The Effect of Teach-Back Training on Self-Care and Readmission of Patients with Heart Failure.

Background: Teach-back training is one of the interactive teaching methods that assess the learner’s understanding by asking questions and provide a proper educational context for behavior change. Involving patients with heart failure in treatment is a top priority. Objectives: Accordingly, the pres...

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Published in:Medical-Surgical Nursing Journal Vol. 9; no. 3; pp. 1 - 8
Main Authors: Mesbahi, Hediyeh, Kermansaravi, Fatihe, Kiyani, Fatemeh
Format: research tables/charts randomized controlled trial Journal Article
Published: Brieflands Aug2020
Online Access:View this record in EBSCOhost
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      dt: Aug2020
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        atl: The Effect of Teach-Back Training on Self-Care and Readmission of Patients with Heart Failure.
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          Mesbahi, Hediyeh
          Kermansaravi, Fatihe
          Kiyani, Fatemeh
        affil: Zahedan University of Medical Sciences, Zahedan, Iran.
      sug:
        subj:
          Teaching Methods
          Behavioral Changes Education
          Self Care Education
          Readmission
          Cardiac Patients Education
          Heart Failure
          Outcomes of Education
          Human
          Randomized Controlled Trials
          Quasi-Experimental Studies
          Coronary Care Units
          Academic Medical Centers Iran
          Iran
          Convenience Sample
          Random Assignment
          Clinical Assessment Tools
          Office Visits
          Patient Discharge
          Data Analysis Software
          Unpaired T-Tests
          Paired T-Tests
          Chi Square Test
          Descriptive Statistics
          Pretest-Posttest Design
          Questionnaires
          Middle Age
          Aged
          Male
          Female
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Teach-back training is one of the interactive teaching methods that assess the learner’s understanding by asking questions and provide a proper educational context for behavior change. Involving patients with heart failure in treatment is a top priority. Objectives: Accordingly, the present studyaimedto explore the effect of teach-back trainingonself-careandreadmission of patients with heart failure. Methods: The present quasi-experimental study was conducted on 80 patients with heart failure in the Coronary Care Unit (CCU) and Post Coronary Care Unit (PCCU) of teaching hospitals affiliated to Zahedan University of Medical Sciences in southeastern Iran in 2019. The patients were selected via the convenience sampling method and randomly placed into two intervention and control groups. In the intervention group, self-care training was performed individually using the teach-back method in four sessions, each lasting 30 to 60 minutes. In contrast, the participants in the control group conventionally received self-care training. The instruments used to collect the data were the demographic information form and the European Heart Failure Self Care Behavior (EHFSCB). The EHFSCB was completed by the participants in the two groups in two stages before and three months after the intervention. The number of readmissions and the number of visits to the doctor at the end of the third month after discharge were recorded for all patients by directly asking the patients. The collected data were analyzed using SPSS-22 software, the independent samples t-test, paired-samples t-test, and chi-square test at a significant level of P < 0.05. Results: After three months, the mean scores of total self-care behaviors during the intervention were significantly different between the two groups (P < 0.001). Besides, the average number of readmissions due to heart disease three months after the intervention showed the positive effect of the intervention in reducing readmissions in patients in the intervention group (P = 0.002). Conclusions: This study showed that teach-back training could affect self-care behaviors positively and reduce the number of readmissions of patients with heart failure. Therefore, it is recommended that nurses use this training method to teach self-care behaviors to heart patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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