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| Effects of Teach-back health education model for treating patients after gynecological malignant tumor surgery on their early postoperative activity and psychological state |
| Gulou Hospital Affiliated to Nanjing University School of Medicine (Nanjing Gulou Hospital), Nanjing, Jiangsu Province, 210008 |
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Abstract To observe the effects of Teach-back health education model for treating patients after gynecological malignant tumor surgery on their early postoperative activity and psychological state. Methods: A total of 80 patients with gynecological malignant tumor who wanted surgery were selected and were divided into two groups (40 cases in each group) according to the random number table method from November 2022 to June 2023. The patients in control group were given the routine perioperative early activity education, while the patients in study group were given Teach-back health education mode combined with the routine perioperative early activity education. The activity recovery, the activity compliance score, the early rehabilitation, and the scores of simple anxiety and depression assessment scale (PHQ-4) and general self-efficacy scale (GSES) before and after intervention of the patients within 3 days after surgery were compared between the two groups. Results: The proportion of the good postoperative activity recovery (63.2%) of the patients in the study group was significantly better than that (18.4%) of the patients in the control group. Univariate logistic regression analysis showed that Teach-back health education mode of the patients was associated with their postoperative activity recovery (OR=0.186, 95%CI 0.109-0.317). The activity compliance score (5.62±0.71 points) of the patients in the study group within 3 days after surgery was significantly higher than that (5.00±0.75 points) of the patients in the control group. The first exhaust time (20.18±5.42h) and the time of the first getting off the bed (18.37±4.04h) of the patients in the study group were significantly shorter than those (30.95±8.17h and 25.28±4.83h) of the patients in the control group. After the intervention, the PHQ-4 score of the patients in the two groups had decreased significantly, and which (4.89±0.55 points) of the patients in the study group was significantly lower than that (5.95±0.62 points) of the patients in the control group. The GSES score of the patients in the two groups had increased significantly, and which (34.13±2.12 points) of the patients in the study group was significantly higher than that (31.10±2.59 points) of the patients in the control group (all P＜0.05). Conclusion: The application of Teach-back health education model for treating the patients after gynecological malignant tumor surgery can enhance their postoperative self-efficacy, relieve their anxiety and depression, improve their compliance of early postoperative activity and accelerate their postoperative rehabilitation process.
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