反馈式健康教育对冠心病经皮冠脉支架植入术后患者自我管理能力及生活质量的影响

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (653 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of teach-back health education on self-management ability and quality of life of patients with coronary heart disease after percutaneous coronary artery stent implantaition (PCI). Methods From October 2016 to September 2018, 92 patients with coronary heart disease after PCI who admitted to Liyang People’s Hospital of Jiangsu Province were selected as study objects. According to the random number table method, they were divided into the treatment group (48 cases) and the control group (44 cases). The control group was given regular health education, and the treatment group was given teach-back health education. Both groups were followed up for 1 year, the self-management ability, quality of life, fatality rate and readmission rate were compared between the two groups. Results There were no significant differences in self-management ability scores between the two groups before education (P > 0.05). After education, the scores of self-management ability of patients between the two groups were higher than those of the same group before education and the scores of adverse habits management, symptom management, disease knowledge management, daily life management, treatment compliance management and total scores of the treatment group were higher than those of the control group (P < 0.01). There were no significant differences in quality of life scores between the two groups before education (P > 0.05). After education, the scores of the quality of life of patients between the two groups were higher than those of the same group before education and the scores of symptom control, physical function, psychosocial function, cognitive function, treatment satisfaction, and total scores of the treatment group were higher than those of the control group (P < 0.05 or P < 0.01). There were no deaths in either group. The readmission rate of the treatment group was lower than that of the control group (P < 0.05). Conclusion Teach-back based health education helps to promote the self-management ability of patients with coronary heart disease after PCI, reducing postoperative rehospitalization and improving the quality of life of patients.

Key words： Coronary heart disease Percutaneous coronary artery stent implantaition Teach-back Health education Self-management ability Quality of life

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Zhen YAO Minghua▲ ZHU Liqun

Cite this article:

WANG Zhen YAO Minghua▲ ZHU Liqun. Effect of teach-back health education on self-management ability and quality of life of patients with coronary heart disease after percutaneous coronary artery stent implantaition[J]. 中国医药导报, 2021, 18(1): 172-175.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I1/172

[1] 张丽娟，黄多，王莹.设立随访中心对PCI术后患者自我管理行为的影响[J].中华现代护理杂志，2018，24（3）：314-316.
[2] 周春芬，方进博.冠心病患者支架植入术后出院准备度现状及影响因素研究[J].中国实用护理杂志，2017，33（4）：264-267.
[3] Mlllazadeh FMS，Hemmati Maslakpak M. The Effect of Teach-Back Training on Self Management in Kidney Transplant Recipients：A Clinical Trial [J]. Int J Community Based Nurs Midwifery，2018，6（2）：146-155.
[4] 许崇武，魏丽，刘金花.音视频联合回馈教学对强直性脊柱炎患者院外康复的影响[J].中国实用护理杂志，2017， 33（1）：24-28.
[5] 中华医学会心血管病学分会介入心脏病学组.中华心血管病杂志编辑委员会.中国经皮冠状动脉介入治疗指南（2012）[J].中华危重症医学杂志：电子版，2012，5（3）：18-26.
[6] 中华医学会心血管病学分会介入心脏学组.中华医师协会心血管内科医师分会血栓防治专业委员会.中华心血管杂志编辑委员会.中国经皮冠状动脉介入治疗指南（2016）[J].中华心血管病杂志，2016，44（5）：382-400.
[7] 中华医学会心血管病学分会.中国康复医学会心血管病专业委员会.中国老年学会心脑血管病专业委员会.冠心病康复与二级预防中国专家共识[J].中华心血管病杂志，2013，41（4）：267-275.
[8] 任洪艳，唐萍，赵庆华.冠心病自我管理量表的开发与评价[J].第三军医大学学报，2009，31（11）：1087-1090.
[9] Schroter S，Lamping DL. Coronary Revascularization outcome Questionnaire （CROQ） Development and Validation of a New，Patietn Baesd Measure of Outcome in Coronary bypass Surgery and Angipplasty [J]. Heart，2004，90（12）：1460-1466.
[10] 耿文真，丁梅，石娟.早期渐进式综合性康复干预对冠脉内支架植入术后患者心脏康复及生活质量的影响[J].中国老年学杂志，2016，36（6）：1359-1361.
[11] 胡江乔，李贵华，宋丽芬，等.早期综合性康复干预对冠状动脉内支架植入术后病人心脏康复及生活质量的影响[J].中西医结合心脑血管病杂志，2019，17（18）：2837-2839.
[12] 王文秀，杨依，杨冬菊，等.冠状动脉支架植入术后患者自我管理行为对生存质量的影响[J].护理学报，2017， 24（3）：5-8，9.
[13] 周莹莹，鞠桂萍，丰小星.基于行为转变理论的健康教育在冠状动脉支架植入术后病的中的应用[J].护理研究，2016，30（10）：3772-3775.
[14] 王晓玲，张立杰，宋巧凤，等.心血管健康因素及行为在冠心病发生发展中的作用及相关性[J].心脑血管病防治，2018，18（4）：330-332，335.
[15] 苏小萍，陈瑞敏，孙未，等.冠心病并发心力衰竭患者自我管理行为与健康心理控制源及应对方式的相关性研究[J].中华全科医学，2018，16（4）：600-602.
[16] Ha Dinh TT，Bonner A，Clark R，et al. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease：a systematic review [J]. JBI Database System Rev Implement Rep，2016，14（1）：210-247.
[17] 丁芸，沈春萍，夏萍.视频结合回馈教学应用于慢性阻塞性肺疾病患者呼吸功能锻炼[J].护理学杂志，2017， 32（15）：82-84，88.
[18] 纪玉桂，王东亚.反馈式健康教育对脑出血术后患者肢体功能康复的影响[J].护理学杂志，2016，31（18）：7-9.
[19] Slater BA，Huang Y，Dalawari P. The Impact of Teach-Back Method on Retention of Key Domains of Emergency Department Discharge Instructions [J]. J Emerg Med，2017，53（5）：e59-e65.
[20] 周长兰，闻俊，谢翠琴.回授法促进肺结核合并慢性阻塞性肺疾病患者呼吸功能锻炼的实践研究[J].中华护理教育，2017，14（5）：368-370，371.
[21] 郭小玲.反馈式健康教育对冠心病经皮冠状动脉介入术术后服药依从性的影响[J].中国药物与临床，2019，19（8）：1373-1375.
[22] Qiu C，Shao D，Yao Y，et al. Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China [J]. Qual Life Res，2019，28（9）：2585-2595.
[23] Zhao SY，Song H. Analysis of the Effects on Self-Efficacy and Quality of Life of Patient Undergoing Coronary Intervention by Traditional Chinese Medicine Nursing Combined with Refined Nursing [J]. World J Integ Tradit West Med，2019，5（3）：24-29.
[24] 杨丽丽，于淑军.过渡期护理干预对冠心病患者康复、自我管理能力及负性情绪的影响[J].中华现代护理杂志，2019，25（24）：3161-3164.
[25] 涂美春，张娟，朱美霖.回馈式健康教育对食管癌术后患者自我管理和生活质量的影响[J].福建医药杂志，2019， 41（1）：163-166.