Geri Öğretme Yönteminin Hastaların Sağlık Çıktısına Etkisi: Randomize Kontrollü Çalışmalara Dayalı Bir Araştırma

Year 2025, Volume: 16 Issue: 45, 20 - 36, 28.02.2025

İzzet Aydemir

https://doi.org/10.21076/vizyoner.1495969

Abstract

Bu araştırmada, geri öğretme (teach-back) iletişiminin hasta çıktılarına etkisi randomize kontrollü çalışmalar ışığında değerlendirilmiştir. Araştırmada, 31 Aralık 2024 yılına kadar yayımlanmış ve geniş veri tabanları olan PubMed ve Google Scholar taranarak amaçlanan çalışmalara ulaşılmıştır. PRISMA protokolü takip edilerek çalışmalar elde edildi. Çalışmaların kalite değerlendirilmesi araştırmacı ve bağımsız değerlendirici tarafından yapıldı. Randomize araştırmalara yönelik Cochrane Collaboration risk yanlılığı aracı olan RoB 2.0 görseli kullanılarak çalışmaların risk yanlılığı analizi yapıldı. Değerlendirmeye toplam 27 çalışma alındı ve çalışmaların genel risk yanlılık düzeyi düşük bulundu. Çalışmalarda farklı sağlık durumuna sahip olan katılımcılara verilen geri öğretme eğitimi standart bakımla karşılaştırıldı. Çalışmalarda geri öğretme yönteminin, genel olarak, farklı popülasyon ve hastalık olgusuna sahip olan katılımcıların sonuç ölçümlerinde anlamlı bir şekilde etkili olduğu saptanmıştır. Geri öğretme eğitimi hastaların sağlık çıktısı ve öz yeterliliği üzerinde etkili bir iletişim stratejisi olduğu saptandı. Ancak daha uzun takip dönemi ve geniş örnekleme sahip olan çalışmalar üzerinde yöntemin etkililiği değerlendirilebilir.

Keywords

Hasta Çıktıları, Öz Yeterlilik, Randomize Kontrollü Çalışmalar, Geri Öğretme İletişimi

The Effect of Teach-Back Method on Patients’ Health Outcomes: A Study Based on Randomized Controlled Trials

Abstract

In the study, the effect of teach-back communication on patient outcomes is evaluated in the light of randomized controlled trials. The targeted studies are accessed through scanning the large databases -PubMed and Google Scholar- from the beginning until December 31, 2024. Studies are obtained following the PRISMA protocol. The quality assessment of the studies included is assessed by both study researcher and an independent evaluator. Risk bias analysis of the studies is carried out using the RoB 2.0 image, the Cochrane Collaboration risk bias tool for randomized trials. A total of 27 studies are included in the evaluation, in which the overall risk bias level of the studies is found to be low. In the included studies, teach-back training given to participants with different health conditions is compared with standard care. Studies, individually, finds that the teach-back method has significantly effective in outcome measurements of participants with different populations and disease cases. Teach-back training is an effective communication strategy on patients' health outcome and self-efficacy. However, the effectiveness of the method could be evaluated on studies with longer follow-up periods and larger samples.

Keywords

Patient Outcomes, Self-Efficacy, Randomized Controlled Trial, Teach-Back Communication

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