Teach back教育模式在先天性心脏病患儿介入术后家属健康指导中的应用效果

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摘要目的探讨Teach back教育模式在先天性心脏病患儿术后家属健康指导中的效果。方法选择2019年2月至2021年2月江苏省无锡市儿童医院收治的行手术治疗的先天性心脏病患儿124例及其家属为研究对象，采用随机数字表法将其分为对照组和观察组，每组各62例。对照组行术后常规健康指导，观察组采用家属Teach back指导单行术后健康指导。比较两组术前、术后3个月患儿家属对先天性心脏病相关知识知晓度、一般自我效能感、应对方式、患儿心功能分级及并发症发生情况。结果术后3个月，两组患儿家属对先天性心脏病相关知识知晓度评分高于术前，且观察组高于对照组（P ＜ 0.05）；两组患儿家属术后一般自我效能感评分高于术前，且观察组高于对照组（P ＜ 0.05）；观察组术后患儿家属面对评分高于术前，回避、屈服评分低于术前，且观察组术后患儿家属面对评分高于对照组，回避、屈服评分低于对照组（P ＜ 0.05）。两组术后心功能分级评分低于术前，且观察组低于对照组（P ＜ 0.05）。观察组患儿并发症发生率低于对照组（P ＜ 0.05）。结论 Teach back指导单应用于先天性心脏病患儿术后家属健康指导中效果显著。

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	蒋红娟吴洁▲ 罗晓燕刘晓宇

关键词 ： Teach back指导单, 先天性心脏病, 健康指导, 疾病知识知晓度, 一般自我效能感, 应对方式, 心功能, 并发症

Abstract：Objective To explore the effect of Teach back instruction sheet in family health guidance of children with congenital heart disease after interventional operation. Methods A total of 124 children with congenital heart disease who received surgical treatment in Wuxi Children’s Hospital of Jiangsu Province from February 2019 to February 2021 and their families were selected as the research subjects, and they were divided into control group and observation group by random number table method, with 62 cases in each group. The control group received routine postoperative health guidance, and the observation group received postoperative health guidance with family members’ Teach back instruction sheet. Before and three months after operation for the family members of the children with congenital heart disease knowledge, general self-efficacy, coping style, heart function grading and complication incidence were compared between the two groups. Results Three months after operation, the scores of the families of the children in the two groups on the knowledge about congenital heart disease were higher than those before operation, and the observation group was higher than the control group (P ＜ 0.05); the general self-efficacy scores of the families of the two groups were higher than before operation, and the observation group was higher than the control group (P ＜ 0.05); the family members of the observation group face score were higher than before operation, and avoidance and yield scores were lower than before operation; the face scores of family members of the observation group were higher than control group, and avoidance and yield scores were lower than control group (P ＜ 0.05); the postoperative cardiac function grading score of the two groups were lower than those before operation, and those of the observation group were lower than the control group (P ＜ 0.05). The incidence of complications in observation group was lower than that in control group (P ＜ 0.05). Conclusion Teach back instruction sheet has a significant effect on family health guidance of children with congenital heart disease after operation.

Key words： Teach back instruction sheet Congenital heart disease Health guidance Disease knowledge awareness General self-efficacy Coping styles Cardiac function Complications

基金资助:国家自然科学基金资助项目（82000317）。

通讯作者: ▲通讯作者

作者简介: 蒋红娟（1985.3-），女，副主任护师；研究方向：儿童心血管。

引用本文:

蒋红娟吴洁▲ 罗晓燕刘晓宇. Teach back教育模式在先天性心脏病患儿介入术后家属健康指导中的应用效果[J]. 中国医药导报, 2022, 19(12): 151-155.
JIANG Hongjuan WU Jie▲ LUO Xiaoyan LIU Xiaoyu. Application effect of Teach back education mode in family health guidance of children with congenital heart disease after interventional surgery#br#. 中国医药导报, 2022, 19(12): 151-155.

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https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I12/151

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