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

Abstract
Figure/Table
References (20)
Related Citation (15)

Download: PDF (619 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YIN Shuting
	YE Zhenni
	WANG Jun
	YANG Mingying

Cite this article:

YIN Shuting,YE Zhenni,WANG Jun, et al. Application effect of health education based on feedback method in bladder cancer patients with urostomy[J]. 中国当代医药, 2022, 29(27): 173-177.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I27/173

[1]	Ferlay J，Steliarova-Foucher E，Lortet-Tieulent J，et al.Cancer incidence and mortality patterns in Europe：estimates for 40 countries in 2012[J].Eur J Cancer，2013，49（6）：1374-1403.
[2]	郭应禄，那彦群，叶章群，等.中国泌尿外科和男科疾病诊断治疗指南[J].北京：科学出版社，2019，33-53.
[3]	Farber NJ，Faiena I，Dombrovskiy V，et al.Disparities in the use of continent urinary diversions after radical cystectomy for bladder cancer[J].Bladder Cancer，2018，4（1）：113-120.
[4]	Witjes JA，Compérat E，Cowan NC，et al.EAU guidelines on muscle-invasive and metastatic bladder cancer：summary of the 2013 guidelines[J].Eur Urol，2014，65（4）：778-792.
[5]	乔够梅，张晓丽，王养民，等.尿路造口患者健康教育评价标准的构建[J].中华护理杂志，2014，49（9）：1058-1061.
[6]	Klingbeil C，Gibson C.The Teach Back Project：A Systemwide Evidence Based Practice Implementation[J].J Pediatr Nurs，2018，42：81-85.
[7]	Peter D，Robinson P，Jordan M，et al.Reducing readmissions using teach-back：enhancing patient and family education[J].J Nurs Adm，2015，45（1）：35-42.
[8]	Negarandeh R，Mahmoodi H，Noktehdan H，et al.Teach back and pictorial image educational strategies on knowledge about diabetes and medication/dietary adherence among low health literate patients with type 2 diabetes[J].Prim Care Diabetes，2013，7（2）：111-118.
[9]	陈婕，娄小平，申红霞，等.回授法饮食管理对腹膜透析患者饮食依从性及营养状况的影响[J].中华护理杂志，2019，54（4）：495-500.
[10]	World Councill of Enterostomal Therapists.WCET international ostomy guideline[EB/OL].https://wcet-online-store.myshopify.com/products/international-ostomy-guide-linedownloadable.
[11]	Wound，Ostomy and Continence Nurses Society.WOCN clinical practice guideline series[EB/OL].https://guide-lines.wocn.org/home.
[12]	The European Association of Urology Nurses （EAUN）.Incontinent Urostomy[EB/OL].https://nurses.uroweb.org/guideline/incontinent-urostomy/.
[13]	Registered Nurses′ Association of Ontario.Supporting adults who anticipate or live with an ostomy[EB/OL].https://rnao.ca/bpg/guidelines/ostomy.
[14]	Kristensen SA，Laustsen S，Kiesbye B，et al.The urostomy education scale：a reliable and valid tool to evaluate urostomy self-care skills among cystectomy patients[J].J Wound Ostomy Continence Nurs，2013，40（6）：611-617.
[15]	傅素靓.膀胱癌回肠膀胱造口术后患者出院前自我护理能力及影响因素的研究[D].杭州：浙江大学，2014.
[16]	王璐，戴付敏，王飞杰，等.分阶段回授法在膀胱癌全切泌尿造口术患者延续护理中的应用[J].护理实践与研究，2020，17（12）：79-81.
[17]	陈淑雷.电话随访干预对泌尿造口患者造口自我护理能力的影响[D].济南：山东大学，2014.
[18]	吴程为，李萍，李海燕.家庭同步健康教育对泌尿造口患者心理状态及造口自我护理的影响[J].中国药物与临床，2018，18（9）：1636-1638.
[19]	Osman Y，Harraz AM，Barakat TS，et al.External stent versus double J drainage in patients with radical cystectomy and orthotopic urinary diversion：A randomized controlled trial[J].Int J Urol，2016，23（10）：861-865.
[20]	Carlsson E，Fingren J，Hallén AM，et al.The prevalence of ostomy-related complications 1 year after ostomy surgery：a prospective，descriptive，clinical study[J].Ostomy Wound Manage，2016，62（10）：34-48.