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回授式健康教育联合延续性护理在膝关节训练伤患者中的应用:临床效果分析

Application of Teach-back health education combined with continuity care in patients with knee joint training injuries: an analysis of clinical effects.

作者信息

Li Huijun, Li Wei, Kong Xiangjing, Wang Zhaodi, Lu Conglan, Shi Dongqin

机构信息

Nursing Department, Air Force Hospital of Eastern Theater, Nanjing, Jiangsu, China.

Orthopedics Department, Air Force Hospital of Eastern Theater, Nanjing, Jiangsu, China.

出版信息

Front Public Health. 2025 May 21;13:1577538. doi: 10.3389/fpubh.2025.1577538. eCollection 2025.

Abstract

OBJECTIVE

To investigate the clinical efficacy of Teach-back health education combined with continuity care in patients with knee joint training injuries.

METHODS

A total of 210 patients with knee joint training injuries admitted to our hospital from May 2023 to August 2024 were randomly divided into an observation group and a control group (105 cases each) using a random number table. The control group received routine care, while the observation group received Teach-Back health education combined with continuity care. Outcomes, including the Hospital for Special Surgery (HSS) knee score, Generic Quality of Life Inventory-74 (GQOLI-74), Health-Promoting Lifestyle Profile-II (HPLP-II), State-Trait Anxiety Inventory (STAI) scores, and postoperative complication rates, were compared between the two groups before and 2 months after intervention.

RESULTS

At 2 months post-intervention, both groups showed significant improvements in HSS, GQOLI-74, and HPLP-II scores compared to baseline ( < 0.05), with the observation group outperforming the control group ( < 0.05). At 2 weeks post-intervention, the observation group exhibited lower STAI scores than the control group ( < 0.05). The incidence of complications (deep vein thrombosis, joint stiffness, pressure injuries, and infections) was significantly lower in the observation group ( < 0.05).

CONCLUSION

Teach-Back health education combined with continuity care effectively promotes functional recovery, improves quality of life and psychological wellbeing, enhances health-promoting behaviors, and reduces postoperative complications in patients with knee joint training injuries. This approach holds significant clinical value for accelerating rehabilitation and maintaining military readiness.

摘要

目的

探讨反馈式健康教育联合延续性护理在膝关节训练损伤患者中的临床疗效。

方法

采用随机数字表法将2023年5月至2024年8月我院收治的210例膝关节训练损伤患者随机分为观察组和对照组,每组105例。对照组接受常规护理,观察组接受反馈式健康教育联合延续性护理。比较两组干预前及干预2个月后的结果,包括特殊外科医院(HSS)膝关节评分、生活质量综合评定问卷-74(GQOLI-74)、健康促进生活方式量表-II(HPLP-II)、状态-特质焦虑量表(STAI)评分及术后并发症发生率。

结果

干预2个月后,两组HSS、GQOLI-74及HPLP-II评分较基线均显著改善(<0.05),且观察组优于对照组(<0.05)。干预2周时,观察组STAI评分低于对照组(<0.05)。观察组并发症(深静脉血栓形成、关节僵硬、压疮和感染)发生率显著低于对照组(<0.05)。

结论

反馈式健康教育联合延续性护理能有效促进膝关节训练损伤患者的功能恢复,提高生活质量和心理健康水平,增强健康促进行为,降低术后并发症发生率。该方法对加速康复和保持军事战斗力具有重要临床价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21b0/12133758/d582f2a28f8e/fpubh-13-1577538-g0001.jpg

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