回授法联合微视频教育对糖尿病高危足患者足部护理知识与行为的影响

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中图分类号：R473.5 文献标志码：A

Effect of the teach-back method combined with micro-video education on foot care knowledge and behaviors in patientswith high-riskdiabeticfoot

XIE Ping， ZHANG Lujun

（Department of Endocrinology，The Second Affiliated Hospital of Shaoyang University， Shaoyang 422000，China）

Abstract：Objective To evaluate the efficacyof the teach-back method combined with micro-video education inpatientswith high-risk diabetic foot.Methods A totalof 67 patientsadmited from February to August 2O23 were assgned to the control group（routine health education）.Meanwhile，7O patients admitted from September to December 2O23 received the intervention（teach-back method + micro-video education）. Diabetic foot knowledge and self-care behaviors were assssed pre-and post-intervention.Results Postintervention，the intervention groupdemonstrated significantlyhigherscores in knowledgeoffotwear，dailyfoot care，and exercise（ P<0.05 ）versus the controls.No significant intergroup difference existed in risk factor knowledge （ P >0.05）.The intervention group also exhibited superior behavioral performance in personal care， foot care，and footwear（ P <0.05）.Conclusion The teach-back method integrated with micro-video education effectively enhances fot care knowledge acquisition and self-care behaviors in patients with high-risk diabetic foot.

Keywords：teach-back method；micro-video；diabetic foot；health education

糖尿病足是糖尿病患者长期高血糖导致的神经病变和血管病变，引发下肢（尤其是足部）感觉减退和微血管功能障碍，最终可能导致足部组织坏死和溃疡形成[1-2]。（剩余6519字）