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采用反馈教学法的化疗患者教育对症状管理和生活质量的影响:一项随机对照试验

Effect of Chemotherapy Patient Education Using the Teach-Back Method on Symptom Management and Quality of Life: A Randomized Controlled Trial.

作者信息

Gullu Gucuyener Belkis, Gulseven Karabacak Bilgi

机构信息

Nursing Department, Institute of Health Science, Marmara University, Basibuyuk Mah., Sureyyapasa Basibuyuk Yolu Sok., No:4/B, Pk: 34854, Maltepe, Istanbul, Turkey.

Nursing Department, Faculty of Health Science, Marmara University, Istanbul, Turkey.

出版信息

J Cancer Educ. 2025 Jan 7. doi: 10.1007/s13187-024-02564-0.

Abstract

This study aimed to evaluate the impact of the teach-back method in managing chemotherapy symptoms and improving quality of life. A secondary aim was to develop more effective care and education frameworks for cancer treatment. A single-center, randomized controlled trial was conducted with 80 patients who received chemotherapy between June 2022 and May 2023. Patients in the intervention group were educated about the chemotherapy process using the teach-back method, while those in the control group received standard education. Data were collected using a participant information form, the Edmonton Symptom Assessment Scale (ESAS), and the EQ-5D Quality of Life Scale. Statistical significance was accepted as p < 0.05 for all tests. In both groups, EQ-5D scores increased with the number of chemotherapy cycles, indicating a negative impact on quality of life. However, this increase was smaller in the intervention group. As the number of cycles increased, the intervention group scored lower on the Edmonton Symptom Assessment Scale compared to the control group. The results of the study show that using the teach-back method in patient education is effective in the management of chemotherapy-related symptoms and improving overall quality of life.

摘要

本研究旨在评估反馈教学法在管理化疗症状及改善生活质量方面的影响。次要目的是为癌症治疗制定更有效的护理和教育框架。对2022年6月至2023年5月期间接受化疗的80名患者进行了一项单中心随机对照试验。干预组患者采用反馈教学法接受化疗过程相关教育,而对照组患者接受标准教育。使用参与者信息表、埃德蒙顿症状评估量表(ESAS)和EQ-5D生活质量量表收集数据。所有检验的统计学显著性设定为p < 0.05。在两组中,EQ-5D评分均随着化疗周期数的增加而升高,表明对生活质量有负面影响。然而,干预组的这种升高幅度较小。随着周期数的增加,干预组在埃德蒙顿症状评估量表上的得分低于对照组。研究结果表明,在患者教育中使用反馈教学法在管理化疗相关症状及改善总体生活质量方面是有效的。

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