Effects of Preoperative Mobilization Education Using the Teach-Back Method on Patient Outcomes After Gynecological Surgery: A Randomized-Controlled Study.
Ezgi Arslan, Sultan Özkan
PMID 40442058WHAT IT FOUND
After gynecological oncology surgery, teach-back mobilization education reduced reported strain/pain and dependence during mobilization at days 0, 1, and 2, improved recovery at days 2 and 15, and increased satisfaction with nursing care versus usual care.
Key findings
01Patients receiving teach-back mobilization education reported less strain/pain and were less dependent during mobilization at days 0, 1, and 2 than usual care patients.
02They had better postoperative recovery at days 2 and 15 than usual care patients.
03They reported higher satisfaction with nursing care at day 2 than usual care patients.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The trial was unblinded, so patients and staff knew which education they received, which can affect patient-reported mobility, recovery, and satisfaction. The sample came from a single university hospital, so results may not apply elsewhere. Some data were obtained from patient statements, and pain was not measured with a standardized scale immediately before mobilization. The mobilization education could not be individualized to each patient. All patients had open gynecological oncology surgery, so it does not show effects for minimally invasive surgery. Neither group reached the ERAS target of 2 hours out of bed on the day of surgery and 6 hours on the days after surgery.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that teach-back education alone caused all the benefits. Both groups received usual nurse-led postoperative mobilization care, and the trial was unblinded, so patient-reported mobility, recovery, and satisfaction may have been influenced by knowing the group assignment.