# The effectiveness of teach-back health education combined with high-quality nursing in patients with atrial fibrillation receiving anticoagulant treatment

## TL;DR

Combining teach-back health education with high-quality nursing improves anticoagulation treatment outcomes for atrial fibrillation patients.

## Contribution

Demonstrates that teach-back health education enhances treatment adherence and self-care in atrial fibrillation patients.

## Key findings

- The observation group had significantly higher self-care and health knowledge scores than the control group.
- Treatment adherence in the observation group was 96.49%, significantly higher than the control group's 84.91%.
- Nursing satisfaction was significantly higher in the observation group compared to the control group.

## Abstract

To explore the efficacy of combining teach-back health education and high-quality nursing in the anticoagulation treatment of patients with atrial fibrillation (AF).

Clinical data of 110 patients with AF admitted to the Zhangjiakou First Hospital between June 2021 to August 2023 who received anticoagulation therapy were retrospectively analyzed. Among them, 53 patients received routine high-quality nursing care (control group), and 57 patients received teach-back health education combined with high-quality nursing (observation group). Exercise of Self-Care Agency (ESCA) scale scores, treatment adherence, mastery of health knowledge, and nursing satisfaction before and after intervention were assessed.

After the intervention, the scores of self-care skills, self-responsibility, self-concept, and health knowledge in both groups significantly increased compared to pre-intervention and were significantly higher in the observation group compared to the control group (P<0.05). The post-intervention adherence rate of the observation group (96.49%) was higher than that of the control group (84.91%) (P<0.05). Similarly, the mastery of health knowledge and nursing satisfaction in the observation group were significantly higher compared to the control group (94.74% and 92.98% versus 81.13% and 79.25%, respectively; P<0.05).

Implementing teach-back health education combined with high-quality nursing during anticoagulation treatment for patients with AF can deepen the patient’s understanding of disease and health knowledge, improve self-care ability and treatment adherence, and increase satisfaction.