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基于回授法的出院指导对出院准备度和满意度的影响:一项随机对照试验

The Effect of Discharge Training Based on Teach-Back Method on Discharge Readiness and Satisfaction: A Randomized Controlled Trial.

作者信息

Gullet Ayse, Tastan Sevinc

机构信息

Health Sciences Faculty, Nursing Department, Eastern Mediterranean University, Famagusta, North Cyprus, Turkey.

出版信息

Worldviews Evid Based Nurs. 2025 Aug;22(4):e70062. doi: 10.1111/wvn.70062.

DOI:10.1111/wvn.70062
PMID:40698847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12285212/
Abstract

BACKGROUND

The teach-back method is an effective approach for reinforcing patient education by clarifying and reviewing misunderstood concepts.

AIM

To examine the effect of discharge training based on the teach-back method on discharge readiness and satisfaction in patients undergoing lumbar disc herniation surgery.

METHODS

A randomized controlled trial using a pre-test-post-test design was conducted at two state hospitals in Northern Cyprus from November 2022 to December 2023. A total of 64 patients were randomly assigned to either the intervention group (n = 32) or the control group (n = 32). Data were collected using the Discharge Education Satisfaction Scale, the Readiness for Hospital Discharge Scale, and the Discharge Education Knowledge Test. The CONSORT 2010 flow diagram was followed.

RESULTS

The mean ages of the intervention and control groups were 51.26 ± 11.92 years and 46.50 ± 11.73 years, respectively. Following the intervention, patients who underwent lumbar disc herniation surgery in the intervention group showed significantly higher scores compared to the control group (p < 0.05). These improvements were observed in overall discharge education satisfaction, discharge education knowledge, and all subdimensions of discharge readiness-including personal status, knowledge, and coping ability.

LINKING EVIDENCE TO ACTION

Discharge education delivered using the teach-back method enhances satisfaction, knowledge, and discharge readiness in patients undergoing lumbar disc herniation surgery.

TRIAL REGISTRATION

The full research protocol is available at ClinicalTrials.gov (NCT05695014).

摘要

背景

反馈教学法是一种通过澄清和复习误解的概念来加强患者教育的有效方法。

目的

探讨基于反馈教学法的出院培训对腰椎间盘突出症手术患者出院准备度和满意度的影响。

方法

2022年11月至2023年12月在北塞浦路斯的两家国立医院进行了一项采用前后测设计的随机对照试验。总共64例患者被随机分配到干预组(n = 32)或对照组(n = 32)。使用出院教育满意度量表、出院准备度量表和出院教育知识测试收集数据。遵循CONSORT 2010流程图。

结果

干预组和对照组的平均年龄分别为51.26±11.92岁和46.50±11.73岁。干预后,干预组接受腰椎间盘突出症手术的患者得分显著高于对照组(p < 0.05)。在总体出院教育满意度、出院教育知识以及出院准备度的所有子维度(包括个人状况、知识和应对能力)方面均观察到这些改善。

将证据与行动联系起来

使用反馈教学法进行的出院教育可提高腰椎间盘突出症手术患者的满意度及知识水平,并增强其出院准备度。

试验注册

完整的研究方案可在ClinicalTrials.gov(NCT05695014)上获取。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d49/12285212/25499957234f/WVN-22-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d49/12285212/25499957234f/WVN-22-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d49/12285212/25499957234f/WVN-22-0-g001.jpg

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本文引用的文献

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The effect of discharge training with the teach-back method on post-discharge challenges in lumbar disc herniation patients: A quasi-experimental study.采用回授法进行出院指导对腰椎间盘突出症患者出院后挑战的影响:一项准实验研究。
Int J Orthop Trauma Nurs. 2023 Aug;50:101020. doi: 10.1016/j.ijotn.2023.101020. Epub 2023 May 12.
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Effectiveness of teach-back for chronic kidney disease patient education: A systematic review.回授法在慢性肾脏病患者教育中的效果:系统评价。
J Ren Care. 2024 Jun;50(2):92-103. doi: 10.1111/jorc.12462. Epub 2023 Apr 3.
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A Turkish Study to Identify the Discharge Learning Needs of Spinal Surgery Patients.
一项旨在确定脊柱外科手术患者出院后学习需求的土耳其研究。
J Neurosci Nurs. 2023 Jun 1;55(3):86-90. doi: 10.1097/JNN.0000000000000702. Epub 2023 Mar 14.
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Effectiveness of discharge education using teach-back method on readmission among heart failure patients: A systematic review and meta-analysis.采用回授法进行出院教育对心力衰竭患者再入院率的影响:一项系统评价与Meta分析
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Comparing the Effects of Gamification and Teach-Back Training Methods on Adherence to a Therapeutic Regimen in Patients After Coronary Artery Bypass Graft Surgery: Randomized Clinical Trial.比较游戏化和回授教学培训方法对冠状动脉旁路移植术后患者治疗方案依从性的影响:随机临床试验。
J Med Internet Res. 2021 Dec 10;23(12):e22557. doi: 10.2196/22557.
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A Systematic Review and Meta-Analysis of Intraperitoneal Bupivacaine in Laparoscopic Gynecologic Surgery.腹腔镜妇科手术中腹腔内注射布比卡因的系统评价与Meta分析
J Pain Res. 2021 Sep 2;14:2699-2707. doi: 10.2147/JPR.S326145. eCollection 2021.
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Experience of Pain and Satisfaction with Pain Management in Patients After a Lumbar Disc Herniation Surgery.腰椎间盘突出症手术后患者的疼痛体验及对疼痛管理的满意度
J Perianesth Nurs. 2021 Dec;36(6):647-655. doi: 10.1016/j.jopan.2021.01.009. Epub 2021 Aug 25.
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Effects of the teach-back method among cancer patients: a systematic review of the literature.回授法在癌症患者中的效果:文献系统评价。
Support Care Cancer. 2021 Dec;29(12):7259-7268. doi: 10.1007/s00520-021-06445-w. Epub 2021 Jul 24.
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