Application of teach-back method in perioperative rehabilitation exercise of patients undergoing artificial hip replacement

doi:10.3877/cma.j.issn.1674-134X.2018.06.027

Abstract

Abstract:

Objective

To discuss the effect of teach-back method in perioperative rehabilitation exercise of patients undergoing artificial hip replacement.

Methods

From January 2017 to April 2018, 100 patients with primary artificial hip replacement from the department of orthopedics of the First Affiliated Hospital of Guangzhou Medical University were selected to participate in this project. The inclusion criteria were primary hip replacement, and no mental illness; the exclusion criteria were hemiplegia, lower limb paralysis and severe organ failures. All the participants were equally divided to the experimental group and the control group by random number table method, the control group (50 cases) received routine rehabilitation exercise guidance; the experimental group (50 cases) received rehabilitation exercise guidance with nurse-patient interaction method. The joint function of two groups was evaluated by Harris grade on one week and one month after the operation; all the participants were asked to complete the questionnaire designed by orthopedics department of the First Affiliated Hospital of Guangzhou Medical University regarding "the awareness rate of hip replacement knowledge" one week after the operation; the inpatients’ satisfaction were evaluated by the "satisfaction questionnaire of ward nursing care" provided by our department of orthopedics on the day before discharging. The data were analysed by t test and chi-square test.

Results

The Harris scores in the experimental group (70±10)、(77±7) were significantly higher than those in the control group (62±8)、(68±7) on one week and one month after the operation (t=-4.72、-6.63, P<0.05). And the scores of health and disease knowledge were respectively (97±5)and (94±7)in the experimental group and the control group on one week after the operation (t=-3.09, P<0.05); the satisfaction score was obviously higher in the experimental group (98±4) than in the control group (93±7); the statistical data of this project showed significant difference between the control group and the experimental group (t=-4.88, P<0.05).

Conclusion

The application of teach-back method could improve the effect of related health education, promote postoperative rehabilitation and increase treatment efficacy and patients’ satisfaction on nursing service.

Key words: Teach-back communication, Health education, Arthroplasty, replacement, hip, Rehabilitation

Qunying Huang, Suxiag Liu, Fen Ye. Application of teach-back method in perioperative rehabilitation exercise of patients undergoing artificial hip replacement[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(06): 891-894.

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References 13

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组别	例数	性别(例，男/女)	年龄[岁，(±s)]	文化程度(例)
组别	例数	性别(例，男/女)	年龄[岁，(±s)]	小学及以下	初中	高中及以上
观察组	50	23/27	65±12	32	11	7
对照组	50	20/30	68±17	30	10	10
统计值	?	χ²＝0.37	t ＝0.84	χ²＝0.64
P值	?	>0.05	>0.05	>0.05

组别	例数	性别(例，男/女)	年龄[岁，(±s)]	文化程度(例)
组别	例数	性别(例，男/女)	年龄[岁，(±s)]	小学及以下	初中	高中及以上
观察组	50	23/27	65±12	32	11	7
对照组	50	20/30	68±17	30	10	10
统计值	?	χ²＝0.37	t ＝0.84	χ²＝0.64
P值	?	>0.05	>0.05	>0.05

组别	例数	原发疾病					手术方式
组别	例数	股骨颈骨折	股骨头坏死	髋关节发育不良	原发性髋关节病	其他	人工股骨头假体置换术	全髋关节置换术
观察组	50	21	12	7	8	2	18	32
对照组	50	26	15	3	4	2	21	29
χ²值	?	3.80					0.38
P值	?	>0.05					>0.05

组别	例数	原发疾病					手术方式
组别	例数	股骨颈骨折	股骨头坏死	髋关节发育不良	原发性髋关节病	其他	人工股骨头假体置换术	全髋关节置换术
观察组	50	21	12	7	8	2	18	32
对照组	50	26	15	3	4	2	21	29
χ²值	?	3.80					0.38
P值	?	>0.05					>0.05

组别	例数	术前	术后1周	术后1月
观察组	50	42±4	70±10	77±7
对照组	50	41±5	62±8	68±7
t值	?	－1.09	－4.72	－6.63
P值	?	>0.05	<0.01	<0.01

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