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回授教学法对乳腺癌患者不确定感的影响:一项准实验研究。

The Effect of Self-Management Education by the Teach-Back Method on Uncertainty of Patients with Breast Cancer: a Quasi-Experimental Study.

机构信息

Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran.

Student Research Committee, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Cancer Educ. 2020 Apr;35(2):366-372. doi: 10.1007/s13187-019-1474-5.

Abstract

The present study aimed to determine the effect of self-management education by the teach-back method on uncertainty of patients with breast cancer. This quasi-experimental study (before and after) investigated 50 patients with breast cancer who referred to Surgery Clinic in Kerman from December 2015 to March 2016. The convenient sampling method was used for participants' selection. Participants were randomly divided into intervention and control groups. The questionnaire was completed before and after training by the teach-back method in both groups. Data were analyzed by SPSS software version 20. The results of the study showed that teach-back training in the intervention group improved self-management compared to the control group and the total score decreased from 106 to 73 (p = 0.01). Even after controlling confounders, such as place of residence and history of cancer education, the differences between the above groups remained statistically significant. Self-management education program by the teach-back method can help reduce uncertainty in patients with breast cancer. Therefore, it is recommended to use this educational method to improve self-management and reduce uncertainty in these patients.

摘要

本研究旨在确定回授教学法对乳腺癌患者不确定性的影响。这项准实验研究(前后)调查了 2015 年 12 月至 2016 年 3 月期间向克尔曼外科诊所就诊的 50 名乳腺癌患者。采用便利抽样法选择参与者。采用回授教学法对两组参与者进行培训前后的问卷调查。采用 SPSS 软件版本 20 对数据进行分析。研究结果表明,与对照组相比,干预组的回授培训提高了自我管理能力,总分从 106 分降至 73 分(p=0.01)。即使在控制了居住地和癌症教育史等混杂因素后,上述组间差异仍具有统计学意义。回授教学法的自我管理教育计划可以帮助减轻乳腺癌患者的不确定性。因此,建议使用这种教育方法来提高这些患者的自我管理能力并降低其不确定性。

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