Effect Of Teach-back On Self-management Of Patients With High Fall Risk In Neurology Department

Objects By implementing the teach-back method for patients with high fall risk in neurology department,this paper discusses the application effect of the teach-back method on patients' self-management,in order to improve patients self-management ability,in order to provide reference for improving the level of preventing fall health education.Methods This study is a kind of experimental study.Using the convenient sampling method,130 patients with falling risk were admitted to the neurology ward of a Grade A hospital in Qingdao from January to August 2018.The 65 cases admitted to the hospital from January to April 2018 were taken in accordance with the order of admission.Set as control group,The 65 cases admitted to the hospital from May to August 2018 were set up as experimental groups.The control group received regular health education methods in the hospital and 3 out-of-hospital follow-up visits.The experimental group received teach-back on the basis of regular health education and out-of-hospital follow-up.Using the General Self-efficacy Scale,the self-management behavior scale for preventing falls,and the Barthel Index(BI)rating scale,Measuring a sense of self-efficacy,self-management ability,and self-care ability of the research subjects before,upon discharge,1 months after the intervention,and 3 months after the intervention,and 6 months after the intervention.Statistics on the occurrence of falls during hospitalization,1 month after intervention,3 months after intervention,and 6 months after intervention.The application of SPSS 17.0 software package was used to analyze the data statistically and evaluate the application of teach-back method.Results1.In this study,61 cases of intervention group and 60 cases of control group were finally completed.Before the intervention,there was no statistically significant difference in baseline data between the two groups(P>0.05).2.The results of repeated measurement of self-efficacy scores at 5 points before,during discharge from hospital,1 month after,3 months after,and 6 months after the intervention showed that: time effect,intergroup effect,and interaction effect were all affected Statistical significance(P < 0.001).The results of the variance analysis of single factor repeated measurement:(1)The scores of the two groups were statistically significant at 5 points in time(P<0.001);(2)Experimental group score: 6 months after intervention > 3 months after intervention > 1 month after intervention > > when discharged > before intervention(P<0.001);(3)Control group score: 3 months after intervention > 1 month after intervention > 6 months after intervention > before intervention(P<0.001).The results of multivariate variance analysis showed that there were differences in self-efficacy score test group and control group at the time of discharge,1 month after intervention,3 months after intervention,and 6 months after intervention.The test group was higher than the control group and there were statistical differences(P<0.001)3.The results show that the effects of time effect,intergroup effect and interaction effect are of statistical significance(P <0.001).The variance analysis of single factor repeated measurement showed that:(1)the scores of the two groups of patients were statistically significant between the five time points(P<0.001);(2)6 months after the experimental group score intervention > 3 months after intervention > 1 month after intervention > 1 month after discharge > 3 months after intervention(P<0.001)(3)control group score intervention > 1 month after intervention > 6 months after intervention > intervention Before(P<0.001).The results of multi-variable variance analysis showed that the self-management ability score of the experimental group was higher than that of the control group at the time of discharge,1 month after intervention,3 months after intervention,and 6 months after intervention.It was statistically significant(P<0.05).4.The results showed that there was no difference between the experimental group and the experimental group before the intervention.There are differences after intervention,1 month after intervention,3 months after intervention,and 6 months after intervention(P<0.05);As the time of intervention increased,the proportion of patients without dependence in the experimental group became higher and higher,and the proportion of mild,moderate,and severe dependence became lower and lower.5.According to Fisher's accurate probability method,the fall rate of the experimental group and the control group was lower than that of the control group one month after the intervention,three months after the intervention,and six months after the intervention.Comparing the Bonferroni method,the results showed that: In the experimental group,the incidence of falls increased after 3 months of intervention compared to 1 month of intervention,and the incidence of falls decreased after 6 months of intervention compared to 3 months of intervention.It was statistically significant(P<0.05);The fall rate of the control group did not change with time.Conclusions The feedback method health education is more effective than the traditional health education method to improve the self-efficacy and self-management ability of patients with high fall risk in the Department of Neurology,improve the ability of daily life activities of patients,and reduce the occurrence of fall risk factors.