2023年4月第30卷第4期Teach-back模式健康宣教对老年重症肺炎患者心理韧性及自我效能的影响刘国芳，向亚楠（南阳市第一人民医院呼吸与危重症医学科，河南南阳473000）【摘要】目的探讨Teach－back模式健康宣教对老年重症肺炎（SP）患者心理韧性及自我效能的影响。方法110例老年SP患者随机分为两组各55例，对照组给予常规护理干预，观察组在对照组基础上给予Teach－back模式健康宣教。比较两组干预前后的心理弹性以及自我效能。结果干预后，观察组的CD－RISC评分、GSES评分、护理满意度均显著高于对照组（P＜0．05）。结论Teach－back模式健康宣教可有效提高老年SP患者的心理韧性和自我效能，提升患者的护理满意度。【关键词】Teach－back模式健康宣教；老年重症肺炎；心理韧性；自我效能中图分类号：R473.5文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0521ImpactofTeach-BackModeHealthEducationonPsychologicalResilienceandSelf-EfficacyofElderlyPatientswithSeverePneumonia//LIUGuofang,XIANGYa'nan(DepartmentofRespiratoryandCriticalCareMedicine,NanyangFirstPeople'sHospital,Nanyang473000,China)[Abstract]ObjectiveToexploretheimpactofTeach-backmodehealtheducationonpsychologicalresilienceandself-efficacyofelderlypatientswithseverepneumonia(SP).Methods110elderlySPpatientswererandomlydividedintotwogroups,with55casesineachgroup.Thecontrolgroupreceivedroutinenursingintervention,andtheobservationgroupreceivedTeach-backmodehealtheducationonthebasisofthecontrolgroup.Thepsychologicalresilienceandself-efficacybeforeandafterinterventionwerecomparedbetweenthetwogroups.ResultsAfterintervention,theCD-RISCscore,GSESscoreandnursingsatisfactiondegreeoftheobservationgroupweresignificantlyhigherthanthoseofthecontrolgroup(P<0.05).ConclusionsTeach-backmodehealtheducationcaneffectivelyimprovethepsychologicalresilience,self-efficacyandnursingsatisfactiondegreeofelderlySPpatients.[Keywords]Teach-backmodehealtheducation;Elderlyseverepneumonia;Psychologicalresilience;Self-efficacy重症肺炎（severepneumonia，SP）为临床常见的呼吸系统危重症疾病，具有发病急、病情进展迅速等特征。由于老年患者机体多呈退行性改变，发病后若未及时得到治疗，极易累及其他器官和系统，危...
