Application of health education based on teach-back method in patients with kinesiophobia after total knee arthroplasty
10.3760/cma.j.cn115682-20210803-03446
- VernacularTitle:基于回授法的健康教育在全膝关节置换术恐动症患者中的应用
- Author:
Libai CAI
1
;
Lin WANG
;
Yanjin LIU
;
Jingshuang BAI
;
Yukun ZHANG
;
Miaoran CUI
Author Information
1. 郑州大学第一附属医院骨科,郑州 450052
- Keywords:
Arthroplasty, replacement, knee;
Health education;
Kinesiophobia;
Functional exercise;
Teach-back method
- From:
Chinese Journal of Modern Nursing
2022;28(8):986-991
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of health education based on teach-back method on functional exercise compliance in patients with kinesophobia after total knee arthroplasty (TKA) .Methods:Using the convenient sampling method, a total of 104 patients with TKA kinesiophobia who were admitted to First Ward of Department of Orthopedics in the First Affiliated Hospital of Zhengzhou University from August 2019 to November 2020 were selected as the research objects. Among them, 52 patients admitted from August 2019 to March 2020 were set as the control group, while 52 patients admitted from April to November 2020 were set as the experimental group. They were respectively given routine health education and health education based on teach-back method. Before the intervention and 2 weeks after the intervention, the differences in Functional Exercise Compliance Scale for Orthopedic Patients, Hospital for Special Surgery Knee Score (HSS) and Modified Barthel Index (MBI) scores were compared between the two groups.Results:After implementing the health education intervention program based on the teach-back method, the total score of Functional Exercise Compliance Scale for Orthopedic Patients of patients and dimensions scores of exercise compliance related to physical aspects, the exercise compliance related to psychological aspects and the exercise compliance related to active learning in the experimental group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . The scores of HSS and MBI in the experimental group were higher than those in the control group after intervention, and the differences were statistically significant ( P<0.01) . Conclusions:The health education intervention program based on the teach-back method is scientific and reliable, which can effectively improve the functional exercise compliance of TKA patients with kinesiophobia, promote recovery of knee joint function and improve their activities of daily living.