[1]程 杰.Teach-back健康教育在老年慢性心衰患者中的应用[J].医学信息,2021,34(04):183-186.[doi:10.3969/j.issn.1006-1959.2021.04.051]
　CHENG Jie.Application of Teach-back Health Education in the Quality of Life of Elderly Patients with Chronic Heart Failure[J].Medical Information,2021,34(04):183-186.[doi:10.3969/j.issn.1006-1959.2021.04.051]
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Teach-back健康教育在老年慢性心衰患者中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年04期
页码:
183-186
栏目:
护理研究
出版日期:
2021-02-15

文章信息/Info

Title:
Application of Teach-back Health Education in the Quality of Life of Elderly Patients with Chronic Heart Failure
文章编号:
1006-1959（2021）04-0183-04
作者:
程 杰
（天津医科大学第二医院保健医疗部/老年病科，天津 300211）
Author(s):
CHENG Jie
(Department of Health Care/Department of Geriatrics,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)
关键词:
Teach-back模型; 健康教育; 老年慢性心衰患者; 药物依从性; 生活质量
Keywords:
Teach-back model; Health education; Elderly patients with chronic heart failure; Drug compliance; Quality of life
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.04.051
文献标志码:
A
摘要:
目的 分析基于Teach-back模型的健康教育方法对老年慢性心衰患者药物依从性及生活质量的影响。方法 选取2019年10月~2020年1月我院收治的老年心力衰竭患者71例，按照随机数字表法分为对照组（n=35）和观察组（n=36），对照组采用常规健康教育，观察组采用基于Teach-back模型的健康教育，比较两组Morisky药物依从性量表及明尼苏达州心衰患者生活质量问卷得分情况。结果 观察组用药依从性得分为（7.31±2.48）分，高于对照组的（6.34±1.43）分，差异有统计学意义（P＜0.05）；观察组生活质量物理维度得分及生活质量总分分别为（12.72±3.64）分、（32.18±8.05）分，均低于对照组的（14.72±3.76）分、（36.67±9.07）分，差异有统计学意义（P＜0.05）；观察组生活质量情感维度得分与对照组比较，差异无统计学差异（P＞0.05）。结论 基于Teach-back模型的健康教育在提高老年心衰患者的用药依从性及改善生活质量方面有积极作用，可在今后的临床实践中进一步应用。
Abstract:
Objective To analyze the impact of health education methods based on the Teach-back model on medication compliance and quality of life in elderly patients with chronic heart failure.Methods A total of 71 elderly patients with heart failure admitted to our hospital from October 2019 to January 2020 were selected and divided into a control group (n=35) and an observation group (n=36) according to a random number table.The control group used regular health education, and the observation group used Teach-back model-based health education to compare the scores of the two groups on the Morisky Drug Compliance Scale and the Minnesota Heart Failure Quality of Life Questionnaire.Results The medication compliance score of the observation group was (7.31±2.48) points, which was higher than the (6.34±1.43) points of the control group,the difference was statistically significant (P<0.05);The scores of physical dimensions of quality of life and the total scores of quality of life in the observation group were (12.72±3.64) points and (32.18±8.05) points, respectively, which were lower than those of the control group (14.72±3.76) points and (36.67±9.07) points,the difference was statistically significant (P＜0.05);Compared with the control group, the observation group’s life quality emotional dimension score showed no significant difference (P>0.05).Conclusion Health education based on the Teach-back model has a positive effect on improving the medication compliance of elderly patients with heart failure and improving the quality of life, and can be further applied in future clinical practice.

参考文献/References:

[1]中华医学会心血管病学分会心力衰竭学组,中国医师协会心力衰竭专业委员会中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志,2018,46(10):760-789. [2] Ponikowski P,Voors AA,Anker SD,et al.ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure[J].Eur J Heart Fail,2016,18(8):891-975. [3]梅姣姣.慢性心衰患者躯体症状及其相关因素对生活质量的影响[D].山东大学,2019. [4]邱伯雍.慢性心力衰竭流行病学及防治研究进展[J].中华实用诊断与治疗杂志,2017,31(6):619-621 [5]胡盛寿,高润霖,刘力生,等.《中国心血管病报告2018》概要[J].中国循证杂志,2019,34(3):209-220. [6]Iqbal J,Francis L,Reid J,et al.Quality of life with chronic heart failure and their carers:a 3-year follow-up study assessing hospitalization and mortality[J].Eur J Heart Fail,2010(12):1002-1008. [7]Schillinger D,Piette J,Grumbach K,et al.Closing the loop: physician communication with diabetic patients who have low health literacy[J].Archives of Internal Medicine,2003,163(1):83-90. [8]Morisky DE,Ang A,Krousel-Wood M,et al.Predictive validity of a medication adherence measure in an outpatient setting[J].J Clin Hypertens,2008,10(5):348-354. [9]Yu M,Chair SY,Chan CWH,et al.A health education booklet and telephone follow-ups can improve medication adherence,health-related quality of life,and psychological status of patients with heart failure[J].Heart&Lung the Journal of Acute&Critical Care,2015,44(5):S0147956315001235. [10]Heo S,Moser DK,Riegel B,et al.Testing the psychometric properties of the Minnesota Living with Heart Failure Questionnaire[J].Nurs Res,2005,54(4):265-272. [11]Ho CC,Clochesy JM,Madigan E,et al.Psychometric properties of the chinese version of the Minnesota Living with Heart Failure Questionnaire[J].Nurs Res,2007,56(6):441-448. [12]Ziaeian B,Fonarow GC.Epidemiology and aetiology of heart failure[J].Nat Rev Cardiol,2016,13(6):368-378. [13]Luo N,Teng TK,Tay WT,et al.Multinational and multiethnic variations in health-related quality of life in patients with chronic heart failure[J].AM Heart J,2017(191):75-81. [14]Wilson FL,Baker LM,Nordstrom CK,et al.Using the Teach-Back and Orem’s Self-Care Deficit Nursing Theory to Increase Childhood Immunization Communication Among Low-Income Mothers[J].Issues in Compr Pediatr Nurs,2008,31(1):7-22. [15]Kornburger C,Gibson C,Sadowski S,et al.Using"Teach-Back"to Promote a Safe Transition From Hospital to Home:An Evidence-Based Approach to Improving the Discharge Process[J].J Pediatr Nurs,2013,28(3):282-291.

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更新日期/Last Update: 1900-01-01