【摘要】 目的：探讨Teach-back健康教育模式在机器人辅助脊柱骨折手术中的应用。方法：选取2022年1月—2023年8月首都医科大学附属北京朝阳医院行机器人辅助手术的脊柱骨折患者100例，按随机数表法将所有患者分为对照组（n=50，传统健康宣教）和观察组（n=50，传统健康宣教联合Teach-back健康教育模式）。比较两组患者功能锻炼依从性、一般自我效能感量表（GSES）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、视觉模拟评分法（VAS）评分、功能独立性评定量表（FIM）评分及并发症发生情况。结果：与干预前相比，干预后两组患者功能锻炼依从性和GSES评分均升高，且观察组评分更高（P<0.05）；与干预前相比，干预后两组患者SAS、SDS及VAS评分均降低，且观察组评分更低（P<0.05）；与干预前相比，干预后两组患者FIM评分均升高，且观察组评分更高（P<0.05）；与对照组相比，观察组并发症总发生率更低（P<0.05）。结论：Teach-back健康教育模式在机器人辅助脊柱骨折手术中的应用不仅可以提高患者功能锻炼依从性、自我效能感，还可改善其不良情绪，减轻疼痛症状，提高整体康复效果。更多还原

【Abstract】 Objective: To explore the application effect of Teach-back health education model in robot-assisted spinal fracture surgery. Methods: 100 patients with spinal fractures who underwent robot-assisted surgery at Beijing Chao-Yang Hospital, Capital Medical University from January 2022 to August 2023 were selected. They were randomly divided into the control group(n=50, receiving traditional health education) and the observation group(n=50, receiving traditional health education combined with Teachback health education model) using a random number table. Functional exercise compliance, General Self-efficacy Scale(GSES) scores, Self-rating Anxiety Scale(SAS) scores, Self-rating Depression Scale(SDS) scores, Visual Analog Scale(VAS) scores, Functional Independence Measure(FIM) scores, and complication rates were compared between the two groups. Result: Compared with that before intervention, both groups of patients showed increased functional exercise compliance and GSES scores after intervention, and the scores in the observation group were higher than those in the control group(P<0.05). The SAS, SDS, and VAS scores of the two groups of patients decreased after intervention, and the observation group had lower scores(P<0.05). Both groups of patients showed increased FIM scores after intervention, and the scores in the observation group were higher than those in the control group(P<0.05). The observation group had a significantly lower overall complication rate than the control group(P<0.05). Conclusion: Application of the Teach-back health education model in robot assisted spinal fracture surgery can improve patients’ compliance with functional exercise and self-efficacy, alleviate their negative emotions and pain symptoms, enhance overall rehabilitation outcomes, and reduce postoperative complications.更多还原