回授法在预防老年食管癌术后患者鼻肠管脱出健康教育中的应用

doi:10.3761/j.issn.1672-9234.2021.06.002

摘要/Abstract

摘要：

目的探讨回授法在预防老年食管癌术后患者鼻肠管脱出健康教育中的应用效果。方法选取2020年6月—9月在河南省某三级甲等医院胸外科行食管癌手术治疗的老年患者72例为研究对象,随机分为对照组（n=35）和试验组（n=37）,对照组采用口头宣教、观看视频的方式对患者进行鼻肠管护理知识讲授,试验组在对照组基础上采用回授法进行鼻肠管健康教育,主要包括解释、评估、澄清、再教育、理解。干预后,比较两组患者鼻肠管非计划拔管率和护理知识得分。结果干预后,试验组鼻肠管非计划拔管率（0）低于对照组（24.79‰）（P=0.010）,鼻肠管护理知识得分（82.70±9.32）高于对照组（50.57±15.89）,差异有统计学意义（t=10.388,P<0.05）。结论回授法是一种实用、有效的健康教育方法,可提高老年食管癌术后患者鼻肠管护理知识水平,降低非计划拔管发生率。

关键词: 食管肿瘤, 老年人, 健康教育, 回授法, 非计划拔管

Abstract:

Objective To explore the effects of teach-back in health education of older patients with esophageal cancer after operation. Methods A total of 72 older patients who underwent esophageal surgery in thoracic surgery from June to September 2020 of a tertiary hospital in Henan Province were randomly divided into the control group（n=35） and the experimental group（n=37）. Patients in the control group was given routine education on naso-intestinal tube by oral education and video watching. Patients in the experimental group was given naso-intestinal health education by teach-back method,which mainly included explanation,evaluation,clarification,re-education and understanding. The unplanned extubation rate of naso-intestinal tube and the score of nursing knowledge after intervention were compared between the two groups. Results After the intervention,the unplanned extubation rate（0） of naso-intestinal tube in the experimental group was significantly lower than that of the control group（24.79‰）（P=0.010）. The scores of nursing knowledge about naso-intestinal tube（82.70±9.32） was significantly higher than that of the control group（50.57±15.89）（t=10.388,P<0.05）. Conclusion Teach-back method is a practical and effective health education method,which can improve the knowledge level of naso-intestinal nursing and reduce the incidence of unplanned extubation.

Key words: Esophageal Neoplasms, Aged, Health Education, Teach-back method, Unplanned extubation

陈瑞云,杨慧,李红燕,李媛,陈静儒,刘赛赛. 回授法在预防老年食管癌术后患者鼻肠管脱出健康教育中的应用[J]. 中华护理教育, 2021, 18(6): 490-494.

CHEN Rui-yun,YANG Hui,LI Hong-yan,LI Yuan,CHEN Jing-ru,LIU Sai-sai. The application of teach-back in health education of older patients with esophageal cancer after operation[J]. Chinese Journal of Nursing Education, 2021, 18(6): 490-494.

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