回馈式多元化术前访视在神经阻滞麻醉老年患者中的应用效果研究

Study on the Efficacy of Teach-Back-Based Diversified Preoperative Visits in Elderly Patients Undergoing Nerve Block Anesthesia

摘要: 目的：探讨回馈式模式在神经阻滞麻醉老年患者多元化术前访视中的应用效果。方法：选取2024年1月~2024年12月内蒙古自治区某三级医院收治的86名择期手术(拟进行神经阻滞麻醉)的老年患者，采用随机数字表法进行分组，将患者分为观察组和对照组，每组43例患者。在术前访问中，观察组采用回馈模式的多元化术前访视方案，对照组采用传统的常规术前访视方案。通过比较两组患者干预前后的状态焦虑水平(S-AI)、麻醉知识掌握程度和患者对术前访视的满意度，评估回馈模式的多元化术前访视的应用效果。结果：观察组患者在状态焦虑水平(S-AI)、麻醉知识掌握程度和患者对术前访视的满意度方面均显著优于对照组(P < 0.05)。结论：研究表明，回馈模式在神经阻滞麻醉老年患者多元化术前访视中可以缓解麻醉前的焦虑紧张情绪、提高患者对麻醉知识的理解及掌握程度、提高患者满意度，值得在临床实践中广泛推广。

Abstract: Objective: To explore the application effect of the Teach-back model in diversified preoperative visits for elderly patients undergoing nerve block anesthesia. Methods: A total of 86 elderly patients scheduled for elective surgery (intended for nerve block anesthesia) admitted to a tertiary hospital of Inner Mongolia Autonomous Region from January 2024 to December 2024 were selected and grouped by random number table method. The patients were divided into the observation group and the control group, with 43 patients in each group. The observation group adopted a diversified preoperative visit plan based on the Teach-back model for preoperative visits, while the control group used the traditional conventional preoperative visit method. By comparing the state anxiety level (S-AI), the mastery degree of anesthesia knowledge and the satisfaction of patients with preoperative visits before and after the intervention in the two groups of patients, the application effect of diversified preoperative visits based on the Teach-back model was evaluated. Results: The patients in the observation group were significantly better than those in the control group in terms of state anxiety level (S-AI), mastery of anesthesia knowledge, and satisfaction with preoperative visits (P < 0.05). Conclusion: Studies have shown that the Teach-back model can alleviate anxiety and tension before anesthesia, improve patients’ understanding and mastery of anesthesia knowledge, and enhance patient satisfaction in diversified preoperative visits for elderly patients undergoing nerve block anesthesia. It is worthy of wide promotion in clinical practice.