International Journal of Nursing Research
International Journal of Nursing Research. 2026; 8: (2) ; 10.12208/j.ijnr.20260075 .
总浏览量: 41
1 深圳市儿童医院消化内科 广东深圳
2 深圳市儿童医院临床营养科 广东深圳
*通讯作者： 邹瑜,单位： 深圳市儿童医院消化内科 广东深圳；
目的 克罗恩病患儿普遍存在营养不良，口服营养补充（ONS）是关键治疗手段，但患儿依从性低、认知不足。为提高健康教育效果，本研究探索回授法模式的应用价值。方法 采用随机对照设计，对试验组实施基于回授法的系统化健康教育，包括院内讲授与出院后每周远程反馈；对照组接受常规健康教育。两组均接受6次集中教育，随访12周，采用自设问卷与生活质量量表进行评估，同时监测体重、BMI，计算体重/年龄Z评分和身高/年龄Z评分。结果 干预后，试验组ONS相关知识水平各项评分及总分均高于对照组（P<0.05）。干预后，试验组生活质量各项水平评分及总分均高于对照组（P<0.05）。结论 回授法能有效提升患儿及家长对ONS的认知与执行能力，进而改善营养结局与生活质量，值得在儿科慢性病管理中推广。
Objective Malnutrition is highly prevalent in pediatric patients with Crohn’s disease. Oral nutritional supplementation (ONS) represents a core therapeutic strategy, but its clinical efficacy is often limited by poor adherence and insufficient disease-related knowledge in children and their caregivers. This study aimed to evaluate the effectiveness of the teach-back method in enhancing health education for this population. Methods A randomized controlled trial was conducted. The intervention group received standardized health education using the teach-back method, consisting of in-hospital training and weekly remote follow-up after discharge. The control group was provided with conventional health education. Both groups underwent six sessions of education and 12 weeks of follow-up. Outcomes were assessed using a self-designed knowledge questionnaire, a quality-of-life scale, and anthropometric measurements including body weight, BMI, weight-for-age Z-score, and height-for-age Z-score. Results Compared with the control group, the intervention group exhibited significantly higher scores in all dimensions and the total score of ONS-related knowledge (P<0.05), as well as significantly higher scores in all subscales and the total score of quality of life (P<0.05) after intervention. Conclusion The teach-back method effectively improves ONS-related knowledge, practical compliance, nutritional status and quality of life among pediatric patients with Crohn’s disease and their caregivers. It is a feasible and effective educational strategy worthy of widespread application in the long-term management of pediatric chronic gastrointestinal diseases.
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