结合反导法优化植发患者围手术期临床护理路径的行动研究

IF 3.2 2区 医学 Q1 SURGERY
Jingjing Huang, Wei Zhou, Jing Liu, Yulin Cao, Liang Guo, Jia Guo
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引用次数: 0

摘要

目的:本研究旨在通过行动研究与回馈教学相结合的方法,优化植发患者围手术期临床护理路径,并验证其临床应用价值。方法:116例植发患者按时间分为对照组和试验组。对照组采用常规护理,实验组采用行动研究与反导相结合的方法进行培训和评估。经过问题识别、计划、行动、反思和实施的两个迭代循环,护理路径得到了完善。测量的结果包括毛囊存活率、并发症发生率、12个月内的二次移植率、术后自我管理和满意度。结果:实验组患者卵泡存活率较高(Z=8.788, P=0.001),并发症发生率较低(χ²=3.940,P=0.047),术后自我管理水平较好(Z=3.426, P=0.001),术后满意度较高(χ²=4.245,P=0.039)。两组术后12个月内继发移植发生率比较,差异无统计学意义(P=0.618)。结论:通过行动研究与背教相结合的方法,我们明显优化了围手术期护理,显著提高了毛囊单位术后存活率,降低了并发症发生率,提高了术后自我管理能力和患者满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Action Research on Combining the Teach-back Method to Optimize the Perioperative Clinical Care Pathway for Hair Transplant Patients.

Objective: This study aimed to optimize the perioperative clinical care pathway for hair transplantation patients by integrating action research and the teach-back method, and to validate its clinical application.

Methods: A total of 116 hair transplantation patients were divided into control and experimental groups based on time periods.The control group followed the conventional care, while the experimental group utilized action research combined with the teach-back method for training and assessment.. After two iterative cycles of problem identification, planning, action, reflection, and implementation, the care pathway was refined. Outcomes measured included hair follicle survival rate, complication incidence, secondary transplantation rates within 12 months, postoperative self-management, and satisfaction.

Results: The experimental group showed higher follicle survival rates (Z=8.788, P=0.001), lower complication incidence (χ²=3.940, P=0.047), improved postoperative self-management (Z=3.426, P=0.001), and greater satisfaction (χ²=4.245, P=0.039).There was no significant difference between the two groups in the occurrence of secondary hair transplantation within 12 months post-operation (P=0.618).

Conclusion: By combining action research with the teach-back method, we significantly optimized perioperative care, achieving notable improvements in the survival rate of hair follicle units post-operation, a reduction in the incidence of complications, and enhancements in both postoperative self-management capabilities and patient satisfaction.

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来源期刊
CiteScore
5.00
自引率
13.90%
发文量
1436
审稿时长
1.5 months
期刊介绍: For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.
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