基于回授法的健康教育在膀胱癌尿路造口患者中的应用效果

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摘要目的探讨回授法在膀胱癌尿路造口患者健康教育中的应用效果。方法选取2020年1月至2021年9月在昆明医科大学第二附属医院泌尿外科收治的80 例膀胱癌患者为研究对象，所有患者实施根治性膀胱切除术+不可控尿流改道术，采用随机数字表法将患者分为试验组（40 例）和对照组（40 例），对照组患者采用常规健康教育方式，试验组患者采用基于回授法的健康教育方式。术后3 个月，采用依从性问卷评估两组患者的行为依从性，采用Kristensen 泌尿造口自我护理量表分析两组患者的自我护理能力，并记录患者造口及造口周围并发症发生情况。结果术后3 个月，试验组患者的行为总依从率高于对照组，差异有统计学意义（P<0.05）。干预前，两组患者的Kristensen 泌尿造口自我护理量表各项评分比较，差异无统计学意义（P>0.05）。干预后，试验组患者的自我护理意愿、自我护理技能及量表总分均高于干预前，且试验组患者的上述评分均高于对照组，差异有统计学意义（P<0.05）。试验组患者的并发症总发生率低于对照组，差异有统计学意义（P<0.05）。结论基于回授法的健康教育可以有效提高膀胱癌尿路造口患者的行为依从性，降低造口及造口周围并发症的发生率，提高患者的自我护理能力。

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	尹淑婷
	叶珍妮
	王俊
	杨明莹

关键词 ：尿路造口, 回授法, 行为依从性, 自我护理能力

Abstract：Objective To explore the application effect of health education based on teach-back method in patients of bladder cancer with urostomy. Methods A total of 80 bladder cancer patients admitted to the Department of Urinary Surgery, the Second Affiliated Hospital of Kunming Medical University from January 2020 to September 2021 were selected as the research objects. All patients underwent radical cystectomy plus uncontrolled urinary diversion. Patients were divided into experimental group (n=40) and control group (n=40) by random number table method. The control group was given routine health education intervention, while the experimental group was given health education based on teach-back method. Three months after operation, the behavioral compliance of the two groups was assessed by the compliance questionnaire, and the self-care ability of the two groups was analyzed by the Kristensen urostomy self-care scale. The incidence of stoma and peristoma complications was recorded. Results Three months after operation, the total behavior compliance rate of the experimental group was higher than that of the control group, and the difference was statistically significant (P<0.05). Before intervention, there was no significant difference in the scores of Kristensen urostomy self-care scale between the two groups (P>0.05). After intervention, the self-care willingness, self-care skills and total score of the scale of patients in the experimental group were higher than those before intervention, and the above scores of patients in the experimental group were higher than those in the control group, and the differences were statistically significant (P<0.05). The total incidence of complications in experimental group was lower than that in control group, and the difference was statistically significant (P<0.05). Conclusion Health education based on teach-back method can eff ectively improve behavioral compliance,reduce the incidence of stoma and peristoma skin complications, and improve the self-care ability of patients of bladder cancer with urostomy.

Key words： Urostomy Teach-back method Behavioral compliance Self-care ability

基金资助:昆明医科大学第二附属医院院内科技计划项目（2020hyk003）

通讯作者: 杨明莹（1972-），女，云南昆明人，硕士，主任护师，研究方向：护理管理和慢性病管理。

作者简介: 尹淑婷（1989-），女，云南芒市人，硕士，研究方向：造口护理。

引用本文:

尹淑婷；叶珍妮；王俊；杨明莹. 基于回授法的健康教育在膀胱癌尿路造口患者中的应用效果[J]. 中国当代医药, 2022, 29(27): 173-177.
YIN Shuting； YE Zhenni； WANG Jun； YANG Mingying. Application effect of health education based on feedback method in bladder cancer patients with urostomy. 中国当代医药, 2022, 29(27): 173-177.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I27/173

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