世界睡眠医学杂志2024,Vol.11Issue(2) :426-428.DOI:10.3969/j.issn.2095-7130.2024.02.054

Teach back模式下互动式健康宣教在髋关节置换术后疼痛和睡眠质量中的应用价值

The Application Value of Interactive Health Education in Teach Back Mode in Pain and Sleep Quality after Hip Replacement Surgery

肖淑芬
世界睡眠医学杂志2024,Vol.11Issue(2) :426-428.DOI:10.3969/j.issn.2095-7130.2024.02.054

Teach back模式下互动式健康宣教在髋关节置换术后疼痛和睡眠质量中的应用价值

The Application Value of Interactive Health Education in Teach Back Mode in Pain and Sleep Quality after Hip Replacement Surgery

肖淑芬1
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作者信息

  • 1. 福州市中医院脊柱骨科,福州,350001
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摘要

目的:分析Teach back模式下互动式健康宣教在髋关节置换术后疼痛和睡眠质量中的应用价值.方法:选取2021年1月至2022年12月福州市中医院收治的行髋关节置换术的患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例.对照组患者采用体位护理干预,观察组在对照组基础上采用Teach back模式下互动式健康宣教干预,2组患者均干预至出院.比较2组患者干预前和术后3个月的髋关节功能评分(Harris)、日常生活能力评分(ADL)、睡眠状况自评量表(SRSS)评分,观察比较并发症的发生率.结果:术后1 d、3 d、7 d,2组患者视觉模拟评分法(VAS)评分比较,差异均无统计学意义(均P>0.05);出院前,观察组疾病认知程度评分高于对照组,差异有统计学意义(P<0.05);观察组术后并发症(压疮、关节脱位、关节感染)发生率与对照组比较,差异无统计学意义(P>0.05).结论:Teach back模式下互动式健康宣教能提高患者髋关节置换术后髋关节功能和日常生活能力,提高患者睡眠质量.

Abstract

Objective:To analyze the application value of interactive health education under the Teach back mode in pain and sleep quality after hip replacement surgery.Methods:A total of 80 patients who underwent hip replacement surgery in our hospital from January 2021 to December 2022 were selected as the research subjects,and were randomly divided into a control group and an observation group,with 40 patients in each group.The control group patients received positional nursing intervention,while the observation group received interactive health education intervention in the Teach back mode on the basis of the control group.Both groups of patients received intervention until discharge.Compare the hip joint function score(Harris),daily living ability score(ADL),and Self-rating Sleep Status Scale(SRSS)scores of two groups of patients before and 3 months after intervention,and ob-serve and compare the incidence of complications.Results:On the 1st,3rd,and 7th day after surgery,there was no statistically significant difference in visual analogue scale(VAS)scores between the two groups of patients(Ps>0.05).Before discharge,the observation group had a higher disease cognition score than the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications(pressure ulcers,joint dislocation,joint infection)in the observation group was not statistically significant compared to the control group(P>0.05).Conclusion:Interactive health education in the Teach back mode can improve hip joint function and daily living ability of patients after hip replacement surgery,and improve their sleep quality.

关键词

Teach/back模式下互动式健康宣教/体位护理/髋关节置换术

Key words

Interactive health education in Teach back mode/Positional nursing/Hip joint replacement surgery

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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