Teach-back健康教育对老年慢性阻塞性肺疾病患者心理状态、疾病知识认知水平及遵医行为的影响
Effects of Teach-back health education on mental state,cognitive level of disease knowledge,and compliance behavior in elderly patients with chronic obstructive pulmonary disease
蒋承慧 1黄青菲 2黄艳 1张丹丹 1王敏 1胡宇洋 1汪靖 1谢晨1
作者信息
- 1. 南京医科大学附属老年医院江苏省省级机关医院呼吸内科,江苏南京 210024
- 2. 南京市第一医院心胸外科,江苏南京 210006
- 折叠
摘要
目的 探讨老年慢性阻塞性肺疾病(COPD)患者中实施Teach-back健康教育对患者心理状态、疾病知识认知水平,及遵医行为的影响.方法 选择2021年12月至2023年5月在南京医科大学附属老年医院诊治的88例老年COPD患者,采用随机数字表法将其分为两组,各44例.常规组行常规健康教育.干预组行Teach-back健康教育.两组干预均实施至患者出院,出院后随访5个月.观察两组干预前后心理状态[医院焦虑抑郁-焦虑分量表(HAD-A)、医院焦虑抑郁-抑郁分量表(HAD-D)]、疾病知识认知水平,及遵医行为变化情况.结果 干预前,两组HAD-A、HAD-D评分比较,差异无统计学意义(P＞0.05);干预后,干预组HAD-A、HAD-D评分均低于干预前,且干预组低于常规组(P＜0.05),常规组HAD-A、HAD-D评分与干预前比较,差异无统计学意义(P＞0.05).干预前,两组疾病知识认知评分比较,差异无统计学意义(P＞0.05);干预后,两组疾病知识认知评分高于干预前,且干预组高于常规组,差异有统计学意义(P＜0.05).干预前,两组遵医行为评分比较,差异无统计学意义(P＞0.05);干预后两组遵医行为评分均高于干预前,且干预组高于常规组(P＜0.05).结论 老年COPD患者中实施Teach-back健康教育,优势明显.
Abstract
Objective To investigate the effects of Teach-back health education on mental state,cognitive level of disease knowledge,and compli-ance behavior in elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 88 elderly COPD patients diagnosed and treated in the Geriatric Hospital of Nanjing Medical University from December 2021 to May 2023 were divided into two groups by random number table method,with 44 cases in each group.Routine group received routine health education.The intervention group received Teach-back health education.Both groups were followed up for five months after discharge.The mental state of the two groups(hospital anxiety and depression scale-anxiety[HAD-A],hospital anxiety and depression scale-depression(HAD-D)],cognitive level of disease knowledge,and compliance behav-ior changes before and after the intervention were observed.Results Before intervention,there was no significant difference in HAD-A and HAD-D scores between the two groups(P＞0.05).After intervention,the scores of HAD-A and HAD-D in the intervention group were lower than before in-tervention,and those in the intervention group were lower than those in the routine group(P＜0.05),and there was no statistical significance in the scores of HAD-A and HAD-D in the routine group compared with that before intervention(P＞0.05).Before intervention,there was no significant difference in cognitive scores of disease knowledge between the two groups(P＞0.05).After intervention,the disease knowledge cognition score of the two groups was higher than before intervention,and that in the intervention group was higher than that in the routine group,the differences were statistically significant(P＜0.05).Before intervention,there were no significant differences in compliance scores between the two groups(P＞0.05).The score of compliance behavior in both groups after intervention were higher than before intervention,and that in the intervention group was high-er than that in the routine group(P＜0.05).Conclusion The implementation of Teach-back health education in COPD patients showed obvious advantages.
关键词
老年/慢性阻塞性肺疾病/Teach-back健康教育/心理状态/遵医行为Key words
Old age/Chronic obstructive pulmonary disease/Teach-back health education/Mental state/Medical compliance behavior引用本文复制引用
基金项目
江苏省中医药科技发展计划项目(QN202223)
出版年
2024
NETL
NSTL
万方数据