The Application Of Teach-back Method Combined With Video Health Education In Rehabilitation Of Stroke Patients In Community

ObjectiveTo explore the influence of the method of teach-back combined with video health education on the disease-related knowledge,self-efficacy,the compliance of rehabilitation exercise,self-care ability and muscle strength of community stroke patients,so as to provide a reference for its application in community health education.MethodsFrom April 2018 to September 2018,the first stroke patients in a community health service center in Loudi City who meet the inclusion criteria were selected as the objects.The patients were numbered according to the order of admission.The odd numbered patients(n=40)were allocated to the intervention group by odd even number lottery,and the even numbered patients(n=40)were assigned in the control group.The patients in the control group received routine nursing for 3 months,while the patients in the intervention group received the method of teach-back combined with video health education plus routine care for 3 months.Before intervention and at the end of 3 months,the scores of stroke-related knowledge,rehabilitation self-efficacy,rehabilitation exercise compliance,muscle strength and self-care ability were measured.SPSS 19.0 was used to the data analysis,mean±standard deviation(M±SD)or constituent ratio were used for statistical description,and two independent sample t-test,variance analysis,?~2 test or rank sum test were used for statistical analysis.Results(1)The score of stroke knowledge questionnaire for pre intervention stroke patients was(16.68±4.42),the index score rate was(41.7%),being in a low level.The score rate of each dimension was(68.3%)for behavior style,(42.2%)for risk factors,(41.0%)for premonitory symptoms,(27.0%)for safe medication,(13.7%)for emergency treatment,and(9.3%)for rehabilitation knowledge.(2)The score of rehabilitation self-efficacy of stroke patients before intervention was(54.83±22.32),being in the middle-lower level.The average score of efficiency of daily life activities was(5.12±2.08),and(4.82±1.96)for self-management.(3)Before intervention,the score of rehabilitation exercise compliance of the patients was(34.14±9.16),being in the middle-lower level.The average score of compliance of exercise monitoring was(2.66±0.68),(2.43±0.77)for physical exercise compliance,and(2.23±0.60)for active seeking advice compliance.(4)Before intervention,the score of muscle strength was(1.92±0.61)and(47.48±11.50)for self-care ability,being in the middle-upper level rehabilitation defect.(5)At the end of 3 months of intervention,the scores of behavioral,risk factors,aura symptoms and rehabilitation knowledge of patients in the intervention group were higher than those before the intervention and the control group(P<0.05).The behavior and risk of the patients in the control group were higher than those before intervention(P<0.05).(6)At the end of 3 months,the scores of rehabilitation self-efficacy in the intervention group were higher than those before the intervention and the control group(P<0.05),but only the scores of the daily life activity in the control group were higher than those before the intervention(P<0.05).(7)At the end of 3 months,the scores of physical exercise compliance and exercise monitoring compliance in the intervention group were higher than those before the intervention and the control group(P<0.05),but the scores of exercise compliance in the control group before and after intervention was not so significant(P>0.05).(8)At the end of 3 months,the scores of the muscles in the intervention group were higher than those before intervention and the control group(P<0.05),so as the same as the scores in the control group before intervention(P<0.05).(9)At the end of 3 months,the scores of daily living self-care ability of the patients in the intervention group were higher than those before intervention and the control group(P<0.05),as well as the scores of the control group before intervention(P<0.05).Conclusions(1)The self-efficacy and the compliance of rehabilitation exercise of the patients with low knowledge level of stroke in community are in the middle-lower level,and the ability of self-care is in the middle-upper level.(2)The combination of teach-back method and video health education is beneficial to improve patients'cognition of disease,self-efficacy and compliance of rehabilitation exercise,improve patients'muscle strength and their ability of daily life self-care.