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回授法在心血管内科跌倒高风险患者健康教育中的应用效果分析

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目的 介绍心血管内科跌倒高风险患者健康教育中应用回授法的方法,并对比分析其应用效果。方法 选择本院心血管内科收治的80例跌倒高风险患者作为研究对象,就诊时间2023年1-12月,通过计算机随机数字软件生成数字1-80,双数者为对照组(n=40),行常规健康教育;单数者为观察组(n=40),行回授法健康教育。观察和对比两组跌倒发生率、跌倒知识掌握程度及干预前后跌倒效能(MFES)、平衡能力(BBS))、自我护理能力(ESCA)评分变化。结果 观察组跌倒发生率更低,差异有统计学意义(P<0。05)。经干预,两组MFES、BBS评分升高,且观察组更高,差异有统计学意义(P<0。05)。经干预,两组ESCA各维度评分升高,且观察组更高,差异有统计学意义(P<0。05)。观察组患者、照顾者跌倒知识掌握程度更高,差异有统计学意义(P<0。05)。结论 回授法健康教育可进一步降低心血管内科跌倒高风险患者跌倒发生率,提升跌倒效能和平衡能力,改善自我护理能力,同步提高患者及其照顾者的跌倒知识掌握程度。
Application effect of the teach-back method in health education for patients at a high risk of falls in department of cardiology
Objective To investigate the application of the teach-back method in health education for patients at a high risk of falls in department of cardiology,as well as its application effect through a comparative analysis.Methods A total of 80 patients at a high risk of falls who were admitted to Department of Cardiology in our hospital from January to December 2023 were enrolled as subjects,and the numbers of 1-80 were generated using a random number software.The 40 patients with even numbers were enrolled as control group and received conventional health education,and the 40 pa-tients with odd numbers were enrolled as observation group and received health education with the teach-back method.The two groups were observed and compared in terms of the incidence rate of falls,the degree of mastering the knowledge of falls,and the scores of Modified Fall Efficacy Scale(MFES),Berg Balance Scale(BBS),and Enhanced Self-Care Ability Scale(ESCA)before and after intervention.Results The observation group had a significantly lower incidence rate of falls than the control group(P<0.05).After intervention,both groups had significant increases in MFES and BBS scores,and the observation group had significantly higher scores than the control group(P<0.05).After intervention,both groups had sig-nificant increases in the scores of each dimension of ESCA,and the observation group had significantly higher scores than the control group(P<0.05).The patients and their caregivers in the observation group had a significantly higher degree of mastering the knowledge of falls compared with those in the control group(P<0.05).Conclusion For patients at a high risk of falls in department of cardiology,health education with the teach-back method can further reduce the incidence rate of falls,improve fall efficacy and balance ability,enhance self-care ability,and increase the degree of mastering the knowl-edge of falls among patients and their caregivers.

Teach-back methodDepartment of cardiologyHigh risk of fallsHealth education

黎桂梅、张妹萍、冯春桃

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广州医科大学附属番禺中心医院心研所,广东 广州 511400

回授法 心血管内科 跌倒高风险 健康教育

2024

心血管病防治知识
广东介入心脏学会 广东岭南心血管病研究所

心血管病防治知识

影响因子:0.592
ISSN:1672-3015
年,卷(期):2024.14(16)