{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:48:22Z","timestamp":1782089302171,"version":"3.54.5"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":53,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Jiangxi Provincial Education Department Grant","award":["GJJ2200157"],"award-info":[{"award-number":["GJJ2200157"]}]},{"name":"Jiangxi Provincial Education Department Grant","award":["GJJ2200157"],"award-info":[{"award-number":["GJJ2200157"]}]},{"name":"Jiangxi Provincial Education Department Grant","award":["GJJ2200157"],"award-info":[{"award-number":["GJJ2200157"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"DOI":"10.1186\/s13019-026-04198-3","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T17:37:14Z","timestamp":1777570634000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of teach-back method-based continuing nursing on self-management behavior and quality of life in patients after aortic dissection surgery"],"prefix":"10.1186","volume":"21","author":[{"given":"Qiuxia","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liqing","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianying","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"4198_CR1","unstructured":"Levy D, Sharma S, Farci F, Le JK. Aortic Dissection. In: StatPearls. Treasure Island (FL) ineligible companies. Disclosure: Sanjeev Sharma declares no relevant financial relationships with ineligible companies. Disclosure: Fabiola Farci declares no relevant financial relationships with ineligible companies. Disclosure: Jacqueline Le declares no relevant financial relationships with ineligible companies.: StatPearls Publishing Copyright \u00a9. 2025, StatPearls Publishing LLC.; 2025."},{"key":"4198_CR2","doi-asserted-by":"publisher","unstructured":"Smedberg C, Hultgren R, Olsson C, Steuer J. Incidence, presentation and outcome of acute aortic dissection: results from a population-based study. Open heart. 2024;11(1). https:\/\/doi.org\/10.1136\/openhrt-2023-002595.","DOI":"10.1136\/openhrt-2023-002595"},{"key":"4198_CR3","doi-asserted-by":"publisher","first-page":"6604","DOI":"10.21037\/jtd-23-1137","volume":"15 12","author":"F Nappi","year":"2023","unstructured":"Nappi F, Gambardella I, Singh SSA, Salsano A, Santini F, Spadaccio C, et al. Survival following acute type A aortic dissection: a multicenter study. J Thorac disease. 2023;15 12:6604\u201322. https:\/\/doi.org\/10.21037\/jtd-23-1137.","journal-title":"J Thorac disease"},{"key":"4198_CR4","doi-asserted-by":"publisher","unstructured":"Zhang L, Pan Q, Peng Y, Li S, Chen L, Lin Y. Postoperative self-management experiences among patients with aortic dissection: a phenomenological approach. BMC Cardiovasc Disord. 2025;25(1:4). https:\/\/doi.org\/10.1186\/s12872-024-04435-4.","DOI":"10.1186\/s12872-024-04435-4"},{"key":"4198_CR5","doi-asserted-by":"publisher","unstructured":"Wang D, Wang S, Song Y, Wang H, Zhang A, Wu L, et al. Predictors and outcomes of postoperative tracheostomy in patients undergoing acute type A aortic dissection surgery. BMC Cardiovasc Disord. 2022;22(1:94). https:\/\/doi.org\/10.1186\/s12872-022-02538-4.","DOI":"10.1186\/s12872-022-02538-4"},{"issue":"2","key":"4198_CR6","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1055\/s-0035-1548734","volume":"64","author":"M Endlich","year":"2016","unstructured":"Endlich M, Hamiko M, Gestrich C, Probst C, Mellert F, Winkler K, et al. Long-Term Outcome and Quality of Life in Aortic Type A Dissection Survivors. Thorac Cardiovasc Surg. 2016;64(2):91\u20139. https:\/\/doi.org\/10.1055\/s-0035-1548734.","journal-title":"Thorac Cardiovasc Surg"},{"key":"4198_CR7","doi-asserted-by":"publisher","unstructured":"St Pierre EC, Orelaru F, Naeem A, Farhat L, Wu X, Yang B. Quality of Life Worsens After Surgical Repair of Acute Type A Aortic Dissection. Seminars in thoracic and cardiovascular surgery. 2022;34 2:399\u2013407; https:\/\/doi.org\/10.1053\/j.semtcvs.2021.03.040","DOI":"10.1053\/j.semtcvs.2021.03.040"},{"key":"4198_CR8","doi-asserted-by":"publisher","unstructured":"Zhang LW, Peng YC, Pan Q, Li SL, Chen LW, Lin YJ. Compilation of a self-management assessment scale for postoperative patients with aortic dissection. Open Med (Warsaw Poland). 2024;19(1:20240939). https:\/\/doi.org\/10.1515\/med-2024-0939.","DOI":"10.1515\/med-2024-0939"},{"key":"4198_CR9","first-page":"284","volume":"36 6","author":"PH Yen","year":"2019","unstructured":"Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Federal practitioner: for the health care professionals of the VA. DoD PHS. 2019;36 6:284\u20139.","journal-title":"DoD PHS"},{"issue":"4","key":"4198_CR10","doi-asserted-by":"publisher","first-page":"e0231350","DOI":"10.1371\/journal.pone.0231350","volume":"15","author":"J Talevski","year":"2020","unstructured":"Talevski J, Wong Shee A, Rasmussen B, Kemp G, Beauchamp A. Teach-back: A systematic review of implementation and impacts. PLoS ONE. 2020;15(4):e0231350. https:\/\/doi.org\/10.1371\/journal.pone.0231350.","journal-title":"PLoS ONE"},{"key":"4198_CR11","doi-asserted-by":"publisher","first-page":"107559","DOI":"10.1016\/j.pec.2022.11.001","volume":"107","author":"S Oh","year":"2023","unstructured":"Oh S, Choi H, Oh EG, Lee JY. Effectiveness of discharge education using teach-back method on readmission among heart failure patients: A systematic review and meta-analysis. Patient Educ Couns. 2023;107:107559. https:\/\/doi.org\/10.1016\/j.pec.2022.11.001.","journal-title":"Patient Educ Couns"},{"key":"4198_CR12","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1111\/wvn.12612","volume":"19 6","author":"L Marks","year":"2022","unstructured":"Marks L, O\u2019Sullivan L, Pytel K, Parkosewich JA. Using a teach-back intervention significantly improves knowledge, perceptions, and satisfaction of patients with Nurses\u2019 discharge medication education. Worldviews evidence-based Nurs. 2022;19 6:458\u201366. https:\/\/doi.org\/10.1111\/wvn.12612.","journal-title":"Worldviews evidence-based Nurs"},{"key":"4198_CR13","doi-asserted-by":"publisher","first-page":"104453","DOI":"10.1016\/j.ijnurstu.2023.104453","volume":"140","author":"EG Oh","year":"2023","unstructured":"Oh EG, Lee JY, Lee HJ, Oh S. Effects of discharge education using teach-back methods in patients with heart failure: A randomized controlled trial. Int J Nurs Stud. 2023;140:104453. https:\/\/doi.org\/10.1016\/j.ijnurstu.2023.104453.","journal-title":"Int J Nurs Stud"},{"key":"4198_CR14","doi-asserted-by":"publisher","first-page":"7259","DOI":"10.1007\/s00520-021-06445-w","volume":"29 12","author":"S Choi","year":"2021","unstructured":"Choi S, Choi J. Effects of the teach-back method among cancer patients: a systematic review of the literature. Supportive care cancer: official J Multinational Association Supportive Care Cancer. 2021;29 12:7259\u201368. https:\/\/doi.org\/10.1007\/s00520-021-06445-w.","journal-title":"Supportive care cancer: official J Multinational Association Supportive Care Cancer"},{"key":"4198_CR15","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1186\/s13019-020-01326-5","volume":"15 1","author":"SL Li","year":"2020","unstructured":"Li SL, Zhou SH, Lin YJ. The value of continuous nursing in patients after cardiac mechanical valve replacement. J Cardiothorac Surg. 2020;15 1:299. https:\/\/doi.org\/10.1186\/s13019-020-01326-5.","journal-title":"J Cardiothorac Surg"},{"key":"4198_CR16","unstructured":"Zhang W. The Development and Preliminary Application of a Postoperative Self-Management Assessment Scale for Patients with Aortic Dissection. In.: Fujian Medical University; 2021."},{"key":"4198_CR17","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","volume":"30 6","author":"JE Ware Jr","year":"1992","unstructured":"Ware JE Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30 6:473\u201383.","journal-title":"Med Care"},{"key":"4198_CR18","unstructured":"Ware JKM, Keller S. SF-36 Physical & Mental Health Summary Scales: A User\u2019s Manual. Health Assessment Lab; 1994."},{"key":"4198_CR19","doi-asserted-by":"publisher","unstructured":"Oh EG, Lee HJ, Yang YL, Lee S, Kim YM. Development of a discharge education program using the teach-back method for heart failure patients. BMC Nurs. 2021;20(1:109). https:\/\/doi.org\/10.1186\/s12912-021-00622-2.","DOI":"10.1186\/s12912-021-00622-2"},{"key":"4198_CR20","doi-asserted-by":"publisher","first-page":"657","DOI":"10.2147\/ppa.S447320","volume":"18","author":"H Zou","year":"2024","unstructured":"Zou H, Liu J, Jiang D, Hou L, Wang W, Zhang L. The Effect of Health Literacy on Disease Management Self-Efficacy in Chronic Disease Patients: The Mediating Effects of Social Support and the Moderating Effects of Illness Perception. Patient Prefer Adherence. 2024;18:657\u201366. https:\/\/doi.org\/10.2147\/ppa.S447320.","journal-title":"Patient Prefer Adherence"},{"key":"4198_CR21","doi-asserted-by":"publisher","unstructured":"Seely KD, Higgs JA, Nigh A. Utilizing the teach-back method to improve surgical informed consent and shared decision-making: a review. Patient Saf Surg. 2022;16(1:12). https:\/\/doi.org\/10.1186\/s13037-022-00322-z.","DOI":"10.1186\/s13037-022-00322-z"},{"key":"4198_CR22","doi-asserted-by":"publisher","unstructured":"Dinh TTH, Bonner A. Exploring the relationships between health literacy, social support, self-efficacy and self-management in adults with multiple chronic diseases. BMC Health Serv Res. 2023;23(1:923). https:\/\/doi.org\/10.1186\/s12913-023-09907-5.","DOI":"10.1186\/s12913-023-09907-5"},{"key":"4198_CR23","doi-asserted-by":"publisher","first-page":"10576","DOI":"10.12998\/wjcc.v9.i34.10576","volume":"9 34","author":"ZR Wang","year":"2021","unstructured":"Wang ZR, Zhou JW, Liu XP, Cai GJ, Zhang QH, Mao JF. Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure. World J Clin cases. 2021;9 34:10576\u201384. https:\/\/doi.org\/10.12998\/wjcc.v9.i34.10576.","journal-title":"World J Clin cases"},{"key":"4198_CR24","doi-asserted-by":"publisher","unstructured":"Huang W, Wu Q, Zhang Y, Zhu H. Latent profile analysis of health-related quality of life and its associated factors in postoperative aortic dissection patients: a cross-sectional study. Health Qual Life Outcomes. 2025;23(1:60). https:\/\/doi.org\/10.1186\/s12955-025-02392-w.","DOI":"10.1186\/s12955-025-02392-w"},{"key":"4198_CR25","doi-asserted-by":"publisher","first-page":"e66249","DOI":"10.2196\/66249","volume":"27","author":"Y Duan","year":"2025","unstructured":"Duan Y, Liang W, Guo L, Zhan H, Xia C, Ma H, et al. Effectiveness of a WeChat Mini Program-Based Intervention on Promoting Multiple Health Behavior Changes Among Chinese Patients With Cardiovascular Diseases in Home-Based Rehabilitation: Randomized Controlled Trial. J Med Internet Res. 2025;27:e66249. https:\/\/doi.org\/10.2196\/66249.","journal-title":"J Med Internet Res"},{"key":"4198_CR26","doi-asserted-by":"publisher","first-page":"e65268","DOI":"10.2196\/65268","volume":"27","author":"H Wang","year":"2025","unstructured":"Wang H, Qin Z, Li Y, Duan Y, Lu Q, Xiao X. Effect of a WeChat-Based Hybrid Intervention on the Adaptation Outcomes of People Living With HIV\/AIDS: Pilot Randomized Controlled Trial. J Med Internet Res. 2025;27:e65268. https:\/\/doi.org\/10.2196\/65268.","journal-title":"J Med Internet Res"},{"issue":"1","key":"4198_CR27","doi-asserted-by":"publisher","first-page":"kaaf073","DOI":"10.1093\/abm\/kaaf073","volume":"59","author":"MF Cabezas","year":"2025","unstructured":"Cabezas MF, Nazar G, Ranchor AV, Annema C. The Effect of Health Literacy Interventions on Self-management in Chronic Diseases: A Systematic Review. Annals Behav medicine: publication Soc Behav Med. 2025;59(1):kaaf073. https:\/\/doi.org\/10.1093\/abm\/kaaf073.","journal-title":"Annals Behav medicine: publication Soc Behav Med"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-026-04198-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-04198-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-04198-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:32:04Z","timestamp":1782088324000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13019-026-04198-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4198"],"URL":"https:\/\/doi.org\/10.1186\/s13019-026-04198-3","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"assertion":[{"value":"23 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of The First Affiliated Hospital of Nanchang University, and all participants provided written informed consent before enrollment (Approval No. IIT Ethics Review [2024] No. 185). All methods were carried out in accordance with Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"435"}}