基于盲道病房联合Teach-back的健康教育在眼科术后患者中的实践

Practice of health education based on blind channel ward combined with Teach-back in patients after ophthalmology surgery

目的探讨盲道病房联合Teach-back的健康教育在眼科术后患者中的应用实践。方法选取2021年1—12月医院收治的122例眼科手术患者为研究对象,按照组间基线资料均衡可比的原则分为对照组和观察组,每组61例。对照组采取常规护理流程;观察组在对照组基础上采用Teach-back的健康教育方案。比较两组患者干预前后术后视障碍期间意外事件发生率、焦虑评分、术后生活自理能力以及体验的满意程度。结果观察组患者术后视障碍期间意外事件发生率低于对照组,差异具有统计学意义(P<0.05)。观察组患者术后焦虑评分低于对照组,差异具有统计学意义(P<0.05)。观察组患者术后进餐、梳洗、穿衣、如厕、活动等日常生活自理能力评分高于对照组,观察组患者对病房设置体验的满意程度高于对照组,差异均具有统计学意义(P<0.05)。结论盲道病房联合Teach-back的健康教育有利于降低眼科术后患者意外事件发生率,缓解患者术后心理焦虑问题,提高患者术后身心状态及生活自理能力,从而提高眼科护理安全管理和服务能力,也为我国眼科防盲事业发展起了推动作用。

Objective To explore the application effect of health education based on blind channel ward combined with Teach-back in patients after ophthalmology surgery.Methods To select 122 eye surgery patients admitted to the hospital from January to December 2021 as the research subjects,they were divided into a control group and an observation group according to the principle of comparability of basic information between groups,with 61 cases in each group.The control group adopted the routine nursing process;the observation group adopted the Teach-back health education program based on the control group.The incidence of accidents,anxiety scores,postoperative self-care ability and experience satisfaction during postoperative visual impairment were compared between the two groups of patients before and after the intervention.Results The incidence of accidental events during postoperative visual impairment in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The postoperative anxiety score of patients in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The patients in the observation group had higher self-care ability scores in daily life such as eating,grooming,dressing,going to the toilet,and activities after surgery than those in the control group,the patients in the observation group were more satisfied with the ward setting experience than the control group,the differences were statistically significant(P<0.05).Conclusion Blind ward combined with Teach-back health education can help reduce the incidence of accidents in patients after ophthalmic surgery,alleviate patients'postoperative psychological anxiety,improve patients'postoperative physical and mental status and self-care ability,thereby improving the safety management and services of ophthalmic care.Ability has also played a role in promoting the development of ophthalmic blindness prevention in my country.