Application of Teach back education model in health literacy of patients with chronic obstructive pulmonary disease
10.3760/cma.j.cn115682-20200429-03088
- VernacularTitle:Teach back教育模式在慢性阻塞性肺疾病患者健康素养中的应用
- Author:
Yujing SHI
1
;
Li WEI
Author Information
1. 天津医科大学总医院心胸外科，天津 300052
- Keywords:
Pulmonary disease, chronic obstructive;
Teach back;
Health literacy;
Quality of life
- From:
Chinese Journal of Modern Nursing
2020;26(31):4404-4409
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of the Teach back health education model in the health literacy education of patients with chronic obstructive pulmonary disease (COPD) .Methods:Convenience sampling method was used to select 90 COPD patients who were admitted to the Department of Respiratory Medicine, Tianjin Medical University General Hospital Airport Hospital from June 2017 to May 2019 as the research object. Patients were randomly divided into observation group and control group with 45 cases in each group. Control group carried out health education for routine respiratory patients, and observation group implemented a Teach back health education model. We evaluated the health literacy and quality of life of patients between two groups before and after intervention with the Health Literacy Scale for Chronic Patients and the St. George's Respiratory Questionnaire. We also compared the forced expiratory volume in one-second (FEV 1) , forced vital capacity (FVC) , FEV 1/FVC, Six Minutes Walking Test (6MWT) , CD 3+, CD 4+, CD 8+ lymphocyte subset changes and CD 4+/CD 8+ of patients between two groups before and after intervention. Results:After 5 months of follow-up, 44 cases and 43 cases in observation group and control group respectively completed this study after excluding invalid follow-up cases. The scores of information acquisition ability, willingness to improve health, communication and interaction ability, and willingness to financial support of observation group were higher than those of control group, and the differences were statistically significant ( P<0.05) . The total score of life quality of observation group was lower than that of control group, the difference was statistically significant ( P<0.05) . FEV 1, FVC, FEV 1/FVC, 6MWT, CD 3+, CD 4+, CD 4+/CD 8+ in observation group were higher than those in control group, the CD8 + in observation group was lower than that of control group, and the differences were statistically significant ( P<0.05) . Conclusions:Teach back health education model can improve the health literacy, quality of life, lung function and related immune indicators of COPD patients, and is of great significance to improve the health behavior and quality of life of COPD patients.
