Graduate School, College of Nursing, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Support Care Cancer. 2021 Dec;29(12):7259-7268. doi: 10.1007/s00520-021-06445-w. Epub 2021 Jul 24.
This study aimed to systematically review published research on the use of the teach-back method among cancer patients and provide basic data for developing effective nursing interventions.
Using a PICOS (Population, Intervention, Comparisons, Outcomes, Study Designs) framework, we reviewed 246 studies from selected electronic databases-CINAHL, EMBASE, PubMed, PsycInfo, RISS, KISS, DBpia, NDSL, and KCI-and selected five studies for further analysis. We evaluated the reference quality using Cochrane's risk of bias and risk of bias assessment tool for non-randomized studies, following which we performed reviews and analyses.
Five studies were selected for the final analysis, including four quasi-experimental studies and one randomized controlled experimental study. The intervention programs were provided mostly by outpatient clinics. The cancer types of the subjects were breast cancer and gastrointestinal cancer in four and one study, respectively. The number and duration of the interventions varied depending on the content. The number of outcome variables ranged from 1 to 5, depending on the study; among these, self-efficacy, symptom experience, and distress were used. Teach-back intervention programs significantly affected happiness, health literacy, anxiety about death, symptom experience, distress, and self-efficacy.
This study found that teach-back interventions have positive health outcomes including happiness, uncertainty, self-efficacy, self-management behavior, symptom experience, distress, anxiety, and health literacy among cancer patients. However, it found no effects with regard to drug administration, functional measurements, or satisfaction. Future research should continuously examine the teach-back approach and assess its positive health outcomes for cancer patients.
本研究旨在系统回顾癌症患者中使用回授法的已发表研究，并为制定有效的护理干预措施提供基础数据。
使用 PICOS（人群、干预、比较、结局、研究设计）框架，我们从选定的电子数据库（CINAHL、EMBASE、PubMed、PsycInfo、RISS、KISS、DBpia、NDSL 和 KCI）中回顾了 246 项研究，并选择了 5 项研究进行进一步分析。我们使用 Cochrane 偏倚风险评估工具和非随机研究偏倚风险评估工具评估了参考文献的质量，然后进行了综述和分析。
最终有 5 项研究被纳入分析，包括 4 项准实验研究和 1 项随机对照实验研究。干预方案主要由门诊诊所提供。4 项研究的研究对象为乳腺癌，1 项研究的研究对象为胃肠道癌。干预内容各不相同，干预次数和持续时间也有所不同。因研究而异，结果变量的数量从 1 到 5 不等，其中使用了自我效能感、症状体验和痛苦等变量。回授干预方案显著影响幸福感、健康素养、对死亡的焦虑、症状体验、痛苦和自我效能感。
本研究发现，回授干预对癌症患者的幸福感、不确定性、自我效能感、自我管理行为、症状体验、痛苦、焦虑和健康素养等方面具有积极的健康结果。但在药物管理、功能测量或满意度方面没有效果。未来的研究应继续检验回授法，并评估其对癌症患者的积极健康结果。
