Teach-back在骨科手术患者术前访视中的应用

Application of Teach-back in Preoperative Interview of Patients Undergoing Orthopedics Surgery

目的:探讨Teach-back在骨科手术患者术前访视中的应用效果。方法:将200例骨科手术患者分为对照组和实验组各100例。对照组采用传统术前访视;实验组由Teach-back访视小组中经过培训的1名护士负责,主要内容包括维护手术部位标识、麻醉体位摆放和配合要点、禁食禁水时间等。结果:实验组与对照组比较,手术部位标识维护率高(P<0.05)、麻醉体位摆放完成程度评分高(P<0.05)、麻醉体位摆放时间短(P<0.05)、禁食禁水遵守率高(P<0.05)、进入手术房间后焦虑评分低(P<0.05)。结论:Teach-back适合于各个年龄层次及教育层次的患者,加强了护患之间的沟通,使患者对医护人员的信任度增加,作为一种文明、有效的沟通方法,Teach-back值得进一步深入探讨和推广应用。

Objective： To investigate the application effect of Teach-back in preoperative interview of patients undergoing orthopedics surgery. Methods： A total of 200 cases undergoing orthopedics surgery were divided into the control group and the experimental group,100 cases in each group. The control group used the traditional preoperative interview,while the experimental group was in charge by a nurse who was trained by Teach-back interview team. The main contents include maintenance of surgical site identification,anesthesia position placement and coordination,fasting and water deprivation time. Results： Compared with the control group,the experimental group＇ s rate of surgical site maintenance was significantly higher（ P〈0. 05）,and its score of the completion of anesthesia position placement was significantly higher（ P〈0. 05）. Also,compared with the control group,the experimental group＇s time of anesthesia position placement was significantly shorter（ P〈0. 05）,and the rate of fasting and water compliance was significantly higher（ P〈0. 05）. After entering the operating room,the experimental group＇s anxiety score was significantly lower than that in the control group（ P〈0. 05）. Conclusion： Teach-back is suitable for all ages and education levels of patients,strengthen the communication between nurses and patients,make patients trust for the medical staff increase. As a civilized,effective communication method,Teach-back is worth further research and application.