街医院进行PCI治疗的100例冠心病患者为观察对象,按照随机抽样原则分为对照组与研究组,各50例。对照组男31例,女19例,年龄32~71(53。68±9。98)岁,病程(2。58±1。13)年,接受常规健康宣教;研究组男32例,女18例,年龄33~71(56。86±10。21)岁,病程(2。69±0。97)年,接受Teach-back健康教育干预。干预周期从入院当天至出院1周。比较两组患者干预前、后的自我护理能力、出院准备度评分,以及住院患者满意度。采用x2检验、t检验进行统计分析。结果 干预后,研究组患者自我护理能力总分高于对照组[(138。84±5。50)分比(107。60±6。79)分],差异有统计学意义(t=-25。28,P<0。05);研究组出院准备度总分高于对照组[(103。54±6。94)分比(85。32±6。60)分],差异有统计学意义(t=-13。45,P<0。05)。研究组住院满意度评分低于对照组[(13。52±1。76)分比(30。28±3。87)分],差异有统计学意义(t=27。86,P<0。05)。结论 Teach-back健康教育模式可提高健康教育效果,提升冠心病患者PCI术后健康教育知识掌握程度,促进患者健康信念,增强自我管理能力。
Application of Teach-back health education model in clinical nursing for patients with coronary heart disease after PCI
Objective To evaluate the effect of Teach-back health education model in clinical nursing for patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods This study was a randomized controlled trial.A total of 100 patients with coronary heart disease who underwent PCI in Houjie Hospital of Dongguan from June 2023 to March 2024 were selected as the observation objects,and were divided into a control group and a study group according to the principle of random sampling,with 50 cases in each group.In the control group,there were 31 males and 19 females,aged 32-71(53.68±9.98)years,and the course of disease was(2.58±1.13)years.In the study group,there were 32 males and 18 females,aged 33-71(56.86±10.21)years,and the course of disease was(2.69±0.97)years.The control group received routine health education,and the study group received Teach-back health education intervention.The intervention period was from the day of admission to 1 week after discharge.Self-care ability and discharge readiness score before and after intervention and inpatients'satisfaction were compared between the two groups.Statistical methods used were x2 test and t test.Results After intervention,the total score of self-care ability in the study group was higher than that in the control group[(138.84±5.50)points vs.(107.60±6.79)points],with a statistically significant difference(t=-25.28,P<0.05).The total score of readiness for discharge in the study group was higher than that in the control group[(103.54±6.94)points vs.(85.32±6.60)points],with a statistically significant difference(t=-13.45,P<0.05).The inpatients'satisfaction score of the study group was lower than that of the control group[(13.52±1.76)points vs.(30.28±3.87)points],with a statistically significant difference(t=27.86,P<0.05).Conclusion Teach-back health education model can enhance the effect of health education and the mastery of health education knowledge,also improve health beliefs and self-management ability in patients with coronary heart disease after PCI.

Percutaneous coronary interventionTeach-back health education modelSelf-management abilityDischarge readiness

李婷婷、叶曼玲、王宏伟、李华文

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东莞市厚街医院心血管内科,东莞 523945

经皮冠状动脉介入 Teach-back健康教育 自我护理能力 出院准备度

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(24)