Application of video education combined with Teach-back in patients with rheumatoid arthritis
10.3760/cma.j.issn.1674-2907.2019.28.005
- VernacularTitle:视频宣教结合Teach-back在类风湿关节炎患者中的应用
- Author:
Kaimin ZHOU
1
;
Xianxiu WEN
;
Yuqiong CAO
;
Junmei TAN
;
Mao MA
;
Shan ZENG
;
Li LONG
Author Information
1. 成都中医药大学护理学院 610075
- Keywords:
Rheumatoid arthritis;
Family functional exercise;
Compliance;
Disease activity
- From:
Chinese Journal of Modern Nursing
2019;25(28):3583-3588
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effect of video education combined with Teach-back on the compliance of patients with rheumatoid arthritis(RA) to exercise at home and the condition of disease activity. Methods? By convenience sampling, 80 patients with RA who were hospitalized in the Rheumatology and Immunology Department of Sichuan Provincial People's Hospital from March to November 2018 were included in the study. By random number table, the patients were divided into the intervention group and control group, the control group was given routine discharge instruction and the patients were taught about the functional exercise orally; on the basis of that, the intervention group was given the video education combined with Teach-back and assisted to download videos, Family Exercise Compliance Scale and Disease Activity Score in 28 Joints(DAS28) were used to evaluate the patients' compliance in functional exercise at home and disease activity condition before intervention, 1 month and 3 months after intervention. Results? Finally, 73 cases(37 cases in the control group, 36 cases in the intervention group) in two groups completed the research plan. One and 3 months after intervention, the compliance with family functional exercise of the intervention group was better than the control group from the same period with statistical significance(P＜0.05); the scores of Tender Joint Coun(t TJC28), Swollen Joint Coun(t SJC28), Patient General Health(GH) of the intervention group were all lower than the control group from the same period with statistical significance (P＜0.05), however, the scores of Erythrocyte Sedimentation Rate(ESR) and DAS28 didn't demonstrate obvious intervention effects (P＞0.05). Conclusions? Video education combined with Teach-back can effectively improve the compliance of RA patients with home functional exercise, help to cultivate healthy behavior, and hence reduce the number of tender joint, swelling joints, reduce the degree of pain, improve the prognosis of patients.
