Teach-back健康教育宣教对胸外科患者术后生活质量及康复效果的影响研究

Teach-back Health Education on the Postoperative Quality of Life and Rehabilitation Effect of Thoracic Surgery Patients

目的:探究Teach-back健康教育宣教对胸外科患者术后生活质量及康复效果的影响。方法:选取本院2018年4月-2019年4月收治的80例行胸外科手术患者为研究对象,随机分为对照组和试验组,各40例,对照组给予常规护理,试验组在对照组的基础上施加Teach-back健康教育宣教。比较两组患者呼吸功能、康复时间、术后并发症发生情况及生活质量变化情况。结果:出院时,试验组动脉血氧分压(PaO_2)、指脉氧饱和度、最大通气量、每分钟通气量及第一秒用力呼气容积(FEV_1)均高于对照组(P<0.05);试验组带管时间、住ICU时间及住院时间均短于对照组(P<0.05);出院时,试验组躯体功能、角色功能、情绪功能、认知功能、社会功能、总体健康水平评分均高于对照组(P<0.05);试验组并发症发生率2.50%,低于对照组15.00%(P<0.05)。结论:Teach-back健康教育宣教可显著提高患者呼吸功能,缩短住院时间,提升生活质量,减少术后并发症发生,值得临床推广与应用。

Objective:To explore the effect of Teach-back health education on the postoperative quality of life and rehabilitation effect of thoracic surgery patients after surgery.Method:A total of 80 patients who underwent thoracic surgery in our hospital from April 2018 to April 2019 were selected as the research objects,they were randomly divided into control group and experimental group,with 40 cases in each group.The control group was given routine nursing,and the experimental group was given Teach-back health education on the basis of the control group.The respiratory function,recovery time,postoperative complications and quality of life were compared between the two groups.Result:At dischartge,the arterial partial pressure of oxygen(PaO_(2)),finger pulse oxygen saturation,maximum flow volume,ventilation volume per minute and forced expiratory volume in the first second(FEV1)of the experimental group were higher than those of the control group(P<0.05);the tube-carrying time,ICU time and hospitalization time of the experimental group were shorter than those of the control group(P<0.05);at discharge,scores of physical funcition,role function,emotional function,cognitive function,social function,general health level were higher than those of the control group(P<0.05);the rate of complications in the experimental group was 2.50%,lower than 15.00%of the control group(P<0.05).Conclusion:Teach-back health education can significantly improve patients respiratory function,shorten hospitalization time,improve quality of life,and reduce postoperative complications,which is worthy of clinical popularization and application.