回授法模式对黄斑前膜患者健康教育的应用效果
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川北医学院附属医院

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南充市哲学社会科学规划研究项目(NC26C423)


Application Effect of Teach-Back Method–Based Health Education in Patients with Epiretinal Membrane
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    摘要:

    【摘要】目的:探讨基于回授法的健康教育模式对黄斑前膜患者健康教育的应用效果,为优化临床护理路径提供依据。方法:选取2024年1月至2025年4月于本院行黄斑前膜剥除术的208例(208眼)患者,按护理方案分为常规组(n=104)与研究组(n=104)。常规组接受常规健康宣教,研究组在此基础上联合回授法的健康教育。两组干预时间均为1个月(每周2次,每次20~30分钟)。干预前后采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、自我护理能力测评量表(ESCA)、世界卫生组织生活质量简表(WHOQOL-BREF)及护理满意度量表,分别评估患者的焦虑、抑郁、自我护理能力、生活质量及护理满意度。结果:干预结束时,研究组HAMA评分为(10.15±1.63)分,HAMD评分为(10.86±1.81)分,均低于常规组[分别为(11.13±1.92)分和(11.78±2.24)分,P<0.05];研究组ESCA各维度评分、WHOQOL-BREF各领域得分及护理满意度量表各维度得分均高于常规组(P<0.05)。结论:采用回授法模式对黄斑前膜患者实施健康教育,可有效缓解其不良情绪,提高自我护理能力和生活质量,并提升患者对健康教育的满意度。

    Abstract:

    【Abstract】Objective: To investigate the effect of health education based on the teach-back method in patients with epiretinal membrane, and to provide evidence for optimizing clinical nursing pathways.Methods: A total of 208 patients (208 eyes) who underwent epiretinal membrane peeling surgery in our hospital from January 2024 to April 2025 were selected and divided into a routine group (n=104) and a study group (n=104) according to the nursing plan. The routine group received conventional health education, while the study group additionally received teach-back-based health education. Both groups underwent a 1-month intervention (twice a week, 20–30 minutes each session). Before and after the intervention, the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Exercise of Self-Care Agency Scale (ESCA), World Health Organization Quality of Life-Brief Version (WHOQOL-BREF), and a nursing satisfaction scale were used to evaluate patients'' anxiety, depression, self-care ability, quality of life, and nursing satisfaction.Results: After the intervention, the HAMA score in the study group was (10.15±1.63) and the HAMD score was (10.86±1.81), both significantly lower than those in the routine group [(11.13±1.92) and (11.78±2.24), respectively, P<0.05]. The scores of all dimensions of ESCA, all domains of WHOQOL-BREF, and all dimensions of the nursing satisfaction scale in the study group were significantly higher than those in the routine group (P<0.05).Conclusion: Implementing teach-back method-based health education in patients with epiretinal membrane can effectively alleviate negative emotions, enhance self-care ability and quality of life, and improve patient satisfaction with health education.

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  • 收稿日期:2026-06-12
  • 最后修改日期:2026-08-09
  • 录用日期:2026-09-07
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