摘要目的 探讨Teach-back健康教育模式对经皮冠状动脉介入治疗(PCI)术后患者健康教育的效果.方法 选取心内科PCI术后患者80例,按入院时间顺序将2018年2-3月入选的40例患者为对照组,2018年4-5月入选的40例患者为观察组.对照组采用常规健康教育方法,观察组在此基础上运用"Teach-back"健康教育模式对患者进行健康教育.出院3个月后,对比2组患者体质量指数(BMI)、三酰甘油、总胆固醇、低密度脂蛋白、西雅图心绞痛问卷(SAQ)、Morisky问卷的结果.结果 出院3个月后,观察组患者的三酰甘油、总胆固醇、低密度脂蛋白分别为(1.35 ± 0.43)、(3.99 ± 0.57)、(2.32 ± 0.24)mmol/L,均低于对照组的(1.63 ± 0.38)、(4.31 ± 0.73)、(2.61 ± 0.28)mmol/L, 2组差异有统计学意义(t=3.082、2.717、5.048,P＜0.01或0.05).出院3个月后,观察组SAQ评分躯体受限程度、心绞痛稳定性、心绞痛发作程度、治疗满意度、疾病认知程度评分分别为(76.16 ± 5.03)、(88.75 ± 14.92)、(84.25 ± 12.17)、(84.76 ± 5.11)、(82.79 ± 9.64)分,均高于对照组的(68.94 ± 9.80)、(80.63 ± 17.44)、(76.25 ± 12.34)、(70.80 ± 7.00)、(70.50 ± 13.85)分,差异均有统计学意义(t=-4.145、Z=-5.848～-2.166,P＜0.05).出院3个月后,观察组和对照组Morisky问卷分别是(2.43 ± 0.78)、(3.80 ± 0.41)分,2组比较差异有统计学意义(Z=-6.848,P＜0.01).结论 将Teach-back健康教育模式应用于PCI术后患者效果良好.

abstractsObjective To explore the effect of Teach-back health education model on health education for patients after percutaneous coronary intervention (PCI). Methods Eighty patients after PCI operation in cardiology were selected, 40 patients selected from February to March as control group and 40 patients selected from April to May as observation group according to the time of admission in 2018. The control group used the routine health education method, based on this, the observation group used the"Teach-back"health education model to healthy educate patients. Three months after the intervention, the results of body mass index (BMI), triglycerides, total cholesterol, low-density lipoprotein, Seattle angina questionnaire (SAQ), and Morisky questionnaire were evaluated. Results After 3 months of intervention, the triglyceride, total cholesterol, and low-density lipoprotein in the observation group were (1.35±0.43), (3.99±0.57), and (2.32±0.24) mmol/L, which were lower than the control group (1.63±0.38), (4.31 ± 0.73), (2.61 ± 0.28) mmol/L, the difference between the two groups was statistically significant (t=3.082, 2.717, 5.048, P<0.01 or 0.05). After 3 months of intervention, evaluate the SAQ score of the observation group, the degree of physical limitation, the stability of angina pectoris, the degree of angina pectoris, the satisfaction of treatment, and the disease cognition were respectively (76.16±5.03), (88.75± 14.92), and (84.25±12.17), (84.76±5.11), (82.79±9.64) points, which were higher than the control group (68.94 ± 9.80), (80.63 ± 17.44), (76.25 ± 12.34), (70.80 ± 7.00), (70.50 ± 13.85) points, the differences were statistically significant (t=-4.145, Z=-5.848--2.166, P < 0.05). After 3 months of intervention, the Morisky questionnaires of the observation group and the control group were (2.43±0.78) and (3.80±0.41) points, and the difference was statistically significant (Z=-6.848, P<0.05). Conclusion The application of Teach-back health education model to patients after PCI has a good effect.