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采用反馈教学法进行术前活动教育对妇科手术后患者结局的影响:一项随机对照研究。

Effects of Preoperative Mobilization Education Using the Teach-Back Method on Patient Outcomes After Gynecological Surgery: A Randomized-Controlled Study.

作者信息

Arslan Ezgi, Özkan Sultan

机构信息

Surgical Nursing Department, Nursing Faculty, Aydın Adnan Menderes University, Aydın, Türkiye.

出版信息

Nurs Health Sci. 2025 Jun;27(2):e70151. doi: 10.1111/nhs.70151.

DOI:10.1111/nhs.70151
PMID:40442058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12122413/
Abstract

This study aimed to determine the effects of preoperative mobilization education enhanced with the Teach-Back method on postoperative mobilization, recovery, and satisfaction in patients undergoing gynecological oncology surgery. This was a two-arm parallel-grouprandomized-controlled trial registered at https://www.clinicaltrials.gov (NCT05845086) and reported according to the Consolidated Standards of Reporting Trials checklist. The study was conducted with 102 patients between September 2023 and March 2024. The Patient Mobility Scale, Observer Mobility Scale, Postoperative Recovery Index, and Newcastle Satisfaction with Nursing Care forms were used to collect data. The intervention group received preoperative mobilization education enhanced with the Teach-Back method, besides the usual care; however, the control group received only usual clinical care. The patients in the intervention group exhibited higher levels of mobilization, recovery status, and satisfaction with nursing care than those in the control group. Preoperative mobilization education using the Teach-Back method effectively improved the mobilization process, recovery, and satisfaction of patients undergoing gynecological oncology surgery. Nurses working in the clinic should empower patients with knowledge and use the Teach-Back method in skill-oriented patient education.

摘要

本研究旨在确定采用反馈教学法强化术前活动教育对妇科肿瘤手术患者术后活动、恢复及满意度的影响。这是一项双臂平行组随机对照试验,已在https://www.clinicaltrials.gov(NCT05845086)注册,并按照《报告试验的统一标准》清单进行报告。该研究于2023年9月至2024年3月对102例患者进行。使用患者活动量表、观察者活动量表、术后恢复指数和纽卡斯尔护理满意度量表收集数据。干预组除接受常规护理外,还接受采用反馈教学法强化的术前活动教育;然而,对照组仅接受常规临床护理。干预组患者在活动、恢复状况及护理满意度方面均高于对照组。采用反馈教学法进行术前活动教育可有效改善妇科肿瘤手术患者的活动过程、恢复情况及满意度。临床护士应赋予患者知识,并在以技能为导向的患者教育中运用反馈教学法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/12122413/f48c343a8380/NHS-27-e70151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/12122413/f48c343a8380/NHS-27-e70151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/12122413/f48c343a8380/NHS-27-e70151-g001.jpg

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本文引用的文献

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The Impact of an Early Mobility Protocol on Recovery Outcomes in Patients Undergoing Abdominal Surgeries.早期活动方案对接受腹部手术患者恢复结局的影响。
Cureus. 2024 Dec 18;16(12):e75980. doi: 10.7759/cureus.75980. eCollection 2024 Dec.
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BJS Open. 2023 Sep 5;7(5). doi: 10.1093/bjsopen/zrad102.
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The effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial.
腰椎间盘手术后患者接受床上翻身和活动训练对术后首次活动水平的影响:一项单盲随机对照试验。
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Perioperative management in gynecological surgery based on the ERAS program.基于加速康复外科(ERAS)方案的妇科手术围手术期管理
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The Effect of Jacobson's Progressive Relaxation Technique on Postoperative Pain, Activity Tolerance, and Sleeping Quality in Patients Undergoing Gynecological Surgery.雅各布森渐进性放松技术对妇科手术患者术后疼痛、活动耐量及睡眠质量的影响
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